Unverified85% confidenceDecision RuleTime unknown

老年群体拇外翻和糖尿病足高发，应选宽楦（4E/6E）或前掌围度加大的鞋型，前掌预留1-1.5cm空间，避免挤压导致溃疡

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老年健步鞋category

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Unverified糖尿病或有足部水肿的老人应选4E及以上宽楦，且鞋头需有足够纵向空间（拇指前留1cm），内衬无硬缝线，避免足部摩擦破溃92% similar Unverified外增高厚底鞋总底厚超过5cm时，需选择前掌也有对应支撑厚度（前掌≥2cm）的坡跟结构而非纯后跟垫高，避免踝关节长期背屈受压75% similar Unverified内增高单只鞋垫超过5cm时脚会明显前滑，长期穿易导致跖骨疼痛和拇外翻加重；日常内增高幅度建议控制在3-4cm以内，超过5cm优先选外部厚底方案74% similar

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