title: [Orthotic Supply after Complex Trauma of the Foot].
abstract: BACKGROUND
  After complex trauma of the foot, patients frequently need orthotic care. There have been no systematic studies on the quality of care or patient satisfaction. Therefore the goal of this study was to evaluate patient satisfaction and the quality of orthotic care.
  
  
  METHODS
  In a prospective non-randomized, cross-sectional intervention study, the quality of care and patient satisfaction with orthotic devices were evaluated clinically and pedographically. This was followed by a lengthy discussion and recommendation to improve the insoles or shoes. These improvements were followed up by a written/telephone survey. 39 of the 50 recruited patients with complex trauma of the foot (78 %) were supplied with orthotic devices (insoles, modifications of the sole and orthopaedic shoes).
  
  
  CONCLUSIONS
  Most patients (76 %) were content with their orthotic care. However, shortcomings were noted in 20 patients. These were: insufficient arch support/stabilization, inadequate support of roll-off and unsatisfactory unloading of the forefoot. 23 % of the patients did not use their orthotic devices. Compliance increased after counseling. However, half of the patients had problems in obtaining reimbursement for the modifications recommended. In conclusion, orthotic treatment of patients after complex trauma of the foot is demanding. Modifications of the devices are frequently needed. Interprofessional collaboration plays an important role.
authors.affiliation: Orthopädie, Zentrum für Ambulante Rehabilitation, Regensburg.
authors.forename: C
authors.initials: C
authors.lastname: Roll
authors.affiliation: Unfallchirurgie, Universitätsklinikum Regensburg.
authors.forename: S
authors.initials: S
authors.lastname: Tietz
authors.affiliation: Orthopädie und Unfallchirurgie, Robert-Bosch-Krankenhaus, Stuttgart.
authors.forename: B
authors.initials: B
authors.lastname: Kinner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D018409:Foot Injuries / Q000175:diagnosis* / Q000534:rehabilitation*; D061826:Foot Orthoses / Q000592:standards / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015995:Prevalence; D017755:Prosthesis Fitting / Q000592:standards / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D020127:Recovery of Function; D055815:Young Adult