Shoe inserts for small deformed feet.

Modern materials and a better understanding of the biomechanical requirements enable adaptations to shoes to be make quickly and easily in cases where the deformed foot is small enough to fit satisfactorily into standard shop-bought or standard deep footwear. A flexible self-generating polyurethane foam is used inside the shoe. It expands to the internal shape of the shoe and the external shape of the foot. It can be used either against the patient's own foot or against a positive cast of the foot. The technique has been used for 75 patients and has proved successful. The insert so made is durable and economical.