VACOcast Diabetic Fit | Product Image

VACOcast Diabetic Fracture Orthosis Walking Boot (Formerly VACOcast Fit)

  • $224.00 USD

View Sizing Guide

Click here to review our shipping policy BEFORE placing your order.



    OVERVIEW                                                                                                                       For patients with lower leg, ankle, or foot injuries related to Diabetic issues, the VACOcast Diabetic Fracture Walking Boot Orthosis is as good as a Total Contact Cast (TCC)—the "gold standard" in treating foot ulcers and Charcot foot. The VACOcast Diabetic Fracture Orthosis Walking Boot is the best orthopedic fracture walking boot on the market. A 90º fixed-angle and four-strap system provide you with maximum security.

    The VACOcast family of orthoses have a patented vacuum-relief insert, thus allowing you to create a "custom-molded" fit that is specific to your anatomy and is markedly more comfortable and stable than any other orthopedic boot on the market. It has more beads than our regular vacuum-relief insert, has a thicker foam removable foot-bed, and comes with a removable toe cover as well. See how VACOcast molds to your limb. 

    Another great feature is the removable Rocker Sole which allows for a comfortable walking gait and let's you keep dirt and grime off of your furniture and out of your bed.

    Additional accessories are available to accommodate for larger or smaller than average calf sizes: (Liner Extension and Extra Long Strap).                                     

    Each VACOcast Diabetic Fracture Orthosis Walking Boot comes with one Diabetic vacuum relief insert with Bulb Pump, one removable cloth liner, one detachable Rocker Sole, and one removable toe cover. Additional accessories are available (see below). Note: Actual liner color may differ from picture.

    VACOcast Customer Reviews

    Ideal for… Additional medical indications
    • Charcot foot
    • Diabetic foot ulcers
    • Ankle fractures
    • Ankle joint replacement
    • Arthrodeses of upper and lower ankle joint
    • Calcaneous fractures
    • Complex ligament injuries
    • Metatarsal fractures
    • Severe sprains
    • Splinting of foot and lower leg

    Article number: VPCD-01-1-S/M/L

    SIZING                                                                                                                               If you are in between sizes we generally recommend that you choose the smaller size, however, this varies by patient. If you are uncertain as to which size to order, please contact us PRIOR to placing your order so that we may assist you. We are available by email at or by phone at 978-447-1965, Monday-Friday 9AM-5PM EST.

    Please call us before ordering an additional orthosis in a different size or returning your original orthosis to us, as there are some general adjustment techniques that we can walk you through. We are always here to help you get the right fit for the item you need.  

    We are happy to provide you with an exchange for sizing issues within 7 days if we have assisted you with fitting questions PRIOR to you placing your order. If after speaking, we determine that an exchange is the best option, the orthosis you return must be in new and re-sellable condition when we receive it.

    Please Note: We are unable reimburse for shipping if you do not contact us PRIOR to placing your order with any fitting questions. 

    Shoe Size M 5-8 | W 6.5-9.5 M 8-11 | W 9.5-13 M 11+ | W 13+
    Length Positions
    9.3" / 9.7" / 10.1" 10.4" / 10.8" / 11.2" 11.3" / 11.7" / 12.2"
    Foot Width 4.1" 4.7" 5.3"
    Ankle Circumference 5.5-11" 8-16" 12-18"
    Calf Circumference 9-15" 13.5-20" 15-23"


    REHAB ACCESSORIES                                                                                                      We have partnered with other great brands to bring you the best products available to aid you during and after your recovery:

    SUPERfeet Premium Insoles are the best off-the-shelf insoles available. Proven to reduce or prevent plantar fasciitis in most cases SUPERfeet insoles offer more than just comfort, but a true orthopedic advantage.

    We want you to experience the same level of comfort and stability you have with your VACOcast Diabetic Fit even after you've made a full recovery.

    Try SUPERfeet Premium Insoles today!
    Superfeet | Product Image

    RumbleRoller is a state-of-the-art foam roller that provides the kind of relief that used to be reserved for massage therapists.

    As you roll over the top of the RumbleRoller, the bumps continuously knead the contours of your body, gently stretching soft tissue (muscle and fascia) in multiple directions. This action erodes trigger points, helps restore flexibility, and brings quick relief to common types of muscular pain. Our staff uses and love this product!

    Why is this important? Simple, this product will help you recover more quickly by relieving edema, stiffness and pain.

    Try RumbleRoller today and roll your pains away!
    Rumble Roller | Product Image

    SKINS compression apparel is designed for more than just athletes. We believe that these products can provide you with reduced swelling and soreness by improving blood flow with comfortable gradient compression. Unlike many other products which feel constricting throughout, SKINS utilizes a unique gradient compression technique which applies different levels of compression that targets problem areas.

    Try a pair of SKINS Essentials Compression Socks feel the difference. Our Director of Sales, Ken Dupuis has personally experienced the great relief these provide when traveling the world and when he's stuck behind his desk.

    Try SKINS today for a less sore tomorrow!
    Skins Compression Apparel | Product Image


    What if I'm not weight bearing?

    If your doctor hasn't recommended weight bearing on your injured leg simply wiggle your toes around and flex your foot. This should allow the microbeads to get into any potential "hot spots." Once you have done this, then proceed to use the included vacuum bulb to remove air until the pump no longer expands.

    VACOcast doesn't feel like other boots.

    Our patented vacuum technology means no inward pressure. VACOcast creates a perfect mold of your limb like a plaster cast without all of the mess (and if you don't get it right the first time you aren't stuck with an ill-fitting cast for weeks). VACOcast will not feel the same as a pneumatic or foam based boot which rely on putting pressure on your limb to create stability. You have the ability to move and shape the beads for maximum comfort. Get the right fit for you.

    VACOcast Fit vs VACOcast Pro/Achilles

    VACOcast Fit is a fixed position boot. VACOcast Pro/Achilles has a hinge mechanism, to adjust flexion and enable controlled ROM. VACOcast Pro/Achilles is the best boot on the market for Achilles injury.

    VACOcast is a cast REPLACEMENT

    One of the VERY best things about VACOcast is that it can be used immediately post surgery in place of a plaster cast. You have the right request to use your VACOcast in lieu of a plaster cast. Speak with your Orthopedic Specialist and if you would like any medical studies or information to provide to him/her before your procedure contact us at

    Insurance DOES pay for VACOcast

    HCPCS L4360 is the billing code used by insurers. Request VACOcast before accepting any other "walking" boot from your physician. If you pay out-of-pocket you may still be eligible for some kind of reimbursement from your insurance company. Reimbursement rates vary depending on your coverage and carrier. Please contact your insurance carrier directly for more information.

    Get the "Perfect" Fit!

    How to Use the Vacuum Bulb

    How to Remove the Vacuum Insert

    How to Add the Vacuum Insert

    How to Remove/Add the Sole