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A nationwide survey of patient satisfaction and effectiveness with prescription foot orthoses was conducted. Five hundred twenty patients were fitted with foot orthoses and evaluated for 14 weeks. The survey was not confined to a single medical condition. The level of patient satisfaction and the final fit of the custom-fitted orthoses were excellent. Effectiveness of the orthoses in the patient population ranged from 62.5% of the cases having the chief complaint completely resolved to 4.7% unresolved. Orthoses reduced or delayed the need for surgery in general and for hallux valgus and hammer toe specifically. Although several conclusions can be drawn on the basis of these survey results, this study highlights the need for a more detailed study and research into the prescription of orthoses to improve clinical practice, patient quality of life, cost effectiveness, and the design and manufacture of orthoses.
A study was performed at the Foot Clinics of New York during the months of September 1988 through December 1988, in which 54 Kirschner wires from 40 surgical patients were cultured immediately upon removal to investigate if microorganisms were present. The results and potential implications are presented.
The authors evaluate the use of orthoses as a primary therapeutic means in the long-term management of patients with osteoarthritis of the foot and ankle. A comparison of the amount of pain relief experienced by 64 subjects (mean age 63 years) with different treatment regimens for osteoarthritis was made to determine the role orthoses played in helping to reduce or eliminate pain. One hundred percent of the subjects wearing orthoses only for relief of pain had a statistically significant longer period of pain relief than those on nonsteroidal anti-inflammatory drugs. Fifty-five percent of the subjects using orthoses and nonsteroidal anti-inflammatory drug therapy also had a statistically significant longer period of pain relief than those receiving nonsteroidal anti-inflammatory drug therapy only.