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.
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Details
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
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Details
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
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Details
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
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Details
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
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Details
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
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Details
Purpose of the Device
- Helps correct mild in-toeing
Indications
- Toe-in
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Details
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
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Details
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
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Details
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
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Details
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
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Details
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
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Details
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….
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Details
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
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Details
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
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Details
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
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Details
Purpose of the Device
- The PTO is one of the most effective braces for reducing patellofemoral pain resulting from maltracking or patellar instability.
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Details
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.
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Details
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
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Details
Purpose of the Device
- To immobilize the knee
Indications
- Prevents knee flexion
Common Additions
- Most commonly used bilaterally
Special Considerations
- Available in colorful designs
