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This in effect adds extra medial intrinsic wedging to the device. Shells are ground at varying depths from 2 - 8 mm. A higher than normal heel cup is advised. Must take into account heel width thin heels pads don’t tolerate large amounts of skive. Rear-foot control
Indicated for pts who need additional pronatory control, difficulty resupinating the foot, paed flexible flat foot, post tib dysfunction, lower limb pathology caused by excessive stj pronation.
Contraindicated in pts with lateral heel pain- may increase pain due to shape of skive, lateral ankle instability and thin heel pad.
The Inverted Technique (Blake) is balanced as per modified root devices but to a far greater degree of inversion (starting at 15 degrees)...
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