A device and method for using the device arranged to maintain anatomical alignment between a joint by creating a dynamic load around the joint to restore and maintain the anatomical alignment. The orthotic device includes a first cuff and a second cuff (410, 420) connected to one another by a hinge (430). The hinge (430) is arranged to create a directed force on a tibia with the second cuff (420) by maintaining misalignment of an instant center of rotation (ICoR) of the hinge (430) at a position relative to an anatomical knee joint by creating relative displacement of the first cuff (410) to the second cuff (420).