Active ankle orthoses which have been designed over the past few years by diverse sources were critically reviewed in this paper. It begins by providing an overview of the anatomy of the ankle joint complex, establishing a basis for understanding the subsequent discussion on the research challenges and design difficulties associated with developing active ankle orthosis devices. The review systematically examined the mechanisms, actuation methods, and control strategies utilized in these orthosis devices. This covers various control strategies, including Electromyography (EMG)-based, adaptive, and modular control systems, emphasizing their importance in achieving precise and user-intended movements. By integrating insights from recent studies and technological innovations, this paper provides a holistic view of the progress in active ankle orthoses. The paper concludes with design recommendations aimed at overcoming existing limitations and promoting further development of advanced active ankle orthosis devices for future research.