Hasan Basri Sezer1, Alexandre Hardy1, Ronny Lopes2

1Department of Sports Surgery, Clinique Du Sport Paris V, Chirurgie Du Sport, Paris, France
2Department of Sports Surgery, Health Atlantic, Chirurgie Du Sport, Saint Herblain, France

Keywords: Forefoot relief, offloading, plantar pressure distribution, postoperative shoe.


Objectives: This study aimed to evaluate the distribution of foot pressure with the most frequently used orthopedic shoes and demonstrate the effect of offloading philosophy on the pressure distributions of rocker bottom or heel support shoes applied unilaterally or bilaterally.

Materials and methods: Three bilateral and four unilateral, a total of seven shoe designs with sensors included in the insole were tested by the same subject in a standard acquisition protocol. Two of the unilateral and one of the bilateral shoes had heel support, while others had a rocker bottom design. A descriptive analysis was performed for each shoe and compared to a reference value obtained from a standard shoe.

Results: Shoes with an offloading heel resulted in a greater reduction in pressure on the forefoot than other models. All other shoes increased pressure on the first metatarsophalangeal joint. Heel offloading models performed the best in forefoot offloading, and bilateral heel offloading shoes performed the best in first metatarsal offloading, with the highest scores of 83% and 82%, respectively.

Conclusion: This study showed that orthopedic shoes sold in pairs could reduce pressure on the forefoot at a comparable level to unilateral shoes. It supports their use to limit the disadvantages of single orthopedic shoes, such as limb length discrepancies.

Citation: Sezer HB, Hardy A, Lopes R. Baropodometric comparison of orthopedic footwear to assess the effectiveness of pairs of orthopedic shoes for reducing the forefoot pressure. Jt Dis Relat Surg 2022;33(2):323-329.

Ethics Committee Approval

The study protocol was approved by the IRB Elsan Ethical Committee (IRB#2021-07- LOPES-02).
Data Sharing Statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.

Author Contributions

Writer, reviewer, analysis and interpretation: H.B.S.; Idea, concept, design of the study and superviser: A.H.; Idea, concept, data collection and writer: R.L.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.