Desbuquois syndrome bilateral pes planus. Swollen dorsum and ankles bilateral, very wide midfoot. Very small foot length.

PROBLEM to solve

Very unstable, history of falls, severe knee pain bilateral. Very anxious about walking.

SOLUTION Proposed

Custom made footwear/orthotics, thermoplastic heel counter with thermoplastic stiffener insoles. Heel to toe rocker bottom soles.

RESULT Generated

Strong decrease in knee pain, significant increase in stability, participant does not need walking aids or holding to the walls. Increase in activities and mobility.