Keynote: Footwear and Insole Design to Prevent Diabetic and Neuropathic Plantar Forefoot Ulcers: Findings from A series of N-of-1 Trials

Foot complications occur in conjunction with poorly controlled diabetes. Plantar forefoot ulceration contributes to partial amputation in unstable diabetics, and the risk increases with concomitant neuropathy. Reducing peak plantar forefoot pressure reduces ulcer occurrence and recurrence.

Footwear and insoles are used to offload the neuropathic foot, but the success of offloading is dependent on patient adherence. This study aimed to determine which design and modification features of footwear and insoles improve forefoot plantar pressure offloading and adherence in people with diabetes and neuropathy.