Probable sequele of Midfoot Amputation Siddhartha Sharma, Government Medical College Jammu, India 14 January 2009 I read this unusual case report with great interest. The patient had a midfoot amputation on the left side, which is almost equivalent to performing a Lisfranc amputation (done at the tarso-metatarsal level). Such amputations are usually followed by initially an equinus and then an equinovarus deformity.<br><br>n such cases, it is recommended that either Tendo Achilles tenectomy or transfer of one or more dorsiflexors of the ankle be done prophylactically (1)<br><br>I would like to ask the authors if they had discussed the possibility of an equinus deformity with the patient and the need for tenectomy / tendon transfer. Also, it would be interesting to know if she has any deformity on subsequent follow up.<br><br>Reference: 1. Canale ST, Beaty JH. Campbell’s Operative Orthopaedics. 11th ed. Philadelphia: Mosby, 2003: 587 Competing interests No competing interests declared.