A 22-month old child underwent successful replantation of her midfoot at th
e level of Chopart's joint after a traumatic lawn mower amputation. The chi
ld demonstrated good sensation and function. Heel-to-toe length was 2 cm sh
orter, along with anterior migration of the heel pad on the injured foot. P
edobarographic analysis at 6-year follow-up demonstrated a normal range in
the dynamic distribution of foot pressure measurements, except in the regio
n of the medial heel. With replantation more commonly considered as an opti
on in traumatic injuries, long-term functional evaluation is important in d
emonstrating the success of a replantation. The patient demonstrated a good
result at 6-year follow-up, but will need further evaluation until skeleta
l maturity is reached.