In recent years, with the development of orthotics in the direction of light weight and comfort, the elastic fabrics have been used more and more in this field. Compared with other traditional soft materials, the elastic fabric has high air permeability, thus creating a moisture free environment, reducing the tissue ulceration and necrosis caused by long-term pressure and hypoxia of skin and underlying tis- sues, improving comfort and enhancing compliance of patients wearing orthotics. This article reviews the latest application progress of elas- tic fabrics in the field of individualized orthotics, covering elastic fabric types, fibers and yarns, fabric structures, material properties, pro- cessing technique, specific applications and future developments, providing a reference for clinical applications.