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Model:

Diabetic Boot

The Royce Medical Active Off-Loading Diabetic Walker (formerly DH Pressure Relief) has a patented pressure relief insole to assist in the healing of plantar ulcers when specialized footwear is insufficient and a higher degree of immobilization is needed.  The plantar insole of this diabetic walker provides effective pressure relief, reduces shear forces, and allows for easier ulcer management compared to a total contact cast. Pressure relief is easily created by the removal of numerous independent shock-absorbing hexagons. The insole can accommodate various sizes, shapes and numbers of ulcers. This model reduces shear by fixing the ankle at 90 degrees and incorporating a rocker bottom sole. This diabetic walker is the easiest to apply compared to other methods for treating mild to moderate ulcers.

Frequently Asked Question: What is the difference between the Royce Medical Active Off-Loading Diabetic Boot versus a Total Contact Cast ?
Total Contact Casts fix the ankle at 90 degrees. The TCC is functional yet impractical due to the limitations inherent in its design. The use of minimal foot padding requires the patient to be monitored weekly for the growth of new ulcers. The smallest wrinkle, poor molding or tension deviations can initiate severe problems for the patient. Plantar ulcers generally take months to heal and a TCC needs to be changed weekly. Due to the extensive labor involved, the cost of choosing a TCC for treatment can be quite high. A total contact cast that uses a customized walking heel instead of a diabetic boot can cause instability in the patients gait. TCCs are not recommended for people with soft tissue infection.

Royce's Active Off-Loading Diabetic Boot distributes plantar pressure, fixes the ankle at 90 degrees and increases gait stability with a low and wide rocker bottom that allows for daily wound maintenance. If patient compliance must be forced, the diabetic walker straps may be wrapped with a roll of 2 inch fiberglass cast tape to create an Instant Total Contact Cast.




Royce Medical Active Off-Loading Diabetic Boot Features:

• Royce Medical products come with a Lifetime Guarantee!
• Sheer force reduction by stabilizing foot and ankle at 90 degrees.
• Wide low profile rocker bottom provides a smooth roll-through and increased stability for altered gait patterns.
• Designed around Royce's unique Active Off-Loading Insole.
• The softgood's patented inner bootie prevents foot from migrating on insole.
• A safe environment for the simultaneous use of wound care material.
• Diabetic boot is easy to apply and modify.
• Create an Instant TCC using a single roll of 2 inch cast tape for patient compliance.

• Night Cover: One Size Fits all, this cover is simply a thin pillowcase-like cover that can cover the boot so that it doesn't snag the bedsheets. This is also a way to keep your bed sanitary from the dirt/grime that can accumulate on the boots bottom.
• Replacement Insole (available in sizes small, medium and large)
• Replacement Softgood: Foam-like boot liner (available in sizes small, medium and large)