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Toe, ray and midfoot amputation

Partial foot prosthesis, so the shoe and the step work again

Losing toes or part of the foot changes balance and pressure far more than most people expect, especially on a diabetic foot. The right filler, insole or silicone partial foot protects what remains, keeps the shoe in shape and evens out your step.

  • Free foot check
  • Fitted in your own shoes
  • Answered 24/7

Reviewed by Ummad Shafique Mughal, Consultant Orthotist and Prosthetist. Updated October 2026.

In short

What is a partial foot prosthesis?

The short answer

It fills the space left after an amputation of toes, a ray (a toe with its long foot bone) or the front of the foot. Depending on how much was removed, it ranges from a simple toe filler inside the shoe, to a custom insole with a built-up front, to a full silicone partial foot, or a small ankle-height socket after a midfoot (Lisfranc or Chopart) amputation.

A toe filler costs from Rs 10,000; a custom silicone partial foot can reach Rs 250,000.

A silicone partial foot prosthesis beside a shoe and a custom insole
From simple fillers to silicone partial feet

Is it right for you?

Who a partial foot prosthesis suits

Usually a good fit if

  • The wound has fully healed
  • You want to wear closed shoes again without the front collapsing
  • A diabetic foot that needs pressure taken off the remaining toes
  • A midfoot amputation that needs an ankle-height socket for stability

We may advise waiting, or something else, if

  • An open ulcer on the foot; it must heal first under your doctor
  • Poor blood flow with changing skin colour; we work with your surgeon first
  • Open chappals only; a filler cannot stay in an open sandal

The options

Four ways to fill the gap, from simple to custom

How much of the foot was removed decides which option makes sense.

Partial foot options and indicative prices
OptionSuitsIndicative priceFootwear
Toe fillerOne or two toesRs 10,000 to 25,000Closed shoes
Insole with fillerSeveral toes or a rayRs 15,000 to 45,000Closed shoes and joggers
Ankle-height socketLisfranc or Chopart amputationRs 45,000 to 150,000Closed shoes
Silicone partial footFront of the foot, protective and natural-lookingRs 80,000 to 250,000Shoes and some closed sandals

Cost in 2026

What a partial foot prosthesis costs

The more of the foot that is missing, the more the device has to do, and the more it costs.

Toes and partial foot

Rs 10,000 to 250,000local to imported build

Filler and insole Rs 10,000 to 45,000

A toe filler or a custom insole with a built-up front. Keeps the shoe in shape and stops neighbouring toes drifting.

  • Free foot check
  • Fitting in your own shoes
  • Pressure review

Ankle-height socket Rs 45,000 to 150,000

A small laminated or flexible socket that holds the back of the foot after a midfoot amputation, with a filled front.

  • Free foot check
  • Test fitting
  • Walking check

Silicone partial foot Rs 80,000 to 250,000

A custom silicone foot coloured to match your skin. Protective, cushioned and much more natural under sandals and dress shoes.

  • Free foot check
  • Colour matching
  • Fitting and review

Indicative ranges. A firm figure comes in writing after the free assessment and does not change without your agreement. Full cost guide.

Your visits

Usually one to three visits

  1. Foot check

    We look at the skin, pressure points and shoes, and ask about diabetes and blood flow.

  2. Casting

    A standing impression or measurements, depending on the option.

  3. Fitting

    Fitted in your own shoes, with a walking check.

  4. Follow-up

    We look at the skin again after a few weeks of wear.

Bring the shoes you wear most days. A filler is made for a particular shoe.

Why a small amputation needs careful attention

After toes are removed, the weight that used to spread across them shifts to the remaining toes and the ball of the foot. The neighbouring toes drift into the gap, the shoe creases where the toes were, and new pressure points appear. On a diabetic foot with reduced feeling, that is how a second ulcer starts.

A filler or insole stops the drift, keeps the shoe in shape and moves pressure away from the scar and the remaining toes. It is a small, inexpensive device that protects what is left of the foot.

Toe, ray, Lisfranc and Chopart: what each needs

One or two toes: usually a soft toe filler or an insole is enough.

A ray amputation removes a toe and its long bone, narrowing the front of the foot. A custom insole with a built-up section keeps the foot centred in the shoe.

Lisfranc and Chopart amputations remove the front of the foot, leaving a short foot that can tip down at the front. An ankle-height socket, or a silicone partial foot with a firm sole, holds the foot steady and gives a front to push off from.

A custom insole with a toe filler going into a sports shoe
A built-up insole stops the shoe folding where the toes were

Shoes in Pakistan: chappals, khussas and joggers

Most fillers need a closed shoe to stay in place. Open chappals and slip-on khussas give little to hold on to, and the foot slides forward. For daily walking, a soft closed shoe with laces or a strap protects the foot best.

For weddings and Eid, a silicone partial foot lets many people wear dress shoes or closed sandals again, which matters to many of our patients and their families.

Daily checks for a diabetic foot

  • Look at both feet every night, using a mirror for the soles.
  • Never walk barefoot, even at home; wear socks on prayer mats and check your feet after namaz.
  • Dry carefully between the remaining toes.
  • Avoid hot floors and hot water in summer; reduced feeling means burns go unnoticed.
  • See your doctor the same day for any redness, swelling or broken skin.

Our page on fitting after diabetic amputation explains more.

Travelling to us?

Partial foot devices usually need only one trip

Tell us your city or country and your travel dates when you call. We plan the visits as close together as the stump allows, so most patients can finish the casting, test socket and fitting in one stay, whether they come from Quetta or fly in from Dubai, with a shorter trip later for adjustments if needed.

How to plan the trip

Questions

Questions about the partial foot prosthesis

Do I need anything after losing one toe?

Often a simple toe filler or a soft insole is enough. Without it, the neighbouring toes drift into the gap and the shoe creases where the toe was, which can rub and cause new sores, especially with diabetes.

Can I walk barefoot at home or in the mosque?

After a partial foot amputation, and especially with diabetes, walking barefoot is risky. Wear socks indoors, check your feet after prayers, and avoid hot floors in summer.

How much does a silicone partial foot cost?

Between Rs 80,000 and Rs 250,000, depending on how much of the foot it replaces and how closely it is matched to your skin colour.

Will a partial foot prosthesis fit in my khussa or chappal?

A filler needs a closed shoe to stay in place. A silicone partial foot can work in some closed sandals and dress shoes. For daily walking, a soft closed shoe protects the foot best.

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We import and fit parts from Ottobock, Össur, Blatchford, Proteor, Fillauer and other makers to order, and we are independent of all of them. Brands we fit.

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