This is a 54-year-old patient, who has type II diabetes,
insulin-requesting,
who has severe neuropathy with a shoe that we're going to study.
If we examine his foot, you can see that the foot has a certain thickness,
that the hallux is also increased in volume, that it is longer than the other toes.
If we examine the dorsal surface of the foot, you can see that the hallux is longer than the toes;
there's a beginning of toe claw and most importantly a fairly large foot width.
When you look at the shoe,
we see that the width of the shoe is a lot narrower than the patient's foot,
that the rod that holds the foot has a surface area which is clearly insufficient
to be able to hold the foot correctly.
When you put your hand in the shoe, you can feel a seam on each side
that can be aggressive on the foot.
The shoe can also be twisted like a cloth and folded very easily,
which is also a factor of instability because in this type of shoe,
the foot not being held has a tendency to move that way,
which leads to greater friction at the level of the toes on the stem.
If we look at the side seams of the shoe, we also see
that they can be aggressive to the foot, and the overall volume of the shoe,
you can see that it is much narrower globally in thickness
and in width than the patient's foot.