An orthopedic device includes an orthopedic frame, a strap system connected to and depending from the frame and arranged to secure to a limb or joint of a wearer, and a bladder system connected to the strap system. The bladder system has a bladder positioned on the strap system and is arranged between the strap system and the limb or joint of the wearer. The orthopedic device may also include a load cell device connected to the strap system and arranged to monitor pressure exerted on the limb or joint of the wearer, and a tightening mechanism connected to the load cell and arranged to adjust the pressure of the strap system in response to a pressure reading from the load cell. The bladder system and the load cells supplement the strap system to provide for more dynamic support to the limb or joint of the wearer.