A foam pad has been strategically placed in the dorsal region of the boot. It will act as filler between the natural contour of the limb, and any surface. The foam pad also supports the limb and helps with weight distribution so that off-loading is achieved, This function is critical in the prevention and management of pressure ulcers.

The Rooke Boot® may be worn during limited ambulation. The combination of multi layered fabric and foam supports ensure that the limb will be protected during ambulation. The boot also includes a non-slip surface for safer movement.

Design Features Foam Support A foam support has been strategically placed in the dorsal region of the boot. This padding is intended to eliminate any pressure points by acting as filler between the natural contour of the limb and any surface. This support helps prevent pressure sores and provides limited off loading. Triple Layer Construction The Rooke Boot® is made with an inner layer of synthetic lamb's wool, a middle layer of Thinsulate™ and an exterior layer of low-friction Velour. The fabrics used in the construction of the boot are intended to provide optimal warmth, while also being comfortable and washable. Hook and Loop Closures Easy to use hook and loop closures run alongside the boot's opening and make it possible for the boot to be adapted to individual sizing needs. Non-Slip Exterior Surface A non-slip sole has been sewn onto the boot to decrease the likelihood that a patient may slip. This is a critical for patients who are unsteady on their feet, such as those just beginning to ambulate or who do not ambulate frequently. Long Term Management The Rooke Boot® may be used as, long as the, patient needs the extra warmth and protection it offers. For some patients, it may be only one tool used in gaining greater use of their limb. For patients who need extra protection during prolonged bed rest, we offer the Rooke Perioperative Boot, which features a molded foam cradle for extra protection. The Rooke Perioperative Boot® is available without the non-slip footing for non-ambulatory patients.

Application Instructions Prior to placement of the Rooke Boot®, follow all care instructions prescribed by the practitioner.   To insure proper fit, the hook and loop closures need to be undone, the boot completely open, and the toe flap extended. The foot may then be placed in the boot.   The toe flap may then be replaced. Starting at the toe, fasten the hook and loop closure located on the foot at this time.   The sides of the boot may then be pulled together and the hook and loop closure secured. The hook and loop closure should be fastened at the ankle first and then slowly closed by working the hands up the calf.   The boot should fit snugly and there should be no bunching of material. To adjust for limb size, the side portions of the boot may be overlapped and closed as per the recommended procedure.   The boot may be adjusted as prescribed by the practitioner.   Any questions about the placement of the Rooke Boot® or a patient's care plan should be addressed to the patient's physician.

Care Instructions	Size Information
Machine wash warm, delicate cycle Use only mild detergents. Close hook and loop fasteners during washing Tumble dry, low heat	Size Men’s Shoe Size Women’s Shoe Size  XS 3 - 6 1/2 5 - 8 1/2  S 7 - 8 1/2 9 - 10 1/2  M 9 -11 11 - 13  L 11 /2 - 13 13 1/2 +

Reference
1 'Rooke, T.W., Hollier, L.H., and Osmundson, P.J. "The Influence of Sympathetic Nerves on Transcutaneous Oxygen Tension in Normal and Ischemic Lower Extremities," Angiology 38 (1987), 400-410.
2 Troyer-Caudle, Judith, "The Wound Clinic Connection," Ostomy/Wound Care Management , 38 (1992) 10-15.

Rooke® Perioperative Boot The Rooke® Perioperative Boot is designed to provide optimal protection and insulation to the lower extremities of patients who are confined to bed in a hospital, nursing home or home health care setting.

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Design Features Molded Foam Cradle The foam cradle provides support for the heel and leg, while also providing extra protection. It's anatomical contouring ensures that weight is evenly distributed to prevent pressure sores from developing during prolonged bed rest. Bi-layer Construction The Rooke Perioperative Boot® has an inner layer of seamless soft fleece. No seams mean that there are no rough edges for sensitive limbs to rub against. The outer layer is constructed from low-friction fabric, which minimizes friction between the boot and bedding. The boot was also designed to be soft-to-the touch by the patient's other limb. Hook & Loop Closures Adjustable fasteners allow for easy operation by nursing staff or the patient. The four fasteners are strategically placed so the boot may be worn in a variety of positions. This adaptability allows the boot to be manipulated for use with many conditions. Easy Sizing Each boot is made from a convenient one-size-fits-all design that fits either the right or the left foot. To accommodate limb size, adjustments can be made with the boot's four hook and loop fasteners. Long-term Use The Rooke Perioperative Boot® may be used as long as the patient needs the extra warmth and protection it offers. It may also be the first tool used by patients in gaining greater use of their limb. For patients who desire greater mobility we offer the super-insulate Rooke Boot®, which may be used during limited ambulation. The Rooke Perioperative Boot® is intended to be positioned in numerous ways to ensure that warmth needs and air flow requirements are met.

Care Instructions	Size Information
Close hook and loop fasteners during washing. Machine wash warm, delicate cycle. Use only mild detergents. Tumble dry, low heat.	Multi-Adjustable One size fits all May be worn on either limb

Placement Instructions        Prior to placement of the Rooke Perioperative Boot®, follow all care instructions prescribed by the practitioner. To insure proper fit, all fasteners need to be undone, the boot completely open, and the toe flap extended. The foot may then be placed in the boot. The boot may be worn in a variety of positions to accommodate individual needs. Before closing the boot, note how the boot will be used by the patient. Fasteners may be closed starting with the ankle strap, followed by the calf strap, the foot strap and finishing with the toe strap. Fasteners that are unnecessary in an application may be fastened to hold the boot open or may be fastened on the underside of the boot. To avoid the risk of injury, no fasteners should be left dangling from the boot. Double check that straps are secured in a manner tight enough to hold the boot in place but not constricting circulation. The boot may be adjusted as prescribed by the practitioner. Any questions about placement of the Rooke Perioperative Boot® or the patient's care plan should be addressed to the patient's physician.

Reference
Rooke, T.W., Hollier, L.H., and Osmundson, P.J. "The Influence of
Sympathetic Nerves on Transcutaneous Oxygen Tension in Normal and Ischemic Lower Extremities," Angiology 38 (1987), 400-410.
'Troyer-Caudle, Judith, "The Wound Clinic Connection," Ostomy /Wound Care Management 38 (1992) 10-15.