Darco Peg-Assist Insole Square-Toe Wound Off-Loading Medium Large XL

Effective off-loading of foot wounds and ulcerations during ambulation requires precision — reducing pressure at the exact site of the wound without compromising the patient's ability to walk. The Darco Peg-Assist Square-Toe Insole is engineered for exactly that. Removable pegs allow the clinician to selectively remove material directly beneath the wound site, reducing localized pressure by as much as 60% while keeping the patient ambulatory. The Poron cover eliminates ring edema and edge abrasion around the wound site, and the included stabilizer board prevents adjacent pegs from collapsing during use. Designed for use with the Darco Heel Wedge Healing Shoe, Ortho Wedge Healing Shoe, and APB All Purpose Boot. Available in Medium, Large, and Extra-Large.

Key Features

• Removable pegs — allow precise, localized off-loading of specific wound or ulceration sites
• Up to 60% pressure reduction — clinically effective off-loading while maintaining ambulation
• Poron cover — eliminates ring edema and edge abrasion around wound sites
• Stabilizer board included — prevents adjacent pegs from collapsing during use
• Compatible with Darco Heel Wedge Healing Shoe, Ortho Wedge Healing Shoe, and APB All Purpose Boot

Size Guide

• Medium — SKU: 1471C
• Large — SKU: 1471D
• Extra-Large — SKU: 1471E

Specifications

• Brand: Darco
• Cover Material: Poron
• Includes: Stabilizer board
• Compatible Shoes: Darco Heel Wedge Healing Shoe, Ortho Wedge Healing Shoe, APB All Purpose Boot
• Available Sizes: Medium, Large, Extra-Large

Ideal For

• Clinicians managing plantar foot wounds and ulcerations requiring localized pressure off-loading during ambulation
• Diabetic foot wound care where precise, site-specific pressure reduction is critical to healing
• Post-surgical foot off-loading during the ambulatory recovery phase
• Use with Darco healing shoe systems including the Heel Wedge, Ortho Wedge, and APB All Purpose Boot
• Wound care programs requiring a customizable insole that can be modified per patient wound location

Frequently Asked Questions

How does the peg removal system work for off-loading?
The insole is constructed with a grid of removable cylindrical pegs across the forefoot area. The clinician identifies the location of the wound or ulceration on the patient's foot, then removes the pegs directly beneath that area using a tool or by hand. With the pegs removed, there is no material supporting that specific zone of the foot, which eliminates direct contact pressure at the wound site during weight-bearing. The surrounding pegs continue to support the rest of the foot, and the stabilizer board prevents the adjacent pegs from collapsing into the void left by the removed pegs.

What is Poron and why is it used as the cover material?
Poron is a high-performance cellular urethane foam used in medical and orthotic applications for its consistent cushioning, pressure distribution, and durability properties. In the Peg-Assist insole, the Poron cover serves a specific clinical purpose: it prevents ring edema and edge abrasion, which are complications that can occur when a wound is off-loaded using a cutout or void in a standard insole. Without a cover material, the edges of the void can create a pressure ring around the wound that impedes healing. The Poron cover bridges the void smoothly, eliminating this edge effect while still allowing the underlying peg removal to reduce direct pressure at the wound site.

Which Darco shoes is this insole compatible with?
The Peg-Assist Square-Toe Insole is designed for use with the Darco Heel Wedge Healing Shoe, the Ortho Wedge Healing Shoe, and the APB All Purpose Boot. These shoes are designed with a square toe box that accommodates the square-toe profile of the insole. Using the insole with a non-compatible shoe may result in an improper fit that compromises the off-loading effectiveness. Confirm compatibility with your specific Darco shoe model before ordering.

How is the correct size selected?
Size selection is based on the patient's foot size and the compatible Darco shoe size being used. The insole must fit properly within the shoe to function correctly — an undersized insole will not cover the full plantar surface, while an oversized insole will not fit within the shoe. Consult the Darco sizing guide for the specific shoe model being used, or contact us with the patient's shoe size and Darco shoe model for sizing assistance.