Company Brochure - Dorset Orthopaedic

dorsetorthopaedicLife without limits.....

Indexwww.dorset-ortho.co.ukCOMPANYPROSTHETICSSILICONECLIENT FEEDBACKOTHER SERVICESORTHOTICCLIENT FEEDBACKLEGAL SERVICESHOW TO FIND USWhat we do.................................01History.........................................02Basics to bionics........................03Types of prosthesis.....................05Types of finish.............................07About silicone.............................09Prosthetic silicone products.....12Prosthetics..................................14Physiotherapy.............................15Counselling.................................15Occupational therapy................15Clinical services.........................16Silicone Ankle Foot Orthosis(SAFO).........................................17Orthotics.....................................19Legal Clinics...............................20Expert Witness reports..............21Directions by air, road & rail......22UK map.......................................23THE PEOPLE WE HELP .....................................................24

What we do...Dorset Orthopaedic is a rehabilitation companythat caters for the needs of people who demand acomprehensive and efficient service of the higheststandard and quality.For the staff at Dorset Orthopaedic this is not just ajob. Our highly experienced team of dedicated andcaring individuals are driven to deliver their very best.In the pursuit of excellence, we push the boundariesto achieve remarkable results. We are at the cuttingedge of development because the client is the focus ofall that we do.dorset orthopaedic 01

Company history...Formed by Prosthetist Bob Watts in 1989, DorsetOrthopaedic has built a reputation on quality,respect and the complete understanding of theneeds of amputees. The company has gained areputation as one of the leading Prosthetic Clinicsin the world today.Dorset Orthopaedic prides itself on the ability toprescribe and manufacture any type of prosthesisor orthosis, from traditional materials such asmetal, to modern ultra lightweight carbon fibre,incorporating components from around the world.The company’s multidisciplinary team providesa comprehensive rehabilitation service includingprosthetics, orthotics, physiotherapy, occupationaltherapy and counselling.02

Basics to bionics...Whether you have undergone amputation surgery or have congenital absence, our highly experiencedProsthetists can assist clients with ALL levels of absence, often helping clients with the most complex ofneeds. Being completely independent our clinicians source components based on individual needs, oftenthinking ‘outside the box’ in solving more complex cases.ConsultationAn initial consultation with one of our consultant Prosthetists lasts approximately 1 hour and will covertopics such as medical history, previous prescription, your expectations and discussing the way forward.A quotation is sent out shortly after your consultation, giving details of costs and prescriptions for theprosthesis discussed.AppointmentsFollowing the acceptance of your quotation, a detailed schedule of appointments is made incorporating thefollowing:• Casting• Trial socket fitting – this may involve more than one appointment to ensure complete comfort• Fitting – the definitive socket used for your prosthesis• Shaping – Prosthetist shapes the foam by handA further two appointments are necessary for a silicone cosmesis. These may be incorporated into thefitting and shaping appointments.Teamwork is an essential part of this process. Dorset Orthopaedic has worked with many hundredsof clients who remain faithful to the company to this day. The success of this relationship depends oncommitment, communication, managing expectations, determination and trust.We are here because we care…04

Basics to bionics...Types of ProsthesisPROSTHETICSAt Dorset Orthopaedic, we realise that everyone is an individual withdifferent needs. We offer various types of prostheses according to the levelof amputation, which provide varying functions. Our foremost concern is thecomfort of the socket, then we consider the function of the limb and finally thetype of finish required.Upper Extremity ProsthesisOur clinicians are qualified and experienced in the fitting of all types of upperextremity prostheses, from individual digits to full shoulder length prostheses.We regularly fit body powered and myo-electric functional limbs, as well ascustom made high definition silicone cosmetic arms and hands. Our cliniciansare trained and experienced in fitting the latest bionic products includingelectric elbows, wrists, hands and individual digits.The I-LIMB HandA unique prosthetic device whichhas 5 individually powered digits.dorset orthopaedic 05

Basics to bionics...Lower Extremity ProsthesisWe are pleased to be able to offer a whole variety oflower extremity prostheses with various high techcomponents and finishes.From individual toes to full length hip disarticulationprostheses, our clinicians offer a wealth ofexperience and expertise.Whether your requirements are for a basicfunctional limb, a high tech computerised limb,such as on Otto Bock C-Leg or the Ossur Bionicsrange, or a dedicated activity limb for running,swimming and so on, we will be happy to assist.06

Choosing the finish for the prosthesis...There are various types of finishes available to coveryour prosthesis. This is very much a personal choiceand would depend on the function that is required.CoverlessSometimes the prosthesis requires no cover atall. Limbs used for high levels of activity, such asrunning, would need to be lighter and thus no coveris used. Quite often, clients like the look of thecarbon componentry and decide to opt for no cover.PROSTHETICSSuperskin FinishA flexible spray finish which can be matched to yourskin tone using various coloured sprays. Visual haircan also be added for a more life-like finish.Silicone FinishFor a life-like finish, you can opt for a high definitionsilicone cover that is colour-matched to your skintone, sculpted and given features according to yourwishes.dorset orthopaedic 079

Silicone...08

All silicone cosmeses are sculpted andmade by hand to match the shape,colour and individual characteristics ofour clients.The addition of a life-like silicone covercan be a liberating experience. Manyclients find renewed confidence tochoose clothes and footwear to reflecttheir personality rather than concealtheir limbs.SILICONEdorset orthopaedic 09

Why silicone...For many people a silicone cosmesis completes the pictureand provides additional confidence. Clients often describeit as a liberating experience. The focus returns to the client,rather than the prosthesis or the need to conceal it.Silicone in its uncured state can be sculpted with greataccuracy. Once cured, the silicone remains flexible andprovides a truly life-like and durable appearance.All our work starts with the client. Caring and skilledtechnicians have the experience to gather exactrequirements. Every silicone cosmesis we make is fullytailor-made to your characteristics.No two people are the same. Skin colour, tones andtransitions vary greatly and our palette of colours isgenuinely unlimited.Shape and fit are also crucial and we are able to copyfrom either a sound limb or from numerous pictures andsamples.10

dorset orthopaedic 11SILICONE

Prosthetic silicone...Silicone products include:• Legs (below & above knee)• Through hip• Partial feet• Toes• Arms (below & above elbow) including myoelectricarms• Through shoulder• Partial hands• Digits• Silicone liners• Water activity limbs• Cosmetic restoration coversSilicone services include:• Cosmetic checks - where you are able to workwith the technician and finalise details duringmanufacture• Servicing• Repairs• AdjustmentsIn accordance with your needs and preferences:• Colouring - will be matched to your own skintones• Shaping and details - are individually sculpted• Nails - sculpted to copy shape, colour andappearance• Hair - matching colour, placement, directionand density• Veins - can be included for greater definition.• Follicles - provide depth to the skin-like finish.• Moles - can be added and positioned asrequired• Tattoo designs - can be incorporated into anycosmesis12

Partial Hands & DigitsSilicone is particularly suited to working with partiallimbs.Built on a cast of the client’s residual limb,technicians are able to work with different types ofsilicone and soft gel inserts to create a comfortablefull or partial cosmesis with breath-taking levels ofdetail.SILICONEPartial Feet & ToesMany partial feet include gel pads for protectionof sensitive areas. Depending on the prescriptionrequired, carbon blades can be embedded withinthe silicone to help with function. As with all oursilicone work, detailing and finish are fully bespoke.Cosmetic RestorationCosmetic restoration is an important andspecialised area within silicone. Individuals who, formany years have endured unbalanced limb shapesdue to disease or accidents causing tissue loss cannow be fitted with individually specified and madesilicone covers.Skin colouring, shape and your own individualcharacteristics are sculpted into the cosmesis and,where necessary, soft gels can be enclosed withinthe silicone to prove greater levels of comfort andprotection.dorset orthopaedic 13

What our clients say...Neil HeritageIn November 2004, whilst serving withan army bomb disposal unit, CorporalNeil Heritage of the Royal Signals wasinjured in Iraq. Neil had both his legsamputated above the knee and wastold he would probably never walkagain.“I have been an amputee for justover 6 years and have always hada problem with my right stump. Itdecreases in volume throughout theday meaning my prosthesis would falloff after a couple of hours use.I first met Bob Watts over a year ago,not to talk about my existing walkinglimbs but for Bob to fit me with a pairof running legs so I could achieveone of my goals of competing in a Triathalon.After our first meeting, DorsetOrthopaedic kindly offered to sponsorme to compete in the event. Betterstill, Bob had a solution for my socketproblems and I was fitted with thenew Lok-In liner socket system. Thesemade a big difference as previousoff the shelf liners had not been longenough to cover the top part of my leg,which led to sores where the socketsrubbed my skin.Another difference I noticed beingtreated at Dorset Orthopaedic was theamount of time Bob spent with me,especially at the check socket phase.He kept making tiny changes until thesockets where perfect.When the sockets were complete,I met with Dorset Orthopaedic’sPhysiotherapist, Justin Scriven.Justin gave me an examination,some exercises to practice at homeand spent a few sessions with meimproving my running technique.I was able to run 3-4 times a week,building up my fitness and I wassurprised at how long I could use mylimbs for, at such high impact, withoutfeeling any pain in my stumps fromthe sockets. I found I was also ableto use my running limbs for a rangeof other activities including circuitclasses and boxing.Now my walking limbs didn’t meet thesame standard of my running limbs;I was able to run for longer than Icould walk! Being a former soldier, Iwas very fortunate as soldier servicecharities helped me by funding apair of Lok-In sockets for my walkinglimbs. Since having these sockets Ihave achieved my long term goal of nolonger using a wheelchair. I wear mylegs for up to 15 hours a day and havestill had no pain or discomfort. It hasmade a massive difference to my lifeto be able to take my children out forthe day without worrying that my legmight fall off and to be able to go towork without having a wheelchair inthe car ‘just in case’.Dorset Orthopaedic has exceeded myexpectations in every way. The staff aredetermined to find the best solutionfor your needs with a refreshing ‘cando’ attitude towards helping meetyour goals. I would highly recommendthem to any amputee.”14

Other services...By taking an holistic approach to rehabilitation, Dorset Orthopaedic offers a high quality multidisciplineservice that includes, where required or requested, physiotherapy, occupational therapy and counselling.These services are available at our Ringwood and Burton on Trent clinics and appointments can bescheduled at the same time as fitting appointments to prevent further travelling.Justin ScrivenChartered PhysiotherapistJustin graduated from the University of the West ofEngland in1998 with 1st class honours. He workedat the Royal Bournemouth Hospital before workingoverseas in Australia and New Zealand. He returnedto the UK in 2003 and has set up a successfulphysiotherapy and rehabilitation clinic.Justin’s special interest is in the analysisand improvement of human movement andbiomechanics, particularly in the field of sportsinjuries and amputee rehabilitation. He has beenworking with the Dorset Orthopaedic team since2005. Making use of fully equipped rehabilitationfacilities, the latest in digital video analysis andindividualised exercise programmes, Justin canhelp amputees achieve their full potential.Penny-Anne ElmsCounsellorPenny has been part ofthe Dorset Orthopaedicteam for more than 10years and has a highlevel of experiencewith our clients. UsingPenny’s expertise, DorsetOrthopaedic is able tooffer in-house supportto clients who wouldlike to talk confidentially about their experiencesand feelings in a way that might be difficult withfriends and family. This unique service has provedvery helpful for many of our clients who haveexperienced difficulty adjusting to the impact theirsituation has had on their lives.Sarah ChubbOccupational TherapistSarah has 16 years experience as an OccupationalTherapist and enjoys helping amputee clients fulfiltheir maximum level of independence in valueddaily activities such as personal care, domesticactivities, work and leisure. As an OccupationalTherapist, she also evaluates the psychologicalimpact the injury may have had on a client and howthis impacts on their daily functioning. Sarah mayalso evaluate the home or work environment of aclient to look at providing adaptations/equipment toincrease their independence and quality of life.To arrange an appointment to see Justin, Penny orSarah ask your Clinician or alternatively call us on01425 481740.OTHER SERVICESdorset orthopaedic 15

Orthotic clinic...Orthotic is the term derived from the Greek ‘ortho’,meaning straight or normal and ‘tics’, meaningsystematic pursuit. Literally, orthotics is thestraightening, supporting and correcting of limbs orthe spine using splints, braces and supports.Dorset Orthopaedic have been supplying a privateOrthotic service since the official opening of ourfirst Orthotic clinic in Ringwood, Hampshire, in2001. This service now extends to our clinics inBurton upon Trent and London. Our Orthotistsdeal with patients suffering with a multitude ofconditions including spinal injuries, peripheralneuropathy, MS, Polio, Stroke, Cerebral Palsy andsports injuries to name but a few.Our Orthotists are experienced in prescribing andfitting all types of traditional and complex orthoticdevices; our services now include the prescriptionof special seating and wheelchairs/adaptationswhere required. Our solutions range from simplebiomechanical insoles that change weight-bearingcharacteristics during standing and walking,through to more complex knee ankle foot orthoses(KAFO’s), manufactured from ultra-lightweightmaterials and incorporating electrode knee lock/stride controllers.16

Silicone Ankle Foot OrthosisSAFO...The SAFO (Silicone Ankle Foot Orthosis),designed by Dorset Orthopaedic, is an awardwinning revolutionary ankle foot orthosis.Designed as an alternative to the more rigidstyle of traditional AFOs, the SAFO is nowbeing extensively used in the treatment ofmany conditions that typically result in partialor complete loss of active range of movementat the ankle/foot.The SAFO provides support down the front ofthe leg and on to the top of the foot to assistthe lifting of the foot during the swing phaseof walking, thus preventing the patient fromtripping or walking on their toes.Medical trials show that the SAFO alleviatessymptoms of drop foot that affects manyCharcot Marie Tooth (CMT), Polio, CerebralPalsy, MS and stroke sufferers worldwide.The clinic has also successfully fittednumerous other conditions that result in whatis commonly referred to as ‘drop foot’.ORTHOTICS“The SAFO has turned my lifearound. It has given me back a levelof mobility I thought I would neverexperience again.”Louise McDonagh,Owner of Mobius Kitesurfing School, Cornwalldorset orthopaedic 17

The SAFO...SAFOs are available for children and adults and all are custom madefrom a plaster cast mould and specific measures of each individual.This ensures that the fit is as intimate and snug as possible.We can also customise the SAFO using colours, logos or skin tones tobest fit each patient’s personality.Some of the benefits of the SAFO:• Allows ‘normal’ foot/ankle action• Increases stride length• Easy to fit, clean and maintain• Can be worn discreetly against the skin• Improved feedback• Can be worn with or without a shoe• Can be worn for showering/swimming• Reduced risks of pressure areas“My walking feels normal again!”Susan Oldfield18

What our clients say...Matt Mbanga“April’s sultry advance seems tounofficially mark the end of the rainshere in Zimbabwe. The dreaded coolweather of our highland wintershas not yet arrived though the rainhas all but gone - leaving us with ahot, dusty, dry and for rural farmers,very uncomfortable position for themonth of the harvest.I have not noticed any noticeablechange in the comfort of mySAFO as the season changes. Ispend most of my time around theproject switching between rubber‘Wellington’ boots in the fieldsand trainers around the seedlingsand herb beds. Both sets of shoesoffer plenty of stability and theSAFO allows me to move aroundand carry out the necessary taskswithout any discomfort. I usedto strap an elasticised bandagearound my ankle and pull it tightenough to raise my toes and holdmy foot steady enough to not tripover as I walked about. I was alwaysconscious of my foot and learnedto live with the discomfort after 6years. I used to have to unwrap andmassage a very constricted anduncomfortable foot at least everytwo hours before re-strapping it tocarry on. Those days are now longgone thanks to the comfort of theSAFO and the ease of removing andreplacing it every day!I am no longer conscious of mydisability as I race around and upand down the slopes going aboutmy daily routine! I feel a sense offreedom and fitness that I have notenjoyed in 7 years.I have finally settled into a steadyworkout routine and am thoroughlyenjoying the silent miles of gravelthat now pass beneath my feetevery morning. I have agreed toparticipate in an 80km bike ride in amonth’s time which will certainly bea welcome test for my fitness! Thereis nothing like a goal to motivateand certainly nothing like purposeto inspire us. This is undoubtedlywhat I missed most after the end ofmy rugby career. With no test, likea match, or purpose, like winning,my personal fitness objectivesbegan to soften with my gut andmy motivation sagged in chocolatehandfuls. The result of boredom anddespair at my inability to performin my once familiar fiefdom, as adouble international representativeat U20 in rugby and water polo,drove me further and further awayfrom ever being able to committo any meaningful fitness regimeagain.Thanks to the brilliance that is theSAFO and the fact that I am able toactually set, and reach, fitness goalsthat I set for myself, the joy that I findin a healthy body and well-workedmuscles is once again my own. For ahealthy mind lives in a healthy body.Life is better – I am now me, butmore so!”ORTHOTICSdorset orthopaedic 19

Prosthetic & OrthoticLegal Services...Reports for litigation purposesQuantum reports are prepared on behalf ofsolicitors acting for the Claimant, for the Defence oras Joint Instructions.These types of reports are used for a medium tolong-term overview of a case. Our reports include anindependent expert opinion and prognosis, as wellas estimated costs for private rehabilitation.Reports for rehabilitation purposesOur Prosthetists and Orthotists work alongsideCase Managers and Insurance companies offeringimmediate needs assessments, giving an overviewof short to medium term prosthetic or orthotic carein accordance with the Rehabilitation Code.These reports are not for use in court proceedingsbut are used to instigate a fast, effectiverehabilitation programme.By using a multidiscipline approach,incorporating our other rehabilitation servicessuch as physiotherapy, occupational therapy andcounselling, we are able to encourage a fasterrecovery with a strong support system (please referto Other Services, page 15).Legal ClinicsWe hold legal clinics in:• Ringwood, Hampshire• Harley Street, London• Burton upon Trent, Staffordshire• Nuffield Hospital, LeedsClinics at Harley Street are held on a fortnightlybasis.Many lawyers and case managers involved withpersonal injury and medical negligence cases findit particularly useful to instruct the fitting of variedprosthetic and orthotic devices that have beenrecommended in an expert witness report. Theresults can then be used as clinical evidence as tothe suitability of a Prosthesis or Orthosis for longterm use by their client.20Harley Street, London

Expert Witness...Dorset Orthopaedic provides acomprehensive report writing service,which is second to none. Our teamof Prosthetists and Orthotists acceptinstructions for reports to be usedas part of the litigation process or inaccordance with the RehabilitationCode.LEGAL SERVICESThe Nuffield Hospital, Leedsdorset orthopaedic 21

How to find us...Ringwood Clinic11 Headlands Business ParkSalisbury Road RingwoodHampshire BH24 3PBCall: +44 (0) 1425 481740By RoadThe clinic is located 35 minutes from Southampton and 20 minutes fromBournemouth, just off the A31.By RailThere are regular trains from London Waterloo to Southampton andBournemouth. For further information visit www.nationalrail.co.uk or call 08457484950.By AirHeathrow Airportwww.heathrowairport.com or call + 44 (0) 870 000 0123Gatwick Airportwww.gatwickairport.com or call +44 (0) 870 000 2468Southampton Airportwww.southamptonairport.com or call +44 (0) 870 040 0009Bournemouth Airportwww.bournemouthairport.com or call +44 (0) 1202 36 4000Burton-Upon-Trent Clinic22 Granary Wharf Business ParkWetmore Road Burton-Upon-TrentStaffordshire DE14 1DUCall: +44 (0) 1283 743111www.dorset-ortho.comBy RoadFrom A511 Ashby Road/Bridge Street. Turn right at traffic lights and bear leftinto Wetmore Road. Continue past Granary Wharf Road for approx. 150 yardsand turn left into Granary Wharf Business Park.From A38 exit onto A5121 Derby Road towards Buxton North. At roundaboutwith Pirelli Stadium take 2nd exit onto B5018/Hawkins Lane. Continue to miniroundabout and take 1st exit left onto Wharf Road. At end of Wharf Roadturn left into Wetmore Road. Continue for approx. 150 yards and turn left intoGranary Wharf Business Park.By AirBirmingham Airportwww.birminghamairport.co.uk or call + 44 (0) 800 576 6000East Midlands Airportwww.eastmidlandsairport.co.uk or call +44 (0) 1332 852 852Manchester Airportwww.manchesterairport.co.uk or call +44 (0) 8712 710 711How we can helpAt Dorset Orthopaedic, we realise that we are an integral part of the journey that both the client and their family undertake. We are here to help, from prostheticsand orthotics through to physiotherapy and counseling. As part of our service, we can provide you with a list of local Bed and Breakfast facilities, Hotels or Spas,which have well-established relationships with us. We have secured a number of discounts on our clients’ behalf, so please ask prior to making your booking.For directions to our Harley Street Clinic, London (legal appointments only) or our Nuffield Hospital Clinic, Leeds, please contact reception on +44 (0) 1425 481740.22

UK clinics...www.dorset-ortho.comVisiting Clinic: LeedsNuffield Hospital2 Leighton StreetLeeds LS1 3EBCall: +44 (0) 1425 481740Burton-Upon-Trent Clinic22 Granary Wharf Business ParkWetmore Road Burton-Upon-TrentStaffordshire DE14 1DUCall: +44 (0) 1283 743111Visiting Clinic: London (Legal Only)10 Harley StreetLondonW1G 9PFCall: +44 (0) 1425 481740CLINICVISITING CLINICRingwood Clinic11 Headlands Business ParkSalisbury Road RingwoodHampshire BH24 3PBCall: +44 (0) 1425 481740CONTACTdorset orthopaedic 23

The people we help...

www.dorset-ortho.co.uk

11 Headlands Business ParkSalisbury RoadRingwoodHampshire BH24 3PBT +44 (0)1425 481740F +44 (0)1425 480083E enquiry@dorset-ortho.comwww.dorset-ortho.com