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Reduction of Peak Pressure on the Forefoot with a Rigid Rocker-Bottom Postoperative Shoe

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  • 1 Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; Associate Professor, Department of Podiatric Medicine and Department of Biomechanics, California College of Podiatric Medicine, 100 Corporate Way, Vallejo, CA 94590.
  • | 2 Submitted during fourth year, California College of Podiatric Medicine, Vallejo, CA.
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An ideal postoperative shoe should be comfortable to wear and protect the foot during recovery from surgery or injury. Protection is assumed to be related to peak pressure and force-time integral under the foot. This study compared a commonly used postoperative shoe with a new postoperative shoe that incorporates a rigid sole with an 11° rocker bottom. The new postoperative shoe significantly reduced peak pressures on the forefoot by 20%. The amount of pressure and force-time integral reduction is compared with other values found in the literature for various shoe modifications. Indications for rocker-bottom shoes are also explored. (J Am Podiatr Med Assoc 91(10): 501-507, 2001)

At the time of submission of this article, Dr. Fuller had no financial interest in WalkWell, Inc. Since then, he has acquired a financial interest in the company.