Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study

Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metata...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Dammerer, Dietmar [verfasserIn] Braito, Matthias Biedermann, Rainer Ban, Michael Giesinger, Johannes Haid, Christian Liebensteiner, Michael C. Kaufmann, Gerhard

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Hallux valgus Surgical shoe Foot orthoses Driving safety Brake response time

Anmerkung:	© Dammerer et al. 2016

Übergeordnetes Werk:	Enthalten in: Journal of orthopaedic surgery and research - London : Biomed Central, 2006, 11(2016), 1 vom: 20. Jan.
Übergeordnetes Werk:	volume:11 ; year:2016 ; number:1 ; day:20 ; month:01

Links:	Volltext

DOI / URN:	10.1186/s13018-016-0350-9

Katalog-ID:	SPR030031109

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520			\|a Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066
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allfields	10.1186/s13018-016-0350-9 doi (DE-627)SPR030031109 (SPR)s13018-016-0350-9-e DE-627 ger DE-627 rakwb eng Dammerer, Dietmar verfasserin aut Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Dammerer et al. 2016 Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213 Braito, Matthias aut Biedermann, Rainer aut Ban, Michael aut Giesinger, Johannes aut Haid, Christian aut Liebensteiner, Michael C. aut Kaufmann, Gerhard aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 11(2016), 1 vom: 20. Jan. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:11 year:2016 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13018-016-0350-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 20 01
spelling	10.1186/s13018-016-0350-9 doi (DE-627)SPR030031109 (SPR)s13018-016-0350-9-e DE-627 ger DE-627 rakwb eng Dammerer, Dietmar verfasserin aut Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Dammerer et al. 2016 Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213 Braito, Matthias aut Biedermann, Rainer aut Ban, Michael aut Giesinger, Johannes aut Haid, Christian aut Liebensteiner, Michael C. aut Kaufmann, Gerhard aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 11(2016), 1 vom: 20. Jan. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:11 year:2016 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13018-016-0350-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 20 01
allfields_unstemmed	10.1186/s13018-016-0350-9 doi (DE-627)SPR030031109 (SPR)s13018-016-0350-9-e DE-627 ger DE-627 rakwb eng Dammerer, Dietmar verfasserin aut Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Dammerer et al. 2016 Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213 Braito, Matthias aut Biedermann, Rainer aut Ban, Michael aut Giesinger, Johannes aut Haid, Christian aut Liebensteiner, Michael C. aut Kaufmann, Gerhard aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 11(2016), 1 vom: 20. Jan. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:11 year:2016 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13018-016-0350-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 20 01
allfieldsGer	10.1186/s13018-016-0350-9 doi (DE-627)SPR030031109 (SPR)s13018-016-0350-9-e DE-627 ger DE-627 rakwb eng Dammerer, Dietmar verfasserin aut Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Dammerer et al. 2016 Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213 Braito, Matthias aut Biedermann, Rainer aut Ban, Michael aut Giesinger, Johannes aut Haid, Christian aut Liebensteiner, Michael C. aut Kaufmann, Gerhard aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 11(2016), 1 vom: 20. Jan. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:11 year:2016 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13018-016-0350-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 20 01
allfieldsSound	10.1186/s13018-016-0350-9 doi (DE-627)SPR030031109 (SPR)s13018-016-0350-9-e DE-627 ger DE-627 rakwb eng Dammerer, Dietmar verfasserin aut Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Dammerer et al. 2016 Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213 Braito, Matthias aut Biedermann, Rainer aut Ban, Michael aut Giesinger, Johannes aut Haid, Christian aut Liebensteiner, Michael C. aut Kaufmann, Gerhard aut Enthalten in Journal of orthopaedic surgery and research London : Biomed Central, 2006 11(2016), 1 vom: 20. Jan. (DE-627)518346145 (DE-600)2252548-8 1749-799X nnns volume:11 year:2016 number:1 day:20 month:01 https://dx.doi.org/10.1186/s13018-016-0350-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2016 1 20 01
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Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. 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author	Dammerer, Dietmar
spellingShingle	Dammerer, Dietmar misc Hallux valgus misc Surgical shoe misc Foot orthoses misc Driving safety misc Brake response time Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
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topic_title	Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study Hallux valgus (dpeaa)DE-He213 Surgical shoe (dpeaa)DE-He213 Foot orthoses (dpeaa)DE-He213 Driving safety (dpeaa)DE-He213 Brake response time (dpeaa)DE-He213
topic	misc Hallux valgus misc Surgical shoe misc Foot orthoses misc Driving safety misc Brake response time
topic_unstemmed	misc Hallux valgus misc Surgical shoe misc Foot orthoses misc Driving safety misc Brake response time
topic_browse	misc Hallux valgus misc Surgical shoe misc Foot orthoses misc Driving safety misc Brake response time
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title	Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
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title_full	Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
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author_browse	Dammerer, Dietmar Braito, Matthias Biedermann, Rainer Ban, Michael Giesinger, Johannes Haid, Christian Liebensteiner, Michael C. Kaufmann, Gerhard
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title_sort	effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
title_auth	Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
abstract	Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 © Dammerer et al. 2016
abstractGer	Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 © Dammerer et al. 2016
abstract_unstemmed	Background The aim of this study is to assess patients’ driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. Methods From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated. BRT was assessed using a custom-made driving simulator. Results Preoperative BRT was 712 msec (standard deviation (SD), 221 msec). BRT was significantly slower at all tested postoperative times than preoperatively (p < 0.001). The patients showed significant impaired brake response time when wearing surgical shoes. Mean global American Orthopaedic Foot and Ankle Society (AOFAS) outcome score and AOFAS pain and alignment subscores increased postoperatively (p < 0.001). Conclusions From our findings, we recommend driving abstinence for a minimum of 6 weeks postoperatively when using a surgical shoe after bunionectomy. However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. Trial registration ClinicalTrials.gov, NCT02354066 © Dammerer et al. 2016
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title_short	Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study
url	https://dx.doi.org/10.1186/s13018-016-0350-9
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author2	Braito, Matthias Biedermann, Rainer Ban, Michael Giesinger, Johannes Haid, Christian Liebensteiner, Michael C. Kaufmann, Gerhard
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up_date	2024-07-03T13:27:02.005Z
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However, patients should have sufficient recovery, exercise, and training before resuming driving a car, because safety is always a priority. 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Effect of surgical shoes on brake response time after first metatarsal osteotomy—a prospective cohort study

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