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[The fixing shoe with rolling sole (arthrodesis shoe) with interchangeable built-in-element (author's transl)].

The fixing shoe with rolling sole (arthrodesis shoe) serves to ensure pain-free or at least tolerably painless walking in case of changes due to arthrosis or lesion sequelae in the ankle joints or the tarsus. This is achieved by means of a high shaft of adequate strength, an accurate bedding of the foot, and a rolling sole with sufficient lift at the tip. This shoe is indicated in cases where the load alone is well tolerated whereas load in conjunction with movement produces pain. Several types of these orthopedic shoes have been developed. Of these, the model with interchangeable built-in element has proved most successful in the authors' experience. This built-in element consists of a drummed (milled) cap reinforced with cast resin, and a cork bedding. This removable or interchangeable unit is advantageous compared with a firmly integrated system insofar as any changes or repairs can be effected easily and at a lower cost.

Arthrodesis↗

Shoe wear patterns and pressure distribution under feet and shoes, determined by image analysis.

A method is outlined for extracting contours of the pressure exerted by feet on the ground, either directly or through the soles of shoes, and of the wear patterns on shoe soles. The method is applied to two types of image: shoeprint images made in the laboratory, and pedobarography images recording the distribution of pressure under the foot during a footstep. The first procedure in extracting the information from images involves low pass filtering in the Fourier domain, performed by a microcomputer and frame-grabbing system. The boundaries of the regions in the resultant images are then extracted from the filtered images to display the shape of constant pressure areas and of the general shoe-wear.

Dermatoglyphics↗

In-shoe casting technique for specialized sports shoes.

The use of vacuum casting to create better-fitting orthoses for special athletic shoes has been discussed. By vacuum-forming a negative cast within the confines of special athletic shoes, such as bicycling cleats or fencing shoes, a better-fitting orthosis can be fabricated with little or no special adjustments or modifications necessary to create the best fit and function.

Adult↗

Basic considerations for shoes, shoe modifications, and orthoses in foot care.

It is important to remember that appropriate padding and materials for the foot should be selected on the basis of indications and functional needs of the patient. It is important to remember that foot wear, as protection and foot covering, needs to be compatible with the foot and the patient's functional requirements. The foot, orthosis, and shoe must function as a unit and as part of the patient's ambulatory system. I have attempted to identify some of the basic considerations involved in shoe selection, shoe modification, and orthotic selection for patient's rehabilitation. This article is not intended to be a composite of all that is available but rather to serve as a primary view of the needs of the foot as part of total patient care in rehabilitation programs. There are also multiple forms of digital orthoses that comprise the area of orthodigita, including materials such as felt, silicone, and latex, to be used when appropriate. But a key factor mandates that maximal pain-free foot function be maintained to enhance the residuals to maximize total patient function.

Adult↗

Heel-shoe interactions and the durability of EVA foam running-shoe midsoles.

A finite element analysis (FEA) was made of the stress distribution in the heelpad and a running shoe midsole, using heelpad properties deduced from published force-deflection data, and measured foam properties. The heelpad has a lower initial shear modulus than the foam (100 vs. 1050 kPa), but a higher bulk modulus. The heelpad is more non-linear, with a higher Ogden strain energy function exponent than the foam (30 vs. 4). Measurements of plantar pressure distribution in running shoes confirmed the FEA. The peak plantar pressure increased on average by 100% after 500 km run. Scanning electron microscopy shows that structural damage (wrinkling of faces and some holes) occurred in the foam after 750 km run. Fatigue of the foam reduces heelstrike cushioning, and is a possible cause of running injuries.

Adult↗

[Children's shoe: a miniature version of the adult shoe?].

The question arising from this subject, could be answered with "Yes" and "No", since this issue is interpreted differently by footwear manufacturers. During the last 10 years the scientists have achieved essential knowledge concerning the requested standards of children's footwear. These results verify that children's footwear needs to have other characteristical features than adult's footwear. The requested standards on a healthy children's shoe result from the exceptional function (intensity and many-sided motor activity) and the anatomy (elasticity, shape and state) of a child's foot, which is, in contrast to an adult's foot, still developing. Due to these facts there are special requirements and features regarding the fitting, the flexibility and the information. This is explained on some examples.

Adolescent↗