Custom orthotic devices are fabricated based on a mould, or model, of the user’s affected body part. A mould may be obtained by using one of two methods: physically casting the patient or obtaining detailed measurements. The practitioner then fabricates the orthotic device around the model of the affected body part. Once the device is complete, the practitioner fits the device to the patient.

Du Plessis Orthotics and Prosthetics is capable of creating every kind of customised, lower extremity orthotic device, including:

  • Orthotic devices for the effects of polio, stroke, cerebral palsy, muscular sclerosis, spina bifida, and various neurological conditions 
  • All designs for bracing including metal, plastic, and lightweight carbon fibre 
  • Solid & articulating Ankle-Foot Orthotics (AFO) 
  • Knee-Ankle-Foot Orthotics (KAFO) 
  • Hip-Knee-Ankle-Foot Orthotics (HKAFO) 
  • Microprocessor technology for leg braces 
  • Leg extension devices for extreme leg length discrepancies 
  • Toe filler inserts for partial foot amputation 
  • Custom foot orthotics 


A custom fitted, pre-fabricated orthotic device is one that is ready to use “off the shelf.” These devices are available in several sizes. They are either kept in stock, or may be ordered following evaluation. During the fitting, the practitioner ensures that the device properly fits and that it addresses the patient’s orthotic needs. If necessary, the practitioner may adjust and/or modify the device.

  • Pre-fabricated Ankle Foot Orthotics (AFO) 
  • Fracture boots/bracing (Moonboots)  
  • Sports bracing (custom & non-custom fabrication available) 
  • Pressure relieving innersoles for ulcer/diabetic care 
  • Bracing to treat hip injuries 
  • Knee bracing 
  • Ankle bracing
  • Lower back support
  • Soft and hard cervical collars 
  • Compression stockings 


When treated early and with proper wearing of the appropriate orthotic, scoliosis can be treated and the curve can be kept from getting worse. Treatment will provide a straighter back, improved posture and better overall appearance. Without treatment, the curves will get worse and may require surgery. Great care is made to assess the patient’s full postural needs, including lower limb presentations. Parents and referral sources can be confident these patients will receive the best possible care.

Traditional scoliosis braces are typically crafted from customised casts or moulds made of the patient’s trunk. These thermoplastic braces placed pressure pads over the convexities of the thoracic and lumbar curves in attempt to correct lateral deviation and rotation, so called three point pressures. There are different bracing options depending on the severity and location of the scoliosis curve. At times this will also depend on the referring physician and his/her treatment choices.