Satisfaction analysis of Figure 8 (open heel) short leg cast
ESSKA Academy. Kang C. 11/08/19; 285209; epAFAS-06 Topic: F9 - Use of orthoses
Prof. Chan Kang
Prof. Chan Kang
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Abstract
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To report the results of applying heel open (figure 8) short leg cast on foot & ankle trauma or disease patients requiring short leg casts.
Materials and method: 508 patients who were confirmed and treated by diagnosed of foot & ankle trauma or diseases were included between November 2014 and January 2017. Comprised of 287 males and 221 females, their mean age was 39.9 years old (8~88). Diagnoses of the subjects were comprised of 236 cases of foot & ankle fractures, 48 cases of distal tibia fractures, 82 cases of chronic ankle instability, 20 cases of ankle & subtalar fusion, 10 cases of ankle sprain, 13 cases of osteochondral lesion of talus, 15 cases of accessory navicular syndrome, 5 cases of peroneal tendon subluxation, 35 cases of achilles tendon rupture, 12 cases of lateral malleolar bursitis, 10 cases of foot deformity, 3 cases of total ankle arthroplasty and 9 cases of extensor tendon repair. . After application of the figure 8 cast, changes in the ROM (range of movement) in active ankle dorsiflexion & plantarflexion, passive foot inversion & eversion, and foot internal & external rotation were measured. Using a VAS discomfort score of 1 to 10, with 10 causing the discomfort comparable to post-operative short leg splint application, the score for figure 8 cast was investigated.
Results: In all cases, measurements of active ankle dorsiflexion & plantarflexion was less than 5 degrees, measurements of passive foot inversion & eversion was less than 5 degrees, foot internal & external rotation was less than 0 degrees, and were stably held without skin or soft tissue injury until cast removal. Notable were 44 cases of foot & ankle fractures treated with conservative therapy with figure 8 short leg cast resulting in bone union and stabilization without surgery. VAS discomfort score was an average of 2.6 (0~6) and figure 8 short leg cast was selected in all cases requiring a short leg cast.
Conclusion: The use of figure 8 short leg cast in patients of foot & ankle trauma and diseases requiring short leg cast provides safety and prevention of skin necrosis and pressure sores from open heels while providing high patient satisfaction in daily life, such as heel touch. We believe that figure 8 short leg cast could replace the traditional short leg cast, if the safety of the figure 8 cast could be proven through long-term follow up study with various patient and cases.
Keywords: short leg cast, heel open, cast, foot & ankle, figure 8
To report the results of applying heel open (figure 8) short leg cast on foot & ankle trauma or disease patients requiring short leg casts.
Materials and method: 508 patients who were confirmed and treated by diagnosed of foot & ankle trauma or diseases were included between November 2014 and January 2017. Comprised of 287 males and 221 females, their mean age was 39.9 years old (8~88). Diagnoses of the subjects were comprised of 236 cases of foot & ankle fractures, 48 cases of distal tibia fractures, 82 cases of chronic ankle instability, 20 cases of ankle & subtalar fusion, 10 cases of ankle sprain, 13 cases of osteochondral lesion of talus, 15 cases of accessory navicular syndrome, 5 cases of peroneal tendon subluxation, 35 cases of achilles tendon rupture, 12 cases of lateral malleolar bursitis, 10 cases of foot deformity, 3 cases of total ankle arthroplasty and 9 cases of extensor tendon repair. . After application of the figure 8 cast, changes in the ROM (range of movement) in active ankle dorsiflexion & plantarflexion, passive foot inversion & eversion, and foot internal & external rotation were measured. Using a VAS discomfort score of 1 to 10, with 10 causing the discomfort comparable to post-operative short leg splint application, the score for figure 8 cast was investigated.
Results: In all cases, measurements of active ankle dorsiflexion & plantarflexion was less than 5 degrees, measurements of passive foot inversion & eversion was less than 5 degrees, foot internal & external rotation was less than 0 degrees, and were stably held without skin or soft tissue injury until cast removal. Notable were 44 cases of foot & ankle fractures treated with conservative therapy with figure 8 short leg cast resulting in bone union and stabilization without surgery. VAS discomfort score was an average of 2.6 (0~6) and figure 8 short leg cast was selected in all cases requiring a short leg cast.
Conclusion: The use of figure 8 short leg cast in patients of foot & ankle trauma and diseases requiring short leg cast provides safety and prevention of skin necrosis and pressure sores from open heels while providing high patient satisfaction in daily life, such as heel touch. We believe that figure 8 short leg cast could replace the traditional short leg cast, if the safety of the figure 8 cast could be proven through long-term follow up study with various patient and cases.
Keywords: short leg cast, heel open, cast, foot & ankle, figure 8
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