By utilizing a triplanar (three dimensional) perspective to normalize foot biomechanics, this orthotic effectively addresses forefoot valgus, plantarflexed 1st ray and forefoot equinus. The excessive supinator typically has:

• In the Sagittal Plane, a forefoot equinus frequently accompanied by a plantarflexed 1st ray


• In the Frontal Plane, a forefoot valgus


• In the Transverse Plane, a forefoot adductus with a prominent fifth metatarsal base.

The Vasyli Hoke device integrates triplanar features to address each of these anatomical considerations.