Bridges Tiffany N, Cheesman Quincy T, Meade Matthew H, Kohring Adam S, McCahon Joseph, Walsh Britani, Kachooei Amir, Beredjiklian Pedro K, Rivlin Michael
Orthopaedic Surgery, Jefferson Health New Jersey, Stratford, USA.
Hand Surgery, Rothman Orthopaedic Institute, Philadelphia, USA.
Cureus. 2024 Aug 13;16(8):e66794. doi: 10.7759/cureus.66794. eCollection 2024 Aug.
Introduction We aimed to evaluate orthotic hygiene, preference for immobilization material, and frequency of unplanned orthotic adjustments and replacements. Methods All patients with fiberglass casts, thermoplastic splints, or prefabricated braces who presented at a large private academic institution between January 2020 and July 2023 were provided an 11-item survey assessing the length of immobilization, frequency of orthotic changes, orthotic hygiene, preference of immobilization, and whether patients recall instructions regarding orthotic care. Results A total of 385 surveys were collected, consisting of 96 (24.9%) casts, 202 (52.5%) thermoplastic splints, and 87 (22.6%) prefabricated braces. Patients were most frequently immobilized for two to six weeks. Of those, 106 (27.5%) patients required an unplanned adjustment or replacement. Almost half (182 patients, 47.3%) attempted to clean their orthotics, which was significantly greater among thermoplastic splints. A total of 229 (59.5%) respondents reported either not receiving or were unsure if they received instruction on proper orthotic hygiene. Conclusion Orthotic care and hygiene instructions are often overlooked or not retained by patients. Nearly one-third of patients required an unplanned adjustment or replacement, which was most frequent with thermoplastic orthotics.
引言 我们旨在评估矫形器卫生状况、对固定材料的偏好以及计划外矫形器调整和更换的频率。方法 对2020年1月至2023年7月期间在一家大型私立学术机构就诊的所有使用玻璃纤维石膏、热塑性夹板或预制支具的患者进行了一项包含11个项目的调查，评估固定时长、矫形器更换频率、矫形器卫生状况、固定偏好，以及患者是否记得有关矫形器护理的说明。结果 共收集到385份调查问卷，其中包括96份（24.9%）石膏、202份（52.5%）热塑性夹板和87份（22.6%）预制支具。患者最常固定两到六周。其中，106名（27.5%）患者需要进行计划外的调整或更换。近一半（182名患者，47.3%）试图清洁他们的矫形器，热塑性夹板的清洁比例显著更高。共有229名（59.5%）受访者表示未接受或不确定是否接受过关于正确矫形器卫生的指导。结论 患者常常忽视或记不住矫形器护理和卫生指导。近三分之一的患者需要进行计划外的调整或更换，热塑性矫形器最为常见。
