In the middle of winter I broke my ankle and they put me in a cast. I couldn't load it, but the boot helped keep my foot clean when out in the snow and winter slush, and I was also happy to have it when I had to use public restrooms. I wear a size 9 (male) shoe and ordered a large boot and with my first cast my toes landed right on the edge of the boot. A few weeks later I had a new cast put on and there seemed to be less material on the back as I had about 1 inch of clearance from the top of my toes to the bottom of the boot on the second cast. enough room for further adjustment Velcro on the toes can be moved to any place to provide enough "stickiness".
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