Prosthetic Management of the Partial Foot Amputation

Widely published data show that prosthetic outcomes for PFAs have not been satisfactory, either from a medical outcome or from a patient satisfaction point of view.
In June 2021 a post from an O&P practitioner was listed on the O&P list serve1 asking for recommendations on managing a Chopart amputation. There were an incredible array of answers including:

  • (Go to) BKA—don’t even waste your time
  • Gauntlet style AFO
  • … abbreviated CROW walker
  • Custom molded total contact partial foot orthotic / depth inlay shoe with rocker soles
  • Matching shoe for the other side with lift
  • Gauntlet style AFO with toe filler, made into a walking boot
  • SACH heel and rocker bottom on shoe—soft custom-made silicone foot bed

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