TY - JOUR
T1 - Abrollende vakuumstützorthese versus vorfußentlastungsschuh zur behandlung von metatarsalefrakturen
T2 - Eine prospektive, randomisierte untersuchung
AU - Kraus, Tobias M.
AU - Graf, Frank
AU - Mitternacht, Jürgen
AU - Döbele, Stefan
AU - Stöckle, Ulrich
AU - Siebenlist, Sebastian
N1 - Publisher Copyright:
© 2014 Springer Medizin. All rights reserved.
PY - 2014
Y1 - 2014
N2 - Background: Metatarsal fractures are managed using different types of forefoot offloading orthosis. The aim of this prospective study was to evaluate the clinical and pedographic results of a vacuum shoe system in comparison to a forefoot unloading shoe. Method: 20 patients (14 women/6 men - age: 36.4 ± 14.1 years) were prospectively included in the study. The patients were followed up at four different time points. Detailed clinical and radiological examinations were carried out, functional scores were measured and a pedographic assessment was performed. Results: Between the study groups no differences were seen in functional scoring. A complete bony healing was achieved within the 3 months of follow-up in all patients. The heelstrike to heelstrike time was without significant differences in the pedographic analysis. Adequate forefoot unloading was achieved with both orthosis. The load sharing between fore-, mid- and hindfoot showed no significant differences in the pedographic analysis. Patients’ satisfaction was rated with higher values for the vacuum shoe system, but without significance. Conclusion: Both shoe systems show an adequate unloading of the forefoot. Therefore both orthosis may be used for the treatment of metatarsal fractures.
AB - Background: Metatarsal fractures are managed using different types of forefoot offloading orthosis. The aim of this prospective study was to evaluate the clinical and pedographic results of a vacuum shoe system in comparison to a forefoot unloading shoe. Method: 20 patients (14 women/6 men - age: 36.4 ± 14.1 years) were prospectively included in the study. The patients were followed up at four different time points. Detailed clinical and radiological examinations were carried out, functional scores were measured and a pedographic assessment was performed. Results: Between the study groups no differences were seen in functional scoring. A complete bony healing was achieved within the 3 months of follow-up in all patients. The heelstrike to heelstrike time was without significant differences in the pedographic analysis. Adequate forefoot unloading was achieved with both orthosis. The load sharing between fore-, mid- and hindfoot showed no significant differences in the pedographic analysis. Patients’ satisfaction was rated with higher values for the vacuum shoe system, but without significance. Conclusion: Both shoe systems show an adequate unloading of the forefoot. Therefore both orthosis may be used for the treatment of metatarsal fractures.
KW - Forefoot unloading shoe
KW - Metatarsal fractures
KW - Prospective, randomized trial
KW - Vacuum shoe sys-tem
UR - http://www.scopus.com/inward/record.url?scp=84905089140&partnerID=8YFLogxK
U2 - 10.1007/s15006-014-2877-1
DO - 10.1007/s15006-014-2877-1
M3 - Artikel
C2 - 24930327
AN - SCOPUS:84905089140
SN - 1438-3276
VL - 156
SP - 11
EP - 17
JO - MMW-Fortschritte der Medizin
JF - MMW-Fortschritte der Medizin
ER -