For congenital defects custom made orthosis can be designed to accommodate specific cases.

Shown below are 2 options for lower extremity congenital growth anomaly resulting in shortening of the leg.
 
First option is to elevate the shoe
The second option, when applicable, is to attach a prosthetic foot underneath the orthotic, thus facilitating a normal gait.

 

The images below give an impression of our work with patients with congenital issues.