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Pediatric Department

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Making orthotic and prosthetic devices for children is totally different than making the same items for an adult. The abilities of the orthotist or prosthetist are challenged in completely different ways. The clinicians at De La Torre Orthotics and Prosthetics are educated and experienced in dealing with these challenges. Each device is designed to support the active child. Our specialties and products allow for care of children with cerebral palsy, spina bifida, scoliosis, multiple sclerosis – and many other diagnoses.

  • Knee Brace, Bledsoe Revolution 3

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    Purpose of the Device

    • Post Operative knee brace
    • Full Range of Motion knee hinge

    Indications

    • For immediate application to knee for locked or limited motion control during rehabilitation after operative procedures or injury to knee ligaments, patellar ligament, articular cartilage, meniscus, or stable or internally fixed fractures of tibial plateau, condyles, proximal tibia or distal femur.
    Details
  • Benik Wrist Hand Orthoses (WHOs)

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    Purpose of the Device

    • Benik style wrist and hand splints are custom neoprene splints that offer support to the wrist & hand, with additions that can support carious joints in the thumbs and fingers.

    Indications

    • Hand & wrist deformities where mild support is appropriate
    • hand & wrist deformities requiring proprioceptive feedback is helpful

    Common Additions

    • Glove-style Hand Splint W/ Thumb Support
    • Glove-style Hand Splint W/ Thumb and Wrist Support
    • Glove-style Hand Splint W/ Thumb and Finger Support
    • Wrist Wrap W/ Thermoplastic Thumb Support
    • Wrist Support W/ Dorsal and Volar Aluminum Stays
    • Wrist and Thumb Support W/ Dorsal and Volar Aluminum Stays

    Special Considerations

    • Benik’s popular line of pediatric wrist and hand splints come in a variety of stock styles and sizes.
    Details
  • Pedi Wraps Elbow

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    Purpose of the Device

    • To immobilize the elbow to prevent a child from being able to get their hands to their head & chest

    Indications

    • Prevents pulling NG tubes, IV tubes Tracheotomy
    • Highly recommended following cleft palate surgery
    • Prevents putting objects into mouth, scratching bandages, injuries or skin
    • During x-rays (X-Rayable)
    • Prevents self inflicted injury (Retts)

    Common Additions

    • Most commonly used bilaterally
    • Can use shoulder strap to connect bilateral pair

    Special Considerations

    • Shoulder strap included
    • Available in colorful designs
      • Male
      • Female
      • Unisex
    Details
  • Elbow ROM Orthosis

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    Purpose of the Device

    • Stabilize and limit range of motion of the elbow joint
    Details
  • Dobbs Bar for Clubfoot

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    Purpose of the Device

    • In additon to AFO’s or shoes, non-surgical correction of Clubfoot.

    Indications

    • When more independent movement is preferred
    • Less heel friction

    Special Considerations

    • Adjustable from 8 to 14 inches for growth
    Details
  • Mitchell Brace for Clubfoot

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    Purpose of the Device

    • Non-Surgical correction of Clubfoot

    Indications

    • Infant feet pointing down and inward
    • Can be mild or severe
    • Can be bi-lateral
    Details
  • Shoes, Reverse-Last

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    Purpose of the Device

    • Maintains abducted position of foot, achieved by surgery or manipulation

    Indications

    • Congenital talipes equinovarus clubfoot
    • Metatarsus adductus

    Common Additions

    • Lateral T-strap
    • Dennis Browne bar

    Special Considerations

    • Open-toed shoe is recommended for infants for easy donning and doffing to prevent clawed toes
    Details
  • Shoes, Straight-Last

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    Purpose of the Device

    • Increases support to medial aspect of foot

    Indications

    • Hyperpronation

    Common Additions

    • Medial longitudinal arch support pad can be added for additional pronation control

    Special Considerations

    • A chubby pediatric foot may not fit this style because of the closed-toe design; may have to go to open-toe model
    Details
  • Foot Orthotic, Functional

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    Purpose of the Device

    • Provides biomechanical control to establish better foot and leg function

    Indications

    • Plantar fasciitis
    • Abnormal supination
    • Metatarsalgia
    • Heel spurs
    • Neuroma
    • Degenerative joint disease
    • Abnormal pronation
    • Shin splints
    • Achilles Tendonitis

    Common Additions

    • Heel spur pads
    • Heel lifts up to 1/4 inch
    • Metatarsal pads
    • Morton’s extensions

    Special Considerations

    • Rigid to semi-rigid plastic shell is combined with stable heel posting for good bio-mechanical control
    • A full-length soft cover helps protect against pressure and impact shock
    • Varying thicknesses and types of plastics are available to suit individual patient needs
    Details
  • Pediatric Gait Plates

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    Purpose of the Device

    • Helps correct mild in-toeing

    Indications

    • Toe-in
    Details
  • Pediatric SMO, Supramalleolar Orthosis (DAFO style)

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    • Related Article: Pediatric AFO Wear and Care

    Purpose of the Device

    • Provides support and corrective forces to the foot and ankle

    Indications

    • Severe pronation
    • CVA
    • Cerebral palsy
    • Muscular Dystrophy

    Special Considerations

    • These come in various colors
    Details
  • Sure Steps, SMO

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    Purpose of the Device

    • Early intervention tool to help stabalize and align the foot and ankle of children with hypotonia

    Indications

    • Designed for Children with normal to lower muscle tone who:
      • Display moderate to severe pronation, when standing and/or walking
      • Display a general instability when pulling to stand and during cruising
      • Have developmental delays and are late in learning to advance beyond cruising around furniture
      • Are under 85 pounds
    Details
  • Ankle Foot Orthosis (AFO) (DAFO style)

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    Purpose of the Device

    • AFO’s can be provided with hinges, and a plantarflexion stop, they are also available in a spring leaf design

    Indications

    • Foot Drop
    • Cerebral Palsy
    • Muscular dystrophy
    • Spina Bifida
    • and many other conditions….

    Special Considerations

    • These come in various styles and colors
    Details
  • Carbon Fiber AFO-KiddieGAIT Toe Off

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    Purpose of the Device

    • KiddieGAIT offers innovative options that manage functional environments and create the supplemental gait function instead of immobilizing and inhibiting that function.

    Indications

    • Footdrop
    • Gait deviations secondary to proprioceptive deficit
    • Idiophathic toe walker with no midfoot collapse
    • Low tone crouch gait
    • Spina Bifida
    • Spastic Diplegia
    • Muscular Dystrophy

    Common Additions

    • Bi Lateral

    Special Considerations

    • Lacking full R.O.M.Too rigid foot structure
    Details
  • Derotation straps for in-toeing/out-toeing

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    Purpose of the Device

    • To apply rotational corrective forces on the legs of children to correct foot and leg position during gait.

    Indications

    • Intoeing [internally rotated foot & leg]
    • Outtoeing [externally rotated foot & leg]

    Special Considerations

    • Often used bilaterally, but can be used unilaterally
    Details
  • Custom Carbon AFO- (Tillges or PHAT Brace)

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    Purpose of the Device

    • Custom Carbon AFO’s can be made in various strut flexibility and boot heights

    Indications

    • Foot Drop
    • Cerebral Palsy
    • Muscular dystrophy
    • Spina Bifida
    • and many other conditions….
    Details
  • Hip Orthosis, Pavilik Harness

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    Purpose of the Device

    • Provides positional support for maximum femoral head positioning in the acetabulum for proper growth

    Indications

    • Hip dysplasia

    Special Considerations

    • This harness is typically used on newborns up to 3 months old
    • Older children are fit with a flexion abduction orthosis
    Details
  • Rhino-type Hip Orthosis

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    Purpose of the Device

    • Positions pediatric patients in a variable abducted position with the hips at 90 degrees flexion

    Indications

    • Congenital hip dysplasia
    • Congenital hip displacement

    Special Considerations

    • Prefabricated sizes fit patients up to 30 pounds
    Details
  • SWASH (Hip Orthosis), Standing Walking and Sitting

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    Purpose of the Device

    • An adjustable arc type hip joint provides stability and corrective action to pediatric patients with an unstable gait
    • Allows for hands free sitting stability

    Indications

    • Crossover Gait
    • Narrow Gait
    • Instability in standing and sitting

    Special Considerations

    • Five prefabricated sizes and variable leg cuffs allow for fitting of most pediatric patients
    • Liners can be hand washed
    Details
  • Breg PTO Knee Brace

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    Purpose of the Device

    • The PTO is one of the most effective braces for reducing patellofemoral pain resulting from maltracking or patellar instability.
    Details
  • Bledsoe Revolution ROM Knee Brace

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    Purpose of the Device

    • Post Operative knee brace
    • Full Range of Motion knee hinge

    Indications

    • For immediate application to knee for locked or limited motion control during rehabilitation after operative procedures or injury to knee ligaments, patellar ligament, articular cartilage, meniscus, or stable or internally fixed fractures of tibial plateau, condyles, proximal tibia or distal femur.
    Details
  • Knee Orthosis, HyperExtention, H.E.K.O. Surestep

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    Purpose of the Device

    • Limit Hyperextention in the knee in pediatric patients
    • Limits knee movement without limiting knee function

    Indications

    • focuses localized control of ;
    • genu-recurvatum
    • genu-varum
    • genu-valgum
    Details
  • Pedi Wraps Knee

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    Purpose of the Device

    • To immobilize the knee

    Indications

    • Prevents knee flexion

    Common Additions

    • Most commonly used bilaterally

    Special Considerations

    • Available in colorful designs
    Details
  • Pediatric Aspen Cervical Collar

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    Purpose of the Device

    • Limits cervical motion in all three planes
    • Mechanically restricts forward flexion and extension and, to a lesser degree, lateral flexion and extension

    Indications

    • Minor cervical instability
    • Degenerative disc disease
    • Post-operative stability is required

    Common Additions

    • Thoracic extension can be applied
    • Can be attached to custom-molded TLSO to increase control of upper thoracic and cervical spine

    Special Considerations

    • Comes in various sizes and can be easily modified to fit the vast majority of patients
    Details
  • Pediatric Miami J

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    Purpose of the Device

    • Limits cervical motion in all three planes
    • Mechanically restricts forward flexion and extension and, to a lesser degree, lateral flexion and extension

    Indications

    • Minor cervical instability
    • Degenerative disc disease
    • Post-operative stability is required

    Common Additions

    • Thoracic extension can be applied
    • Can be attached to custom-molded TLSO to increase control of upper thoracic and cervical spine

    Special Considerations

    • Comes in various sizes and can be easily modified to fit the vast majority of patients
    Details
  • Pediatric Aspen Cervical Thoracic Orthosis (CTO)

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    • Effective Motion Restriction of Cervical Spine by vertebral level
    • Can be “stepped down” from a 4 post CTO, to a 2 post CTO and then finally a stand alone collar
    • Brace is MRI Compatible
    Details
  • Papoose Cervical Immobilizer

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    Papoose Infant Immobilizer

    • Securely and gently immobilizes the head and spine in the proper anatomical airway and spinal alignment
    • Occipital shape protects against positional plagiocephaly
    • Allows for continue intimacy between caregiver and child
    • True cervical spine immobilizer for infants up to 3 months
    Details
  • Custom Minerva Cervical Orthosis

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    Purpose of the Device

    • Encloses entire posterior skull, encompassing mandible, occiput and chin, extended downward to inferior angles of the scapula

    Indications

    • Positions the head and relieves the cervical spine from a portion of the weight of the head
    • Limits thoracic motion to varying degrees
    • For patients such as pediatrics who require maximum control and a halo is not an option

    Common Additions

    • Minerva type may be extended to include pelvic girdle for greater control of cervical and thoracic motion

    Special Considerations

    • Minerva type encloses entire posterior skull and includes a band around forehead and extends downward to inferior costal margin
    Details
  • Pectus Brace

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    Purpose of the Device

    • Correction of pectus carinatum deformities
    Details
  • Pediatric Rigid Thoraco-Lumbar-Sacral Orthosis (TLSO)

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    Purpose of the Device

    • Stabilizes the thoracolumbar spinal region in all three planes

    Indications

    • Instability of spinal levels T5 through L5
    • Low back pain
    • Scoliosis support
    • Spinal fracture
    • Degenerative disc disease
    • Post-operative

    Common Additions

    • Not very adaptable to additions

    Special Considerations

    • Allows for cutouts for patient access
    Details
  • Pediatric Soft Foam Thoraco-Lumbar-Sacral Orthosis (TLSO)

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    Purpose of the Device

    • Supports the thoracolumbar spinal region in all three planes
    • Used for patients who cannot tolerate a rigid TLSO or to accommodate patients anatomy

    Indications

    • Instability of spinal levels T5 through L5
    • Osteoarthritis
    • Low back pain
    • Minimal scoliosis support required
    • Scoliosis Accommodation
    • Spinal fracture
    • Post-operative

    Common Additions

    • Not very adaptable to additions

    Special Considerations

    • Allows for cutouts in soft foam area for patient access
    Details
  • Benik Trunk Supports

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    Purpose of the Device

    • The orthosis provides upper trunk support and proprioceptive input for trunk musculature & posture training

    Indications

    • Weak trunk musculature
    • Inappropriate trunk positioning due to various neuro muscular deficiencies

    Common Additions

    • Dynamic Trunk Orthosis Vest and Zipper
    • Straps for shoulders & perineum

    Special Considerations

    • Available in multiple color choices
    • The vest will provide warmth and added buoyancy during hydrotherapy and other water activities, but is NOT to be used as a life preserver.
    Details
  • Protective Helmet, Soft

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    Purpose of the Device

    • Protection of the head

    Common Additions

    • Custom strapping systems
    • Visors
    • Eyeglass relief area
    Details
  • Wood Cheneau Rigo WCR Brace

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    The Wood Cheneau Rigo (WCR) brace is a thermoplastic brace designed to treat scoliosis conservatively while taking into consideration that scoliosis is a three-dimensional deformity.

    What you get with the WCR Brace.
    The WCR brace involves a team of scoliosis professionals from around the world working on the patient’s classification of curve. The patient curve type is individually classified from the Classification of Rigo using the x-rays and clinical photos of each patient. Based on this classification, an individual brace design from the Classification of Rigo brace designs is selected for each patient. Dr. Manuel Rigo is personally consulted on WCR brace cases for verification of the patient’s curve type and scoliosis brace design when necessary. This is a multi-disciplinary approach using feedback from the patients prescribing MD and Schroth or Barcelona Scoliosis Physical Therapy School (BSPTS) physical therapist in combination with the orthotist’s skills. Subsequently, the measurements, x-rays, and clinical photos are used to design and fabricate a custom-made Wood Cheneau Rigo brace.

    All stages of treatment (clinical photos in and out of brace, X-rays and team notes) are posted on a secure orthotic and prosthetic database (OPIE). We discuss the fittings, follow-up photos, and in-brace x-rays between the MD, Schroth Therapist (PT) and orthotist, which optimizes the treatment and results.

    Details
  • Boston Scoliosis Brace

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    Purpose of the Device

    • Provides corrective forces to the thoraco-lumbar spine
    • Incorporates abdominal intercavity pressure to reduce lumbar lordosis
    • Most commonly used for patients prior to skeletal maturity

    Indications

    • Scoliosis for T8 – L5 apex
    • Excessive lumbar lordosis and associated conditions
    • Learn more about Scoliosis here

    Common Additions

    • Thoracic, lumbar and trochanteric corrective pads
    • Thoracic gussets

    Special Considerations

    • Obesity hinders proper fit and effectiveness of the orthosis
    • Read the latest study on Scoliosis Bracing here.
    Details
  • Providence Scoliosis Night Brace

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    Purpose of the Device

    • This brace is worn during sleep. It is molded to conform to the patient’s body while bending towards the convexity of the curve.

    Indications

    • There are several distinct advantages to the Providence Brace program, nearly all of which are related to the nightwear component:
      1. Allows full, unrestricted musculoskeletal development.
      2. Allows opportunity for athletic participation, if desired.
      3. Causes fewer and less severe complications.
      4. Delayed complications are negligible, since brace is worn less time than not.
      5. Results can be assessed without the customary long-term follow-up.
      6. Decision-making regarding success or failure of the program can be made earlier.
    Details
  • Charleston Bending Brace for Scoliosis

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    Purpose of the Device

    • This brace is worn during sleep. It is molded to conform to the patient’s body while bending towards the convexity of the curve.

    Indications

    • There are several distinct advantages to the Charleston Bending Brace program, nearly all of which are related to the nightwear component:
      1. Allows full, unrestricted musculoskeletal development.
      2. Allows opportunity for athletic participation, if desired.
      3. Causes fewer and less severe complications.
      4. Delayed complications are negligible, since brace is worn less time than not.
      5. Results can be assessed without the customary long-term follow-up.
      6. Decision-making regarding success or failure of the program can be made earlier.
    Details
  • Starband Side Opening

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    Most widely prescribed headband design

    Materials

    • Plastic shell with foam liner
    • Side and top opening

    Style

    • Side and top openings

    Indications:

    • Plagiocephaly
    • Brachycephaly
    • Scaphocephaly
    • Post- Operative Craniosynostosis
    Details
  • StarLight Side Opening

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    Details
  • Starband Bi Valve

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    Most used for scaphocephaly head

    Materials

    • Plastic shell with foam liner

    Style

    • Overlap design

    Indications

    • Plagiocephaly
    • Brachycephaly
    • Scaphocephaly
    • Post-operative Craniosynostosis
    Details
  • Tummy Time Tools/ Repositioning Techniques

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    Details
  • Starband Caregivers Guide / Wear and Care Instructions

    Details
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    Details

Sort by Diagnosis

Sort By Body Region

  • Lower Extremity (20)
  • Spinal (14)
  • Upper Extremity (3)

Sort By Device Type

  • Cranial Helmets (5)
  • Orthotic Devices (4)
  • Pediatric Devices (41)
  • Pedorthic Devices (1)
  • Scoliosis Bracing (4)

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For our valued patients and healthcare colleagues:

We continue to evaluate and have flexibility as the various changes resulting from COVID-19 affect us all in so many ways. De La Torre Orthotics & Prosthetics, Inc. is dedicated to doing all we can to protect our patients and our employees as this situation continues to develop.

As you know, we will work alongside you to give care and support to all patients trusting us in their care.

To assure we comply with Governor Wolf’s mandate, we are following these protocols:

We ask that all patients please come to our offices wearing a face mask.

We are open for all lines of Prosthetic, Pediatric and Orthotic business.  Use the numbers listed below to call us for an appointment.

We will NOT be seeing patients at our offices who answer yes to any of these situations:

  • Do you or anyone you are living with suffer from any of these symptoms: fever, cough or respiratory distress?
  • Did you or anyone you are living with have contact with a confirmed case of novel coronavirus disease (COVID-19) within the last 14 days?
  • Have you or anyone you are living with tested positive for COVID-19?

Thank you for your continued trust in De La Torre Orthotics & Prosthetics, Inc.

Hospitals and Healthcare professionals 412 599 1138 Prosthetics 412 599 1105 Pediatrics 412 599 1117 All other appointments call the office you would like to be seen and press #2

Butler 724-283-2000
Cranberry 724-779-7700
Harmar Township 412-828-2830
Pleasant Hills 412-532-7500
Monroeville 412-457-0500
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Washington 724-225-1221