If you have flat knees these might just fit you! Seriously though, these pads are nearly impossible as the padding is a flat, semi-oval, of firm closed cell foam that doesn't mould itself to your knee, rather it tries to squash it flat. Also, for me, the top part, above the knee, is too loose, whilst over the knee is tight, (and I am right in the middle of this size range). All in all it's just wrong and too uncomfortable to wear and I couldn't recommend it. The second star is because the material and stitching appears to be good.
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