Chopart fracture

Case contributed by Maarten Smits
Diagnosis certain

Presentation

High speed (120 KPH) car crash into gas-station

Patient Data

Age: 20 years
Gender: Male

CT ankle (pretreatment)

ct

There are extensive fractures of the foot and ankle: 

1. Complicated fibular fracture with multiple fragments. 

2. Comminutive talus fracture with impression of the calcaneus in the lateral aspect of the talus and complete dislocation of the talonavicular joint (Chopart fracture). 

3. Fracture of metatarsals 2 and 3. 

Post treatment CT ankle

ct

Post treatment CT shows results after open reposition and internal fixation. The fractures were surgically fixated despite the complicated nature of the fractures with gas within the joints.

This bone setting allows for visualization of the osteosynthesis material.

Talonavicular dislocation has been corrected.

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