Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe

Foot Ankle Int. 1997 Jul;18(7):412-7. doi: 10.1177/107110079701800707.


Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations who were prescribed an IPOS (Niagara Falls, NY) postoperative shoe. A total of .33 patients were in the chart review. Twenty-three of these patients were located and agreed to participate in a telephone survey. Patients showed a compliance of 78%. Seventy-seven percent of the patients healed their ulcers and wore prescription inserts and extra-depth shoes at a mean of 8 weeks. Seventy-eight percent of our telephone survey patients were either satisfied or satisfied with reservations. Problems or complications from wearing the IPOS postoperative shoe occurred with 38% of all patients.

MeSH terms

  • Adult
  • Aged
  • Female
  • Foot Ulcer / physiopathology
  • Foot Ulcer / therapy*
  • Humans
  • Male
  • Middle Aged
  • Orthotic Devices*
  • Patient Satisfaction
  • Retrospective Studies
  • Shoes*
  • Wound Healing*