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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2022, Number 6

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Acta Ortop Mex 2022; 36 (6)

Rigid sole shoe versus inverted sole shoe in hallux valgus surgery: clinical, functional and radiological analysis

Calle-García J, Matas-Pareja M, Campillo-Recio D, Rivera-Fierres S, Albertí-Fitó G

Language: Spanish
References: 16
Page: 373-378
PDF size: 184. Kb.


ABSTRACT

Introduction: 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. Material and methods: 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. Results: 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. Conclusions: the RSS seems to provide more comfort to the patients without worsening the radiological results.


REFERENCES

  1. Carl HD, Pfander D, Swoboda B. Assessment of plantar pressure in forefoot relief shoes of different designs. Foot Ankle Int. 2006; 27(2): 117-20. doi: 10.1177/107110070602700208.

  2. Barouk LS. Use of postoperative shoe without forefoot support, comparative statistical study. Actualités de Medicine et Chirurgie du Pied. 1986; 17: 57-69.

  3. Barouk LS. Re: the use of post-operative reverse camber shoes following scarf osteotomy. Foot Ankle Surg. 2009; 15(4): 210. doi: 10.1016/j.fas.2009.03.001.

  4. Deleu PA, Leemrijse T, Vandeleene B, Maldague P, Bevernage BD. Plantar pressure relief using a forefoot offloading shoe. Foot Ankle Surg. 2010; 16(4): 178-82. doi: 10.1016/j.fas.2009.10.010.

  5. Patel S, Garg P, Fazal MA, Shahid MS, Park DH, Ray PS. A comparison of two designs of postoperative shoe on function, satisfaction, and back pain after hallux valgus surgery. Foot Ankle Spec. 2019; 12(3): 228-32. doi: 10.1177/1938640018782608.

  6. Mann RA, Coughlin MJ. Hallux valgus etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res. 1981; (157): 31-41.

  7. Lee KM, Ahn S, Chung CY, Sung KH, Park MS. Reliability and relationship of radiographic measurements in hallux valgus. Clin Orthop Relat Res. 2012; 470(9): 2613-21. doi: 10.1007/s11999-012-2368-6.

  8. Dearden PM, Ray RI, Robinson PW, Varrall CR, Goff TJ, Fogarty KA, Wines AP. Clinical and radiological outcomes of forefoot offloading versus rigid flat shoes in patients undergoing surgery of the first ray. Foot Ankle Int. 2019; 40(10): 1189-94. doi: 10.1177/1071100719858621.

  9. Sarmah SS, Hossain FS, Mishra V. Effectiveness of the reverse camber shoe in postoperative hallux valgus surgery. Foot Ankle Spec. 2012; 5(4): 245-8. doi: 10.1177/1938640012451314.

  10. Hook S, Walker N, Cannon L. The use of post-operative reverse camber shoes following scarf osteotomy. Foot Ankle Surg. 2008; 14(4): 190-3. doi: 10.1016/j.fas.2008.02.002.

  11. Trnka HJ, Parks BG, Ivanic G, Chu IT, Easley ME, Schon LC, Myerson MS. Six first metatarsal shaft osteotomies: mechanical and immobilization comparisons. Clin Orthop Relat Res. 2000; 381: 256-65.

  12. Navarro-Cano E, Guevara-Noriega KA, Lucar-Lopez G, Reina F, Carrera A. A comparison of two designs of postoperative shoe for hallux valgus surgery: a biomechanical study in a cadaveric model. Foot Ankle Surg. 2021; 27(1): 82-86. doi: 10.1016/j.fas.2020.02.010.

  13. Caravaggi P, Giangrande A, Berti L, Lullini G, Leardini A. Pedobarographic and kinematic analysis in the functional evaluation of two post-operative forefoot offloading shoes. J Foot Ankle Res. 2015; 8(1): 59. doi: 10.1186/s13047-015-0116-3.

  14. Paton JS, Thomason K, Trimble K, Metcalfe JE, Marsden. Effect of a forefoot off-loading postoperative shoe on muscle activity, posture, and static balance. J Am Podiatr Med Assoc. 2013; 103(1): 36-42. doi: 10.7547/1030036.

  15. Sinnett T, Fang Y, Nattfogel E, O'Gorman A, Charalambides C. Suture fixation of an akin osteotomy: A cost effective and clinically reliable technique. Foot Ankle Surg. 2017; 23(1): 40-3. doi: 10.1016/j.fas.2016.02.002.

  16. Liszka H, Gadek A. Comparison of the type of fixation of akin osteotomy. Foot Ankle Int. 2019; 40(4): 390-7. doi: 10.1177/1071100718816052.



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