Parc de Salut Mar, Orthopedic Department, Passeig Marítim de la Barceloneta, 25, 29, 08003 Barcelona, Spain.
Parc de Salut Mar, Orthopedic Department, Passeig Marítim de la Barceloneta, 25, 29, 08003 Barcelona, Spain.
Foot Ankle Surg. 2023 Jun;29(4):380-383. doi: 10.1016/j.fas.2023.03.001. Epub 2023 Mar 10.
Postoperative shoes are commonly used after forefoot surgery. This study's aim was to demonstrate that reducing rigid-soled shoe time to 3 weeks neither compromises functional outcomes nor does it produce complications.
Prospective cohort study: 6 weeks versus 3 weeks of rigid postoperative shoe (100 and 96 patients respectively), after forefoot surgery with stable osteotomies. Manchester-Oxford Foot Questionnaire (MOXFQ) and pain Visual Analog Scale (VAS) were studied preoperative and one year postoperative. Radiological angles were also assessed after removing the rigid shoe and at 6 months.
The MOXFQ index and pain VAS depicted similar results in each group (group A: 29.8 and 25.7; group B: 32.7 and 23.7) with no differences between them (p = .43 Vs. p = .58). Moreover, no differences were reported in their differential angles (HV differential-angle p = .44, IM differential-angle p = .18) or in their complication rate.
In forefoot surgery with stable osteotomies, shortening the postoperative shoe time to 3 weeks, neither impairs clinical results nor the initial correction angle.
术后鞋常用于前脚手术后。本研究旨在证明将硬底鞋的使用时间缩短至 3 周既不会影响功能结果，也不会产生并发症。
前瞻性队列研究：前脚手术采用稳定截骨术后，分别使用 6 周和 3 周的硬式术后鞋（分别为 100 例和 96 例）。术前和术后 1 年采用曼彻斯特-牛津足部问卷（MOXFQ）和疼痛视觉模拟量表（VAS）进行研究。在去除硬式鞋后和 6 个月时还评估了放射学角度。
每组的 MOXFQ 指数和疼痛 VAS 均显示出相似的结果（组 A：29.8 和 25.7；组 B：32.7 和 23.7），两组之间没有差异（p = 0.43 与 p = 0.58）。此外，它们的差异角（HV 差异角 p = 0.44，IM 差异角 p = 0.18）或并发症发生率也没有差异。
在稳定截骨的前脚手术中，将术后鞋的使用时间缩短至 3 周，既不会损害临床结果，也不会影响初始矫正角度。
