Can I ask how the shoes created actual orthopedic damage? (I totally understand how hard injury and recovery are, so not flaming. I destroyed my hip cartilage while a happy runner and triathlete, so I know about injuries, recovery and letting go of something I adored and that defined me.)
Shoes * body * mileage = impact, where body gives signs of damage being done and is also the one to work on via technique and strength if something is not going well in your posture. I see the 'duck run' (knee buckling inside, feet moving outside to correct for the loss of height) all the time and would think that something that mostly is related to underdeveloped muscles around the knee.
The explanation I got from my doctor was that one shouldn't fix posture problems by raising the inner part of the insoles a random amount because all that achieves is making you run "weird", putting pressure in the wrong part of the articulation and damaging the ligaments that keep the knee in place. The actual solution involved muscle development exercises, ripping out the insoles of those shoes to achieve a flat base and replacing them with custom-made ones, knee pads with metallic inserts, and a two-year training plan.
Conventional wisdom among running coaches and orthopedists these days is that the most important thing is to run comfortably, and that just because something looks "weird" doesn't necessarily mean it's bad or wrong. Yes, it may be inefficient, but it probably isn't hurting the runner, either.
Shoes * body * mileage = impact, where body gives signs of damage being done and is also the one to work on via technique and strength if something is not going well in your posture. I see the 'duck run' (knee buckling inside, feet moving outside to correct for the loss of height) all the time and would think that something that mostly is related to underdeveloped muscles around the knee.