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Table 4 Specific footwear requirements for people with diabetes and a foot deformity

From: Diabetic Foot Australia guideline on footwear for people with diabetes

  Height Outsole Uppers (quarter)b Tongue
Limited joint mobility Lowa Toughened Supple Supple
Pes cavus Ankle-high Toughened Toughened Toughenedc
Flexible flat foot with hallux valgus High Toughened Toughened Toughenedc
Rigid flat foot with hallux valgus Ankle-high Toughened Strong medial support Toughenedc
Charcot foot High Stiff Toughened Toughenedc
Hallux or toe amputation High Stiff Toughened Toughenedc
Forefoot amputation High Stiff Stiff Stiff
  1. This table is based on [33]
  2. aUnless a person has limited joint mobility in the ankle joint, in that case use ankle-high or high footwear
  3. bThe uppers consist of quarter and vamp, the requirements here concern the quarters, as the vamp typically needs to remain supple to accommodate the toes (see further Table 2)
  4. cWhen a tongue is toughened, it should be padded as well