Children’s Prosthetics (Pediatrics)

At McCleve Children’s Prosthetics (Pediatrics) – we do business in a relaxed office atmosphere so children (and their families) can feel at ease.  When needed, we can even come to your home for appointments or follow-up.  Your child’s first appointment will be an evaluation to answer questions and perform an assessment to determine function level and abilities.  We will explain  the different components which can be used to help your child achieve their full potential. Once the prosthesis is fabricated, we will have you and your child return for fitting and adjustments.  Our clinicians never rush the process and will schedule several return visits for further adjustments, Q&A, and practice.

As your child learns to balance and walk, we will engage them in a variety of age-appropriate therapeutic games and exercises.  These range in nature from simple exercises that can be performed at home, to more involved activities like riding a bike, running, climbing and sports.

We will never put limits on your child and encourage you to do the same. Children adapt to their environment much more quickly than adults.  Experience has shown that when there is something a child or teenager wants to do, they will usually find a way to do it!  Our clinics work with a wide variety of child amputees with a wide range of challenges and you can feel confident that your child will be our #1 priority. Your child can do this – and so can you!

Children's Prosthetics - Phoenix

Because limb loss is very challenging and especially devastating whenever it happens to a child, we have provided the following helpful information for families. Pediatric limb loss can result from birth defects, cancer or severe infections. Other causes include traumatic injuries from lawn mowers or traffic accidents. Limb loss can deeply affect the child and siblings and is especially difficult for most parents. The following statistics and data may be helpful in understanding your child’s condition.

USA – The Centers for Disease Control and Prevention estimate that each year 2250 babies are born with congenital upper and/or lower limb deficiencies or reductions each year in the United States. This is approximately 6 per 10,000 live births per year, in a ratio of 2:1 upper to lower extremity.

HELPFUL POINTS FOR PEDIATRIC LIMB DIFFERENCES AND AMPUTATION
 Congenital limb differences are uncommon and often go undetected until birth.
 A thorough history and physical exam should be done for children with congenital limb differences to rule out syndromes involving other organ systems or known associations.
 Acquired amputations most commonly occur from trauma.
 Complications, such as pain and terminal bony overgrowth can occur after amputation.
 A multidisciplinary approach to management is recommended, when available.

McCleve  O&P – Children’s Prosthetics (Pediatrics) serves the entire Phoenix Metro Area including Phoenix, Scottsdale, Mesa, Gilbert and San Tan Valley.  We have 2 east valley locations to serve you and often make Pediatric Patient house calls based on your needs.  We look forward to meeting with you and your child to help facilitate their journey to a full and productive life. Our clinician’s are both sensitive and sympathetic to what you and your child are experiencing and we want to help make the journey as comfortable and educational as possible.  Call (480) 981-6767 today to schedule your free consultation with one of our experienced pediatric prosthetists.  We look forward to meeting with you and answering your questions.

Levels of amputation

A. Residual limb: the portion of a limb remaining after an amputation, sometimes called the “stump”.
B. Transfemoral amputation: amputation(s) through the thigh bone, between the hip and the knee, sometimes also called “above knee”.
C. Knee disarticulation, an amputation through the knee.
D. Transtibial amputation: amputation through the calf and shin bones, between the knee and the ankle, sometimes also called “below knee”.

E. Ankle disarticulation: an amputation through the ankle.
F. Transmetatarsal amputation, the amputation(s) through the forefoot.
G. Bilateral amputation: amputation of both legs.


Image result for upper extremity levels of amputation

There are several different types of upper extremity amputations that can occur including:

  • Fingers or partial hand (transphalangeal or transcarpal)
  • Wrist disarticulation (through the wrist joint)
  • Below-elbow (transradial)
  • Elbow disarticulation (through the elbow joint)
  • Above-elbow (transhumeral)
  • Bilateral (both sides of the body are affected)
  • Shoulder disarticulation (through the shoulder joint)
  • Interscapular Thoracic (removal of entire shoulder girdle)

 


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