手术鞋对第一跖骨截骨术后制动反应时间的影响——一项前瞻性队列研究。
Effect of surgical shoes on brake response time after first metatarsal osteotomy--a prospective cohort study.
作者信息
Dammerer Dietmar, Braito Matthias, Biedermann Rainer, Ban Michael, Giesinger Johannes, Haid Christian, Liebensteiner Michael C, Kaufmann Gerhard
机构信息
Department of Orthopaedics, Medical University of Innsbruck, Anichstr. 35, A-6020, Innsbruck, Austria.
Department of Psychiatry, Medical University of Innsbruck, Anichstr. 35, A-6020, Innsbruck, Austria.
出版信息
J Orthop Surg Res. 2016 Jan 20;11:14. doi: 10.1186/s13018-016-0350-9.
BACKGROUND
The aim of this study is to assess patients' driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy.
METHODS
From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator.
RESULTS
Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001).
CONCLUSIONS
From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority.
TRIAL REGISTRATION
ClinicalTrials.gov, NCT02354066.
背景
本研究旨在评估右侧第一跖骨截骨术后患者穿着手术鞋时的驾驶能力。
方法
2013年8月至2015年8月，42例连续的右侧拇外翻畸形患者接受了第一跖骨截骨术。患者在术前1天（对照测试）以及术后2周和6周接受制动反应时间（BRT）测试。研究了两种不同类型的足部矫形器。使用定制的驾驶模拟器评估制动反应时间。
结果
术前制动反应时间为712毫秒（标准差（SD），221毫秒）。术后所有测试时间的制动反应时间均显著慢于术前（p < 0.001）。患者穿着手术鞋时制动反应时间明显受损。美国矫形足踝协会（AOFAS）总体结果评分以及AOFAS疼痛和对线子评分术后均有所提高（p < 0.001）。
结论
根据我们的研究结果，我们建议拇囊炎切除术后使用手术鞋时，术后至少6周禁止驾驶。然而，患者在恢复驾驶汽车之前应充分恢复、锻炼和训练，因为安全始终是首要考虑因素。
试验注册
ClinicalTrials.gov，NCT02354066。
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