ReAktiv™ Brace vs. Exosym/IDEO Brace: What’s the Difference?

If you’ve been researching ankle-foot orthoses (AFOs) for complex injuries or trauma, you’ve likely come across two leading devices: the ReAktiv™ brace and the Exosym/IDEO brace. Both braces aim to restore mobility, relieve pain, and enhance the quality of life for individuals dealing with significant ankle and foot issues. However, despite sharing similar goals, these two devices diverge in their design approach, history, and practical use.

Solving the Same Problem, Different Approaches

At their core, both the ReAktiv and Exosym (formerly know as IDEO) braces are designed to do the same thing: provide support for complicated injuries or trauma to the ankle and foot. These devices stabilize the ankle, help manage pain, and offload weight from the injured area. However, where they differ lies in the interpretation and implementation of certain design elements—specifically the footplate, cuff, and other features.

The Exosym/IDEO brace, provided by Hanger Clinic in Washington, was initially a military-exclusive design. It uses non-adjustable carbon rods to offer immobilization and support. While it’s an effective brace, it was historically more difficult to access due to its military-only availability, higher costs, and lack of insurance reimbursement for many years. Today, it’s still a relatively expensive option and may not be covered by all insurance plans, limiting accessibility for civilian patients.

Why the ReAktiv™ Brace Stands Out

The ReAktiv brace, developed by Fabtech Systems, introduces the first ever modular, flexible approach to bracing technology. Its key differentiator lies in its PDE™ (Posterior Dynamic Element) engineered spring system, which was designed with accessibility and adjustability in mind. Unlike the Exosym brace, which uses open-market carbon rods, the ReAktiv brace features an engineered modular spring design that can be adjusted to meet individual patient needs.

PDE is a specially engineered carbon spring which provides softer heel-strike & exceptional energy return

This adjustability has made the ReAktiv brace a popular choice at the Center for the Intrepid (BMAC), a leading military rehabilitation facility, where its flexibility and performance have been recognized as superior. Patients and clinicians appreciate its ability to be fine-tuned over time, making it an ideal solution for long-term rehabilitation.

Additionally, one of the most significant advantages of the ReAktiv brace is its widespread coverage by most insurance companies. Qualifying under standard industry billing codes, the ReAktiv brace offers patients a more affordable and accessible option without compromising on performance or support. It also has widespread support, making access and availability easier for those who need it.

Is the PDE a Copy of the Exosym?

A common misconception is that the ReAktiv brace’s PDE technology is a copy of the Exosym brace. In reality, the PDE spring system is not a replica of the IDEO or Exosym. The PDE technology was first developed in 2004 and was already in use during the same period as the IDEO program.

In 2015, Fabtech Systems’ PDE development team began collaborating with John Fergason, Chief Prosthetist at the Center for the Intrepid (BAMC), and other members of the IDEO team to develop innovative solutions for military personnel. Today, Fabtech Systems continues to work closely with original members of the IDEO research team on various grants, progressing the PDE program. While the IDEO research program has been discontinued, the PDE program remains active and continues to evolve with Fabtech’s support.

Furthermore, in 2013, Hanger Orthopedic Group acquired the rights to the IDEO design, rebranded it as Exosym, and brought Ryan Blanck on board to lead a new office in Gig Harbor, Washington. Despite these changes, Fabtech Systems remains the only manufacturer trained and approved to produce IDEO-designed braces for the Veterans Administration.

The Bottom Line

Both the ReAktiv and Exosym/IDEO braces are highly successful devices when prescribed and produced by qualified professionals. Each device offers a different solution to the same problem: supporting patients with severe ankle and foot trauma. However, the ReAktiv brace stands out due to its superior adjustability, modular design, and more accessible price point, making it a popular choice in both civilian and military markets.

If you’re considering a brace to aid in your recovery, it’s essential to consult with your healthcare provider to determine which device will best meet your unique needs. However, if accessibility, adjustability, and insurance coverage are important factors for you, the ReAktiv brace may be the better choice.