Calle-García J A, Matas-Pareja M, Campillo-Recio D, Rivera-Fierres S, Albertí-Fitó G
Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitari Germans Trias i Pujol, Facultad de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.
Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitari Quirón-Dexeus, Barcelona, España.
Acta Ortop Mex. 2022 Nov-Dec;36(6):373-378.
the orthopedic shoe is usually prescribed during postoperative care after hallux valgus surgery to protect the osteotomy and provide functional comfort to the patient. In this regard, the superiority of rigid sole shoe (RSS) compared to the reverse camber shoe (RCS) remains controversial. The aim of this study is to compare the clinical, functional and radiological outcomes from using the rigid sole shoe (RSS) vs. the reverse camber shoe (RCS) after hallux valgus surgery.
fifty-seven hallux valgus surgery patients were included and analyzed retrospectively. The 1st group included 28 patients using the RSS and the 2nd group included 29 patients using the RCS. The orthopedic shoe was used for six weeks postoperatively. Clinical data (lumbar and lower limb pain, need of crutches and problems with going up and down stairs), radiological data (IMA, HVA) and postoperative complications (displacement of osteotomy, metatarsal fracture or non-union) were collected.
the RSS showed less difficulty going up and down stairs (OR 3.8 (CI 95% 1.2-12.8), p 0.02), only going upstairs (OR 3.2 (CI 95% 1.1-10), p 0.03), as well as a decreased need for crutches (OR 1.7 (CI 95% 1.04-2.6), p < 0.03). Lumbar spine or lower limb pain did not show any statistical differences. No statistical differences in the epidemiological and radiological data were found between the groups.
the RSS seems to provide more comfort to the patients without worsening the radiological results.
拇外翻手术后的术后护理通常会开具矫形鞋，以保护截骨部位并为患者提供功能舒适感。在这方面，硬底鞋（RSS）与反弧鞋（RCS）相比的优越性仍存在争议。本研究的目的是比较拇外翻手术后使用硬底鞋（RSS）与反弧鞋（RCS）的临床、功能和放射学结果。
纳入57例拇外翻手术患者并进行回顾性分析。第一组包括28例使用硬底鞋的患者，第二组包括29例使用反弧鞋的患者。矫形鞋在术后使用六周。收集临床数据（腰部和下肢疼痛、使用拐杖的需求以及上下楼梯问题）、放射学数据（IMA、HVA）和术后并发症（截骨移位、跖骨骨折或骨不连）。
硬底鞋在上下楼梯时困难较少（OR 3.8（CI 95% 1.2 - 12.8），p 0.02），仅在上楼时（OR 3.2（CI 95% 1.1 - 10），p 0.03），以及使用拐杖的需求减少（OR 1.7（CI 95% 1.04 - 2.6），p < 0.03）。腰椎或下肢疼痛未显示任何统计学差异。两组之间在流行病学和放射学数据方面未发现统计学差异。
硬底鞋似乎能为患者提供更多舒适感，且不会使放射学结果恶化。
