Even with the drawstring at the back, this shoe is too big and bulky for our little one, which I think might make it easier for him to fall. They don't sell half sizes which I would choose. So I went for the larger size. We stayed at the hotel with the water park for two nights and when our son woke up on the third day he couldn't step on his left foot. We eventually determined that it was his left ankle/foot that was injured. First I thought it was the right knee, then the left. He couldn't walk for days. I wonder if those shoes supported his ankle and possibly contributed to his sprained ankle. His foot can move so much in the boot because it's too big, causing the boot to wrinkle and flap, especially when wet.
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