Talipes equinovarus (club foot) is a congenital deformity; it is a relatively common occurring in approximately 1:1000 births. Developed of the foot is deformed when compared to the relationship to the leg. The Achilles tendon and posterior ankle are contracted and the foot is inverted and rotated in relationship to the leg. People with this deformity will have excessive pressure on the lateral portion of the foot, due to its abnormal positioning.
Patient’s conditions
• Excessive swelling bilaterally does not fit comfortably into orthopedic footwear.
• Excessive clawing of all digits bilaterally.
• Prominent dorsal MTP joints and styloid bilaterally.
• Varus positioning of both feet (left > right)
• Valgus rearfoot
• Forefoot equinus foot position = excessive pressure at the ball of foot
• Bilateral low arched foot.
• Boney …show more content…
If order directly from the manufacture, difference sized shoes can be purchased at a reduced price (retail price + 50%). A wider shoe can be ordered to accommodate for the client’s larger left foot without having to paid full price X2, for separate pairs of shoes. In addition, SAS shoes come with very well padded interiors, which will help reduce friction/pressure points within the shoe. The shoe can be stretched at the forefoot to increase depth - for the clawed toes if necessary. If irritation only occurs at 1-2 digits depth can be specifically increased with a ball-and-ring stretcher. A sulcus crest should be implemented bilaterally (especially with rigid clawed toes), this will support the phalanges and will reduce presser at the distal tips of the toes. Styliod accommodation to reduce impact at the styliod – typically increased with varus deformities.
• Cost of custom shoes ~ $1200-1500$
• Cost of OTC shoes + modifications ~ Shoes = $200 retail (+$100 for difference sizes) + modifications (Stretch – 10$, Sulcus crest $25, Styliod accommodation 20$ = 55$). Total ~
Patient’s conditions
• Excessive swelling bilaterally does not fit comfortably into orthopedic footwear.
• Excessive clawing of all digits bilaterally.
• Prominent dorsal MTP joints and styloid bilaterally.
• Varus positioning of both feet (left > right)
• Valgus rearfoot
• Forefoot equinus foot position = excessive pressure at the ball of foot
• Bilateral low arched foot.
• Boney …show more content…
If order directly from the manufacture, difference sized shoes can be purchased at a reduced price (retail price + 50%). A wider shoe can be ordered to accommodate for the client’s larger left foot without having to paid full price X2, for separate pairs of shoes. In addition, SAS shoes come with very well padded interiors, which will help reduce friction/pressure points within the shoe. The shoe can be stretched at the forefoot to increase depth - for the clawed toes if necessary. If irritation only occurs at 1-2 digits depth can be specifically increased with a ball-and-ring stretcher. A sulcus crest should be implemented bilaterally (especially with rigid clawed toes), this will support the phalanges and will reduce presser at the distal tips of the toes. Styliod accommodation to reduce impact at the styliod – typically increased with varus deformities.
• Cost of custom shoes ~ $1200-1500$
• Cost of OTC shoes + modifications ~ Shoes = $200 retail (+$100 for difference sizes) + modifications (Stretch – 10$, Sulcus crest $25, Styliod accommodation 20$ = 55$). Total ~