title: Reduction of peak pressure on the forefoot with a rigid rocker-bottom postoperative shoe.
abstract: 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 degrees 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.
authors.affiliation: Department of Podiatric Medicine, California College of Podiatric Medicine, Vallejo, CA 94590, USA.
authors.forename: E
authors.initials: E
authors.lastname: Fuller
authors.forename: S
authors.initials: S
authors.lastname: Schroeder
authors.forename: J
authors.initials: J
authors.lastname: Edwards
mesh_terms: D001696:Biomechanical Phenomena; D001698:Biomedical Engineering; D005260:Female; D005528:Foot / Q000502:physiology*; D006801:Humans; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D009989:Orthotic Devices; D017060:Patient Satisfaction; D011182:Postoperative Care; D011312:Pressure; D011446:Prospective Studies; D012016:Reference Values; D012680:Sensitivity and Specificity; D012775:Shoes; D016138:Walking / Q000502:physiology*