Creative prosthetic foot selection enables successful ambulation in stiletto high heels

Background:Walking in high heels presents biomechanical challenges, yet they remain part of many women’s attire. However, women with a lower limb amputation are limited in available footwear options.Case description and methods:This case study is in response to one patient’s assertion that she walked better and more symmetrically in heels than flat shoes with her below-knee prosthesis. She underwent gait analysis in athletic shoes and 10-cm stiletto high heels worn with a pediatric running foot to determine if these claims could be substantiated through biomechanical measures. Global gait asymmetry indices were calculated.Findings and outcomes:Asymmetry indices were nearly identical between athletic shoes and heels but joint-level findings differed substantially. Ankle mechanics were more symmetrical in heels but hip mechanics were less.Conclusion:The maintenance of symmetry in stiletto high heels does not imply maintenance of gait quality, as high heels are known to adversely affect some components walki...