Orthotic management for posttraumatic nonunion of the tibia complicated byosteomyelitis

Frequently, patients undergoing complex bone reconstructions for the treatm ent of osteomyelitis complicating tibial nonunion require extended exoskele tal support. Once the need for strict, continuous cast immobilization has p assed, the patient can be fitted with a removable orthosis, Although prefab ricated ankle foot orthoses are available, the purpose of this paper is to highlight the sophisticated new custom orthotic options available to the ph ysician for the patient. Difficult to fit limbs now can be accommodated. Ac cess to a skilled orthotist is the sine qua non of success.