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Technical Note: The Development and Use of a Floating T-Strap on a Double Upright Metal AFO to Correct Coronal–Plane Pathologies and Reduce Skin Shear

Ankle-foot orthoses (AFOs) have been used to correct both sagittal and coronal plane ankle motion deviations and improve the mechanics of the ankle during gait. The addition of a T-strap to the AFO was the primary correction to coronal plane deviations of the ankle until thermoplastics became common place in the orthotics and prosthetics industry. There are only a few articles on alternatives to the textbook styles of T-straps available for practitioners to reference when the textbook styles are insufficient to correct the patient's ankle deviation. This article presents a patient who had many indications for a T-strap and complicating factors for its use. A new alternative to the textbook T-strap styles is presented as the solution for this patient along with a general fabrication technique. The patient was able to forego a standard break-in period for skin adaptation and begin wearing the AFO with the floating T-strap full time without complications to their skin.