Abstract: A customizable insole has a base layer, a foot engaging top layer and a resiliently deformable layer therebetween. The top layer and the resiliently deformable layer are matrix cut into a plurality of adjacent plugs, wherein the plugs are removably fixedly bound to a base layer or a substrate. To customize an insole one or more plugs are removed in a spot to relieve pressure or reduce pain.

Abstract: Vibrating orthotic shoe inserts and a method of manufacturing the same. In an embodiment, a vibrating orthotic shoe insert includes a forefoot portion configured to support a forefoot portion of a human foot; an arch portion configured to support an arch of the human foot, the arch portion including an area configured to be under a porta pedis of the human foot; and a heel portion configured to support a heel of the human foot. The arch portion includes a vibration element positioned within the area configured to be under the porta pedis of the human foot. The vibration element is configured to deliver vibration to the porta pedis of the human foot.

Abstract: Vibrating orthotic shoe inserts and a method of manufacturing the same. In an embodiment, a vibrating orthotic shoe insert includes a forefoot portion configured to support a forefoot portion of a human foot; an arch portion configured to support an arch of the human foot, the arch portion including an area configured to be under a porta pedis of the human foot; and a heel portion configured to support a heel of the human foot. The arch portion includes a vibration element positioned within the area configured to be under the porta pedis of the human foot. The vibration element is configured to deliver vibration to the porta pedis of the human foot.

Abstract: An ankle implant having a tibial component with a bottom groove, a talar component with a convex dome on top, and a bearing component slidably insertable into the bottom groove in the tibial component and having a concave bottom recess receiving the top dome of the talar component. The tibial component is channel-shaped, with a flat bottom wall for reception in a corresponding surgically prepared recess in the bottom of the patient's tibia, an anteriorly inclined posterior end wall projecting up from its bottom wall, a taller anterior end wall perpendicular to its bottom wall, and a rounded groove on the inside at the juncture between the anterior and bottom walls. The talar component has a cross-shaped segment on the bottom for reception in a corresponding surgically prepared recess in the top of the patient's talus.

Abstract: An ankle implant having a tibial component with a bottom groove, a talar component with a convex dome on top, and a bearing component slidably insertable into the bottom groove in the tibial component and having a concave bottom recess receiving the top dome of the talar component. The tibial component is channel-shaped, with a flat bottom wall for reception in a corresponding surgically prepared recess in the bottom of the patient's tibia, an anteriorly inclined posterior end wall projecting up from its bottom wall, a taller anterior end wall perpendicular to its bottom wall, and a rounded groove on the inside at the juncture between the anterior and bottom walls. The talar component has a cross-shaped segment on the bottom for reception in a corresponding surgically prepared recess in the top of the patient's talus.