[Orthotic Supply after Complex Trauma of the Foot]. / Orthopädische Schuhversorgung nach komplexer Fußverletzung.
Z Orthop Unfall
; 153(6): 630-5, 2015 Dec.
Article
em De
| MEDLINE
| ID: mdl-26670146
ABSTRACT
BACKGROUND:
After complex trauma of the foot, patients frequently need orthotic care. There have been no systematic studies on the quality of care or patient satisfaction. Therefore the goal of this study was to evaluate patient satisfaction and the quality of orthotic care. PATIENT ANDMETHODS:
In a prospective non-randomized, cross-sectional intervention study, the quality of care and patient satisfaction with orthotic devices were evaluated clinically and pedographically. This was followed by a lengthy discussion and recommendation to improve the insoles or shoes. These improvements were followed up by a written/telephone survey. 39 of the 50 recruited patients with complex trauma of the foot (78â%) were supplied with orthotic devices (insoles, modifications of the sole and orthopaedic shoes). RESULTS ANDCONCLUSION:
Most patients (76â%) were content with their orthotic care. However, shortcomings were noted in 20 patients. These were insufficient arch support/stabilization, inadequate support of roll-off and unsatisfactory unloading of the forefoot. 23â% of the patients did not use their orthotic devices. Compliance increased after counseling. However, half of the patients had problems in obtaining reimbursement for the modifications recommended. In conclusion, orthotic treatment of patients after complex trauma of the foot is demanding. Modifications of the devices are frequently needed. Interprofessional collaboration plays an important role.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Satisfação do Paciente
/
Ajuste de Prótese
/
Traumatismos do Pé
/
Órtoses do Pé
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
De
Revista:
Z Orthop Unfall
Assunto da revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article