Total contact is a physical impossibility in a removable shoe. Conformed
by directly molding to the patient's foot? With present day technology
how can this be done without exposing a patient to harm?
3) Has some form of shoe closure; and
4) ls available in full and half sizes with
a minimum of three widths so that the
sole is graded to the size and width of the
upper portions of the shoe according to
the American standard last sizing schedule or its equivalent. (The American last
sizing schedule is the numerical shoe
sizing system used for SHOES in the
United States.) The shoe may or may not
have an internally seamless toe.
You can study any aspect of the directive and
come away with uncertainty item 1, the full
length filler, 3/16" minimum of additional
depth. what is the filler to do besides occupy
3/16” or shoe depth full length? what is it
made of? Should it be liable to a performance
specification? As it stands, could the filler be
made of vanilla wafer and be suitable for service? There is no specification.
Consider item 2; “ls made from leather or other suitable material of equal quality”. Unless
all the desired qualities of leather are specified,
which they are not, what does item 2 mean in
the world of fabrication? What specifically are
you supposed to do that is expected and correct? Keep in mind that you are held accountable by this directive.
Read on to: code A5512, “a total contact,
multiple density, prefabricated removable inlay
that is directly molded to the patient's foot. Directly molded means it has been conformed by
molding directly to match the plantar surface
of the individual patient's foot. Total contact
means it makes and retains actual and continuous physical contact with the weight-bear-
Current Pedorthics January/February 2016
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