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The Apis Mt. Emey style 503 boots are specially designed to accommodate severe hammer toes, bunions, and deformities. They are Supra (triple) depth with a high density EVA flexible outsole. The uppers are made of genuine leather. Comfort Collection is part of the Apis Mt Emey brand that is an orthopedic line that offers, Casual Walking, Leisure and Sandal Shoes. Triple Depth shoes (1/4") depth for moderate to severe swelling, fleshy foot, accommodates AFO, KAFO and foot orthotics; straight last sole, and charcot last to fit severe deformities. Three removal layer inserts give you flexibility to make adjustmensts or to fit shoes. Insert layers can be added or removed for a better fit.