Category Archives: Patient Case Study

Pediatric Upper Extremity Prosthesis, A Mother’s Testimonial

When treating pediatric prosthetic patients, working with the family ensures patient success.

Pediatric Upper Extremity Prosthesis

Colin’s Mom expressed her thanks: “It always seemed that George presented a wealth of information regarding the options for my son’s care — with the goal of helping my husband and I decide what would be best for our son as well as practical for our lifestyle.” Maria Haugseth, Sacramento, CA

Colin needed to be fit for his first prosthesis. His long-term treatment plan was developed with his team of caregivers and his mom. Colin was treated by George Villarruel, one of our pediatric and upper extremity prosthetic specialist practitioners. He customized the prosthesis and educated Colin and his mom over a period of about a year during treatment.

Colin’s Mom was with him every step of the way and she deserves a lot of credit for her positive outlook and supportive encouragement. Over the many visits and with a lot of hard work, Colin is now successfully doing more activities with his new arm prosthesis and is not letting anything hold him back.

Colin is ecstatic to be riding his bike!

With the support of his family, and a prosthetic device from Collier O and P, Colin is ready to tackle his next goal.

Our Pediatric Prosthetic Care Specialists

  • Extensive experience working with pediatric patients
  • Veterans are welcome to come for a consultation about problems or challenges with their current prosthesis
  • Our bilingual practitioners can converse with patients in their chosen language

Our lead prosthetist has many years of experience working with children and young adults with congenital deficiencies, trauma amputations and more. He is established as a specialist in upper and lower extremity prosthetic care for children and their developing needs. Educating the parents and the child  along the way and addressing their fears and concerns will allow the child to develop a healthy attitude and focus on their abilities.

Collier-Laurence Orthotics and Prosthetics has offices in Sacramento, Oakland and Pleasant Hill. Please call 916-979-9729 or send us an email below, and we can answer your questions and set an appointment at the location most convenient for you.

Double Upright AFO gets patient back on his feet

Mr. Harrell, a 50-year-old diabetic, presented with a very unstable gait and had been previously diagnosed with left foot drop secondary to a stroke and leaving him with left side paralysis. Mr. Harrell would use his arms for balance while ambulating, and had experienced a number of falls.

Gait Stability

To resolve his unstable gait, we fabricated a left double upright Ankle Foot Orthosis with extra depth shoes and custom accommodative inserts for Mr. Harrell. The AFO is used to control the instability in his lower limb by maintaining proper alignment and controlling motion and drop foot.

The Double Upright AFO will be attached to the diabetic shoe which allows for edema and protects the diabetic foot from any shear forces. His diabetic neuropathic condition requires extra depth shoes and custom diabetic inserts to accommodate his misshapen feet. The AFO will also protect his de-sensitized feet from repetitive stress and irritation – something his current shoes were not providing.

Mr. Harrell has been wearing the Double Upright AFO for a few weeks now and it has boosted his confidence. He has been very satisfied with the progress he has made toward resuming his normal walking routine.

Mr. Harrell had a few words to describe his patient experience at Collier:

“I had a stroke and lost a lot of my left side. I was treated with professionalism and the practitioner was very kind. I can now walk a lot better, love my new brace and shoes!” — AFO Patient Troy Harrell

Do you have a question about a current health issue?

Pediatric Case Study: Helping a young patient transition to wearing a prosthesis.

On a recent Monday afternoon, Harmony was meeting with practitioner George Villarruel for her final fitting for the new prosthesis she will wear.

Harmony was born as a congenital right trans radial amputee. Now that she was getting older, her parents wanted to give her an opportunity for bi manual function.

pediatric prosthesis

Laura Kendall (left), Harmony (right) without devices and wearing their prosthesis.

Over about 5 visits, George has been working with Harmony for fittings and preparing her for some of the challenges when adapting to a prosthesis. In fact, George thought it could be helpful to Harmony and her parents to speak with someone who has lived as an amputee since birth. Laura Kendall, a long-time congenital left trans radial patient, came to the office to meet the family. Harmony’s parents were thrilled to connect with someone who really understood their daughter’s challenges – and Laura had such a happy, positive attitude that reinforces with Harmony that life is not about what you don’t have, it is about what you can achieve.

Harmony is eager and excited to use her new prosthesis when it is finished in the next week. You can learn more about Laura’s story here.

 

pediatric practitionereGeorge Villarruel has trained our team in all aspects of care for young patients and their families. His psychology background helps him understand patient care and help our patients heal on the outside and the inside. If you have a question you can contact George below.