Reverse Last (Anti-Varus)

The indication for reverse last or anti-varus shoes is the treatment of walking-age children with forefoot adduction/metatarus adductus, sometimes referred to pigeon-toed gait.

Reverse last or anti-varus footwear supports the conservative corrective treatment of metatarsus adductus by provinding a three-point correction system:

• The first two correction points, on the inside of the heel and at the level of the Lisfranc joint, support the rear foot, thus protecting against torsion in the ankle joint during the necessary forefoot correction process.
• The third correction point is on the inside of the big toe’s metatarsophalangeal joint. This promotes correction of the forefoot and prevents the foot from reverting to the deformed position.