How is the Cluffy Wedge® different than a Kinetic Wedge?
The Kinetic Wedge is essentially a cutout under the first metatarsal head and has all of the inherent disadvantages of a first-ray cutout. Loading the first metatarsal before pre- loading the hallux will not necessarily improve first MTPJ motion. First-MTPJ dorsiflexion is the most physiologic method of improving first-met head weight bearing, while promoting normal body mechanics.