Hook Samantha, Walker Neil, Cannon L
Wessex Orthopaedic Rotation, Queen Alexandra Hospital, Cosham, Portsmouth, United Kingdom.
Foot Ankle Surg. 2008;14(4):190-3. doi: 10.1016/j.fas.2008.02.002. Epub 2008 May 23.
Reverse camber shoes are a popular choice for immobilization following scarf osteotomy. There are no reports in the literature giving guidance on the duration of shoe use.
Seventy-eight patients were reviewed. All had been advised to remain in reverse camber shoes until point of radiographic follow up. Data regarding time spent in shoes, associated adverse symptoms of shoes, and complications were recorded.
Three groups emerged. Group 1 (65 patients) wore the shoes for the instructed period of time. Group 2 (six patients) were those who removed the shoes early. Group 3 (seven patients) were those who wore the shoes following review. There were no differences in complication rates between the groups.
The use of post-op shoes is for symptom control. Our practice now is to advise patients to wear their shoes for as long as they feel necessary rather than giving them a prescriptive time limit.
后弯鞋是楔形截骨术后用于固定的常用选择。文献中没有关于穿这种鞋持续时间的指导报告。
对78例患者进行了回顾性研究。所有患者均被建议一直穿着后弯鞋直至影像学随访时。记录穿鞋时间、与鞋相关的不良症状及并发症等数据。
出现了三组情况。第1组（65例患者）按指示时间穿鞋。第2组（6例患者）为提前脱鞋者。第3组（7例患者）为随访后仍继续穿鞋者。各组之间并发症发生率无差异。
术后穿鞋是为了控制症状。我们目前的做法是建议患者根据自身感觉需要穿多久就穿多久，而不是给他们规定一个时间限制。
