What Is a CROW Boot?
The CROW Boot is a rigid, clamshell-style walker designed to fully encase the foot, ankle, and lower leg. With a foam-lined interior and rocker-bottom sole, it helps offload weight, control deformity, and promote safe mobility during the healing process.
Who Benefits from a CROW Boot?
Ideal for individuals with Charcot neuroarthropathy—mostly seen in patients with advanced diabetic neuropathy—the CROW Boot can prevent further structural damage and reduce ulcer risk.
Key Features & Fabrication
- Custom clamshell design with front/back shells secured by adjustable velcro straps
- Foam lining and interior padding to cushion pressure-sensitive areas
- Rocker-bottom sole that enables safer walking without bending the ankle joint
- Relatively heavy (typically 1.5–3 kg), engineered for rigid support and healing
Usage & Wear Schedule
- Intended for wear during all weight-bearing activities, both indoors and outdoors
- Usually removed only for sleeping or hygiene
- Duration can range from several months to over a year, depending on healing response and severity of condition
Fabrication & Fitting Process at Prosthetic & Orthotic Designs
- Comprehensive Evaluation – Assess foot/ankle condition and gait stability
- Precise Casting or Scanning – Capture limb contours and alignment needs
- Custom Fabrication – Construct orthosis from high-performance polymers and foam lining
- First Delivery & Adjustment – In-clinic trial and user education on safe wear
- Ongoing Monitoring – Regular follow-up to check skin integrity, fit, and alignment
Benefits of Using a CROW Boot
- Distributes pressure evenly to protect sensitive tissue and existing foot deformities
- Prevents further breakdown and promotes healing of Charcot foot
- Offers greater flexibility than total contact casting, allowing periodic inspection without sacrificing healing support