DeRoyal Pacesetter II CAM Walker Boot — Medical Fracture Boot for Ankle Sprains & Fracture Recovery
The DeRoyal Pacesetter II is a medical-grade CAM (Controlled Ankle Motion) walker boot designed for patients recovering from ankle sprains, stable foot and ankle fractures, and post-surgical conditions. Featuring a rocker-style sole, breathable foam liner, and a choice of open or closed heel configurations, the Pacesetter II delivers reliable immobilization and a natural walking gait throughout the recovery process.
Key Features of the DeRoyal Pacesetter II CAM Walker Boot
- Rocker-style sole — promotes a natural, rolling gait pattern that reduces stress on the injured area during ambulation
- Breathable foam liner — moisture-wicking interior keeps the foot comfortable during extended wear
- Open or closed heel configurations — accommodates different injury types and post-surgical protocols
- Adjustable strapping system — customizable compression as swelling changes throughout recovery
- Lightweight rigid shell — provides structural support without excessive weight
- Universal fit — fits right or left foot
- FSA/HSA eligible
- HCPCS code: L4361
Clinical Indications — Who Needs the Pacesetter II?
- Moderate to severe ankle sprains (Grade II and Grade III)
- Stable foot and ankle fractures (non-displaced metatarsal, malleolar, calcaneal)
- Syndesmosis sprains (high ankle sprains)
- Post-ORIF recovery
- Achilles tendonitis and tendon injuries
- Post-operative foot and ankle recovery
- Soft tissue injuries — severe contusions, ligament damage
Size Chart — DeRoyal Pacesetter II CAM Walker Boot
| Size | Foot Length | Men's US | Women's US |
|---|---|---|---|
| X-Small |
< 8.5" (21.6 cm) |
Up to 5½ | Up to 4½ |
| Small |
8.5–9.5" (21.6–24.1 cm) |
6–8½ | 5–8½ |
| Medium |
9.5–10.5" (24.1–26.7 cm) |
9–10½ | 9–11½ |
| Large |
10.5–11.5" (26.7–29.2 cm) |
11–13 | 12–13½ |
| X-Large |
> 11.5" (29.2+ cm) |
13½+ | 14+ |
Frequently Asked Questions — DeRoyal Pacesetter II CAM Walker Boot
What is a CAM walker boot and how does it help fracture recovery?
A CAM (Controlled Ankle Motion) walker boot immobilizes the foot and ankle while allowing a natural walking gait via its rocker-style sole. It replaces a traditional plaster cast for many stable fractures and sprains, and can be removed for bathing and physical therapy as directed by your clinician. The DeRoyal Pacesetter II provides clinical-grade immobilization with a breathable foam liner for comfort during extended wear.
What conditions is the Pacesetter II prescribed for?
The Pacesetter II is prescribed for ankle fractures, Grade II and III ankle sprains, syndesmosis (high ankle) sprains, metatarsal fractures, Achilles tendon injuries, and post-surgical recovery including post-ORIF. Your orthopedic surgeon or podiatrist will determine the appropriate boot and wear duration based on your specific diagnosis.
What is the difference between the open heel and closed heel configurations?
The closed heel configuration provides maximum immobilization and prevents heel migration — ideal for ankle fractures and post-ORIF recovery. The open heel configuration allows easier donning and doffing and is often preferred for patients with heel wounds or post-surgical dressings. Always follow your clinician's recommendation for which configuration to use.
How long do I need to wear a CAM walker boot after an ankle fracture?
Most stable ankle and foot fractures require 4–8 weeks in a CAM walker boot. Your orthopedic surgeon or podiatrist will monitor healing via X-ray and advise when it is safe to transition out of the boot and begin rehabilitation. Never discontinue use without medical clearance.
Is the DeRoyal Pacesetter II FSA or HSA eligible?
Yes. The DeRoyal Pacesetter II is a medical device and is generally FSA (Flexible Spending Account) and HSA (Health Savings Account) eligible. HCPCS code L4361 may apply — verify coverage with your insurance provider. OrthoTape does not bill insurance directly.
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Authorized DeRoyal dealer. FSA/HSA eligible. HCPCS L4361 may apply. All products are new and ship from our US warehouse. This product is intended for use under the guidance of a licensed healthcare professional. OrthoTape does not provide medical advice. Questions? Call: 800-580-9887 (M–F 9:30–5:00 EST)
