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Table 1 —

Algorithm: therapeutic footwear for the neuropathic foot

Medical featuresInsoleShoe heightPivot pointOutsoleLegTongueHeel
1.1 Sensory loss no low NA supple supple supple normal 
1.2 Sensory and autonomic dysfunction yes low NA supple supple supple resilient material 
Limited joint mobility yes low normal toughened supple supple resilient material 
3.1 Hollow-foot with claw toes yes bottine early toughened toughened toughened resilient material 
3.2.1 Flexible flatfoot with hallux valgus yes high normal toughened toughened toughened resilient material 
3.2.2 Rigid flatfoot with hallux valgus yes bottine early toughened strong medial support toughened resilient material 
3.3 Charcot foot yes high early stiff stiff toughened resilient material 
4.1 Hallux amputation yes high early stiff toughened toughened resilient material 
4.2 Forefoot amputated yes high early stiff stiff stiff resilient material 
Ulceration yes high early stiff stiff toughened/stiff resilient material 
Medical featuresInsoleShoe heightPivot pointOutsoleLegTongueHeel
1.1 Sensory loss no low NA supple supple supple normal 
1.2 Sensory and autonomic dysfunction yes low NA supple supple supple resilient material 
Limited joint mobility yes low normal toughened supple supple resilient material 
3.1 Hollow-foot with claw toes yes bottine early toughened toughened toughened resilient material 
3.2.1 Flexible flatfoot with hallux valgus yes high normal toughened toughened toughened resilient material 
3.2.2 Rigid flatfoot with hallux valgus yes bottine early toughened strong medial support toughened resilient material 
3.3 Charcot foot yes high early stiff stiff toughened resilient material 
4.1 Hallux amputation yes high early stiff toughened toughened resilient material 
4.2 Forefoot amputated yes high early stiff stiff stiff resilient material 
Ulceration yes high early stiff stiff toughened/stiff resilient material 

NA; not applicable.

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