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It is recommended that you order a half size down for this item. If your child is a size 10, you would order a size 9.5. Tsukihoshi's shoes are designed for the comfort and health of children's feet. All Tsukihoshi shoes run wider than normal medium width shoes. Machine-washable synthetic leather and nylon mesh upper. Hook and loop closure and heel tab for easy on/off. Firm Heel Counters to support active feet. Green Tea infused anti-bacterial, removable insole. Features 'Flex-Joint Outsole', which allows foot to bend properly.