Extra Large: Men 10.5 - 12.5 Women 11.5-13 Black The DARCO OrthoWedge Off-loading shoeÚ is clinically proven to reduce weight bearing pressure on the forefoot which promotes faster healing after surgery trauma or when forefoot wounds or ulcerations are present 15ø wedge sole effectively shifts body weight to the midfoot and heel. Reduces forefoot pressure by as much as 57%! Square toe design acts as a bumper to protect the toes when k-wires are present and provides better left/right fit Ankle strap seats foot firmly in shoe to reduce heel slippage and eliminate friction Removable forefoot closure provides security while eliminating buckle pressure Zoned outsole has an aggressive tread under the mid-foot where traction is needed most Removable Insole features twice the padding of standard insoles and can be modified as needed. Insole can be totally removed to accommodate DARCOÊs innovative Peg Assist customizable off-loading insole Optional Peg-Assist Insoles available: use 1471A-1471E HCPCS Suggested Code: L3260