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It means the ball of the last and the heel are different widths (aha!). In other words, instead of a "D" width ball having a typical "D" width heel, the combination last shoe has a "B" width heel, which makes for a finer fitting shoe.
The size is always written as the length of the shoe, and under that, the width of the shoe, such as:Originally Posted by Alden-of-Carmel
"Combination last" is a bit of a red herring, as there is only one possible combination: the heel width is always two measures down from the ball width.
I have seen this particularly used in reference to some of Alden's lasts. Anyone know?
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