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Table 3 Modifications to Orthotics

From: A randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting: application to feet at risk of diabetic plantar ulceration

Type of Orthotic Modification

Traditional Supply Chain

Digital Supply Chain

Design Modification

 Local removal of material

1

1

 Local softening of material

2

3

 Addition of metatarsal pad or bar

 

2

 Addition of Wedge or Skive

 

2

Maintenance and Repair

 Repair or Glue of top cover

14

9

 Replacement of top cover

1

 

 Insole Damaged/Replaced

1

 
  1. Design modifications were made on a patient by patient basis to relieve pressure. Maintenance and repair was made when required to reflect normal practice within the Orthotics service