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Related Experiment Video

Updated: Mar 3, 2026

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Published on: March 1, 2024

[Experience with the Hind Foot Relaxation Boot].

Hans Zwipp¹, Michael Borrmann², Eberhard Walter²

¹Klinik für Unfall- u. Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden.

Zeitschrift Fur Orthopadie Und Unfallchirurgie

|April 22, 2017

Summary

This study introduces a novel hybrid boot for hindfoot fractures, offering full weight-bearing and protection. The improved second-generation boot is lighter, safer, and superior to traditional orthoses for easier walking and reduced complications.

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Area of Science:

Orthopedics
Traumatology
Biomedical Engineering

Background:

Hindfoot fractures require specialized treatment to ensure proper healing and mobility.
Traditional orthoses like the Allgöwer-Röck orthesis (ARO) have limitations in providing full weight-bearing and comfort.
A hybrid boot combining features of a boot and an orthosis was developed to address these limitations.

Purpose of the Study:

To report the clinical experience with a specially developed hybrid boot for hindfoot fractures.
To evaluate the efficacy and safety of the first and second-generation boots in a large patient cohort.
To compare the new boot system with the established Allgöwer-Röck ortheses (ARO).

Main Methods:

Retrospective analysis of 557 cases treated with the hybrid boot (408 first-generation, 149 second-generation).
The second-generation boot features an improved design with an aluminum U-profile for enhanced load transfer.
Patients underwent treatment for acute hindfoot fractures, hindfoot arthrodesis, or conservative management.

Main Results:

The hybrid boot allows full weight-bearing without crutches, facilitating easier standing and walking, even for elderly patients.
The second-generation boot demonstrated improved safety and lighter weight compared to the first generation.
Reduced incidence of osteopenia and coordination deficits was observed compared to ARO, with no cases of fracture dislocation or pressure-related wound complications.

Conclusions:

The developed hybrid boot is a safe and effective alternative to traditional orthoses for hindfoot fracture management.
The second-generation boot offers significant advantages in terms of design, safety, and patient mobility.
This innovative boot system facilitates faster recovery and improved patient outcomes, particularly in complex cases like bilateral calcaneal fractures.