Pivot is an articulated, self-aligning, low-profile AFO hinge newly available from LaunchPad. It is designed to be fabricated similarly to a flexure joint, meaning an alignment jig is unnecessary. Pivot provides the mechanism of movement that allows practitioners to control sagittal plane motion without the bulk of traditional urethane hinge bodies or double-action ankle joints. According to LaunchPad, Pivot’s medical grade stainless steel construction allows it to be the lowest profile joint currently available. One of the keys to Pivot’s low profile is the use of stainless steel fastening nuts that pass through the hinge plates and extend beyond them. This extension is encapsulated within the thickness of the AFO’s plastic and allows for maximum thread engagement without adding to the overall projection. The construction of the fastening nuts prohibit rotation during assembly or removal. Pivot has been tested to 2 million cycles. It is available in pediatric and adult sizes.