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The use of post-operative reverse camber shoes following scarf osteotomy
Samantha Hook1, Neil Walker, L Cannon
1Wessex Orthopaedic Rotation, Queen Alexandra Hospital, Cosham, Portsmouth, United Kingdom. samanthahook@btinternet.com
Background:
Reverse camber shoes are a popular choice for immobilization following scarf osteotomy. There are no reports in the literature giving guidance on the duration of shoe use.
Methods:
Seventy-eight patients were reviewed. All had been advised to remain in reverse camber shoes until point of radiographic follow up. Data regarding time spent in shoes, associated adverse symptoms of shoes, and complications were recorded.
Results:
Three groups emerged. Group 1 (65 patients) wore the shoes for the instructed period of time. Group 2 (six patients) were those who removed the shoes early. Group 3 (seven patients) were those who wore the shoes following review. There were no differences in complication rates between the groups.
Conclusion:
The use of post-op shoes is for symptom control. Our practice now is to advise patients to wear their shoes for as long as they feel necessary rather than giving them a prescriptive time limit.
