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Journal of the American Podiatric Medical Association Volume 91 Number 10 501-507 2001
Copyright © 2001 American Podiatric Medical Association

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

Eric Fuller, DPM*, Stephen Schroeder, BS{dagger} and Jenifer Edwards, BS{dagger}

* 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.
{dagger} Submitted during fourth year, California College of Podiatric Medicine, Vallejo, CA.
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.

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° 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)




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