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In the early days of my career, plastic braces were the wave of the future, and conventional metal orthoses were “old fashioned.” But over the years, I’ve managed to find a lot of value in the rugged simplicity of the conventional metal orthosis. I was lucky enough to have trained when almost every brace clinic had metalworking tools, and everyone knew how to use them. It is a skill and an art that has since been pushed nearly to extinction. Few technicians master metal orthoses, and few practitioners have ever made one.