Using The FORS™ -15 Insole To Improve Offloading Of Plantar Ulcers

"It’s not what you put on a wound, it’s what you take off1

When a surgical shoe or CAM boot based system is the most appropriate offloading approach, you may want to consider dispensing a FORS™ -15 Insole as your offloading interface.  FORS™ Insoles provide consistent and durable offloading and cushioning in the shoe-based devices that your patients prefer to wear.  

  • What makes the FORS insole different from other offloading insoles?
  • Novel Plug design creates highly stable offloading zones. Plugs that are not removed remain stable and solidly in place without shifting or falling out.
  • Fabric mid-layer disperses force along offloading zones to eliminate edge effects
  • Sheer resistant top cover minimizes slippage and absorbs moisture
  • Insoles can easily be trimmed and completely disinfected as needed.

See what users of the products are saying!

  • "The FORS insole is very cost effective and provides superior plantar offloading as compared with other available shoe-based systems. Unlike the TCC which requires significant training and expertise before it can be applied and a significant time commitment for our clinicians, the FORS insole can easily be modified for our patients by any of the clinic personnel with only minimal training and takes only minutes to apply.  In an independent study in our clinic the FORS insole was demonstrated to remove significant pressure from areas of ulceration. Coupled with a non-removable dressing technique such as the Rader Football or the Felted Foam Dressing the FORS insole in a rocker soled cam boot or surgical shoe can be used as a cost effective, proven first-line therapy for many of the plantar wounds we encounter.  A single FORS insole will typically last long enough to be used through wound closure to the transition to a patient’s final footwear. The FORS insole reduces the need for clinicians to replace it with other offloading devices. Considering the fact that in the Philadelphia area the reimbursement for applying and removing many of the commercially available TCCs only allow for approximately $25 in net revenue, the single expense FORS insole may allow clinicians to significantly reduce expenses, and still achieve similar wound healing outcomes.”   James McGuire, DPM, PT, L.Ped (Temple University School of Podiatric Medicine)

  • "The FORS insole has provided a valuable tool in expediting positive patient outcomes. The product has superior offloading characteristics, is easy to use, and our patients have found it to be comfortable. In our facility, its use has resulted in improved patient compliance and faster healing rates, which reduces the likelihood of infection and other complications."  Harry Penny, DPM (University of Pittsburgh Medical Center, Altoona, PA)  

  • "As a podiatrist working in a busy hospital-based wound care center, I have recently incorporated the use of the FORS-15 insole as a pressure reduction option in treating my patients with plantar foot wounds. This newly available insole, which is made of durable high-quality lightweight materials, is easily customizable and can be used inside a rocker-bottom surgical shoe or a rigid walking boot.  When used in conjunction with utilization of a “team approach” and use of modern wound care techniques, I have found it to be a highly cost-effective option for plantar pressure reduction. It has shown to dramatically reduce the severity of wounds, decrease healing times, and reduce amputation rates."   Payam Rafat, DPM, AACFAS, C.Ped., COF  (Montefiore Medical Center, Mount Vernon, NY)

Other Links:

1.  Poster from Montefiore Hospital, Mt. Vernon, NY, Presented SAWC, November 2016

2. ACPME Prentation by James McGuire, DPM, PT, CPed, FAPWHc, January 2017

3. Poster from Temple University School of Podiatric Medicine, APMA National Meeting, July 2017

Scientific posters regarding the FORS-15 insoles have been presented at the SAWC (Society for Advanced Wound Care), Desert Foot, and Academy of Physicians in Wound Healing in Nov 2016. Additional data will be presented at the APMA National Meeting in July 2017. 




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