Total Contact CAD CAM Orthoses
Total Contact devices are used widely in the at-risk and diabetic foot, and where there is gross orthopaedic deformity. They offload peak pressure areas by redistributing load over the full plantar surface of the foot. They immobilise the foot, rather than promoting function, and therefore minimal cast corrections and postings are used. In the rigid flat foot, with bony forefoot inversion, total forefoot medial wedging is incorporated into the shell. Intrinsic posting is prohibited, and only limited Rearfoot extrinsic posting is possible, if the Total Contact nature of the device is to be retained.
These are always full length and follow the exact contour of the foot from the heel to the metatarsal heads. The only adaptation to the shape is the insertion of softer Poron™ buttons in very high loading areas.