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The Apis Mt. Emey style 9606 boots are specially designed to accommodate moderate hammer toes, bunions, and deformaties. They are double depth with a high density EVA flexible outsole. The uppers are made of soft leather. The Apis Premiere Collection is part of the Apis Mt Emey orthopedic line that offers, Casual Walking, Leisure and Sandal Shoes. Extra Depth shoes provide (5/16") extra depth for mild to to moderate swelling, fleshly foot, accommodates Ankle and Foot Braces (AFO), KAFO and substantial foot thickness. Includes: Premiere Two Layers of removable inserts for flexible fitting - Top layer 6mm thick Diabetic insert with 3mm thick EVA Foam filler. Use the foam fillers under the top layer to adjust the volume inside the shoe.