How The FORS™-15 Insole Can Save Time, Money, and Improve Offloading Of Plantar Ulcers

Posted by Bonapeda Admin 07/08/2018 0 Comment(s)

"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 preferred 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?

  • Proven offloading and clinical results:
    • 3 clinical evaluations
    • Proven to reduce plantar pressures by 43% in study conducted by Temple University School of Podiatric Medicine
  • 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 and prevent "bottoming out"
  • Best in class materials, including: Alcantara® fabric on top to minimize sheer and absorb fluid, and Poron® memory resistant foam for excellent resilience, cushioning and shock absorbance.
  • Insoles can easily be trimmed for custom sizing and completely disinfected as needed.


As a podiatrist or allied healthcare provider, you are well aware of the serious health risks that foot ulcers pose for your patients with diabetes - studies show about 1 in 6 individuals with diabetes will at some point develop diabetic foot ulcers, and approximately 14-24 percent of diabetic patients who develop a foot ulcer will require an amputation. It's also well-known that diabetic foot ulcers (DFUs) are the single greatest cause of lower extremity amputations in the United States every year, and that such amputations have been tied in studies to a 5-year mortality rate that approaches that of lung cancer. It is also well established that effective offloading is one of the keys to healing diabetic foot ulcers.



At Bonapeda™ Enterprises, we recognize that when treating plantar ulcers, the most commonly employed offloading techniques involve "shoe-based" methods. We have good news for you and your patients - the FORS™ insole has demonstrated excellent clinical results and was proven in a recent study at Temple University to offload 43.4% of the force from the targeted area.


To view and download a copies of various clinical presentations, click on the link(s) or images below.


Click here to see presented results, Harry Penny et al; November 2017


Click here to see TUSPM study results, presented APMA National, July 2017.


Click here to see study results from Montefiore Hospital, Mt. Vernon, NY, Presented SAWC, November 2016


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)


Contact Bonapeda to see how the FORS insole could contribute to positive outcomes in your practice.

Bonapeda™ Enterprises is the exclusive distributor for all Saluber® products in the United States. To learn more about how the FORS insole can provide an excellent shoe-based offloading option for your patients, send us an e-mail ( or call us at 973-415-9090.

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