An orthopedic device includes a strut assembly having a resilient shell defining opposed first and second sides, and a patient compliance system. The patient compliance includes a tightening strap connecting the first and second sides of the shell. The tightening strap has first and second end portions arranged for incremental uni-directional adjustment relative to at least one of the first and second sides of the strut assembly. The tightening strap is arranged to bend the shell and draw the first and second sides thereof toward one another.