Pro-Tech Orthopedics offers the Achilles Contracture Management Orthosis as an alternative to serial casting. The total contact ambulatory boot is removable and the angle can be adjusted at the ankle. Patients should be seen weekly to be remeasure and have the angle of the orthosis changed. The heel lift on the orthosis should be reduced according to the increase in dorsiflexion. Once the correction goes beyond 90°, an anterior wedge should be built to keep the tibia-to-floor angle at 90°. Once the desired degree of dorsiflexion is achieved, the orthosis can then be worn at night to maintain the correction.