Roll, C. and Tietz, S. and Kinner, B. (2015) Orthotic Supply after Complex Trauma of the Foot. ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 153 (6). pp. 630-635. ISSN 1864-6697, 1864-6743
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Background: After complex trauma of the foot, patients frequently need orthotic care. There have been no systematic studies on the quality of care or patient satisfaction. Therefore the goal of this study was to evaluate patient satisfaction and the quality of orthotic care. Patient and Methods: In a prospective non-randomized, cross-sectional intervention study, the quality of care and patient satisfaction with orthotic devices were evaluated clinically and pedographically. This was followed by a lengthy discussion and recommendation to improve the insoles or shoes. These improvements were followed up by a written/telephone survey. 39 of the 50 recruited patients with complex trauma of the foot (78%) were supplied with orthotic devices (insoles, modifications of the sole and orthopaedic shoes). Results and Conclusion: Most patients (76%) were content with their orthotic care. However, shortcomings were noted in 20 patients. These were: insufficient arch support/stabilization, inadequate support of roll-off and unsatisfactory unloading of the forefoot. 23% of the patients did not use their orthotic devices. Compliance increased after counseling. However, half of the patients had problems in obtaining reimbursement for the modifications recommended. In conclusion, orthotic treatment of patients after complex trauma of the foot is demanding. Modifications of the devices are frequently needed. Interprofessional collaboration plays an important role.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INTRAARTICULAR CALCANEAL FRACTURES; MADE ORTHOPEDIC SHOES; GAIT ANALYSIS; ORTHOSES; complex trauma of the foot; orthotics; insoles |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 May 2019 08:26 |
| Last Modified: | 02 May 2019 08:26 |
| URI: | https://pred.uni-regensburg.de/id/eprint/4329 |
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