This is not an Ultimate replacement.  The Mega Ultimate is a new shoe that can be modified for Tenotomy or Derotation Applications.
 
The NANRIC Mega Ultimate™  Derotation Kit includes the following:
 
1 pair - NANRIC Mega Ultimate Cuffs
1 pair - NANRIC Bubble (Rocker) Wedges
1 pair - NANRIC 3.5 Degree Wedges
1 pair - NANRIC 7 Degree Wedges
1 pair - Each NANRIC Toe Inserts (Sizes 1, 2, 3, 4)
1 pair - Each NANRIC Frog Inserts (Sizes 1, 2, 3)
1 pair - NANRIC 1/8" Felt Inserts
16 - 1 1/4" Drywall Screws
6 - 1/2" #8 Pan Head Screws
 
If you choose to do a Tenotomy prior to Derotation, additional Accessories that can be purchased include:
1 pair - NANRIC Heel Extensions
1 pair - NANRIC Derotation Wraps
 
Click the link below for product instructions.
Nanric Mega Ultimate Product Instructions