High-energy trauma (HET) has long been responsible for some of the most debilitating and difficult cases an orthotist will see in clinical practice. HET is responsible for over 250,000 injuries per year, and can be anything that involves a large amount of force combined with distal axial loading through the lower limb.7,8,15 HET injuries are commonly caused by falls from significant heights, motor vehicle accidents, and war-related blast injuries.7,8,15,16,21