O’Connor Orthopedics has been serving Orange County California since 1991. We are an independent business with two offices, one in Anaheim and the second office in Irvine both certified in orthotics and prosthetics by “The American Board for Certification in Orthotics & Prosthetics” and we are one of the few accredited residency sites by “The National Commission on Orthotic & Prosthetic Education”.

Here at O'Connor Orthopedics we fabricate prosthetic and orthotic devices to each individual patients needs taking into consideration their age, physical condition, work, activities and lifestyle.  As well we believe in having our patients tell us their desires and needs that they would like to achieve.  All of this helps us derive a better outcome for the patient. Using components from all over the world we are able to  fabricate our patient’s appliances here in our own laboratory to best fit their needs.

We are a nontraditional facility in that we do not manufacture our limbs as most prosthetists in the United States do, but rather we take our influences from prosthetic work from all over the world.  Our prostheses and orthoses look different and feel different.  We encourage you to visit our offices and talk to us about your needs and desires. 

Please email us with any questions - OConnorOrtho@Yahoo.com

Congratulations Oscar Pistorius

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Oscar Pistorius, a bilateral transfemoral amputee has qualified for the 2012 summer Olympic games. Oscar has beat out all the odds and will be running against the best athletes in the world for a chance at an Oympic medal. The 24 year old athlete runs on Ossur Cheeta Carbon Fiber prosthetic feet built by Ossur. Ossur is an Icelandic based company with US headquarters in Orange County California.

 

Outdoor Magazine has written an amazing article on the young athlete.

BEFORE WE TALK ABOUT THE DEBATE; before we analyze energy cost and stride frequency and calculate net performance advantages; before we discuss ruling bodies, law firms, arbitration hearings, and scientific methods; before we get into advances in high-tech injection-molded prostheses or compare injury rates among Paralympic athletes and their able-bodied counterparts; before we hear from critics who say carbon-fiber pegs are an “unfair advantage”; and before we look at the photo on the opposite page and linger on those two words—before, in other words, we deal entirely in hypotheticals and complex ethical dilemmas—let us first take a moment to shut out all the noise and consider an event that actually happened, even if we all failed to appreciate its significance amid nonstop coverage of Hurricane Irene.

In August, Oscar Pistorius, a 24-year-old South African whose nonfunctioning lower legs were severed below the knee by doctors when he was 11 months old, raced in the 400 at the Track and Field World Championships in Daegu, South Korea. He not only competed, but he beat 22 of the fastest runners on the planet and reached the semifinals. Pistorius also ran the first leg of the 4x400 relay, helping South Africa advance to the finals. Assuming he runs another qualifying time of 45.25 seconds, he’ll be competing at the 2012 Summer Olympic Games in London.

“When I was small,” Pistorius has said, “I’d ask my mother why I didn’t have any legs. And she’d say, ‘You do. In the morning, your brother puts on his shoes and you put on your legs. There’s no difference.’”

No difference! It was a perfectly understandable lie told by a parent facing unthinkable circumstances. But here’s the most amazing part: she was right. And maybe if we could all block out the distractions swirling around Pistorius, we could be reminded again of sport’s infinite ability to blow our minds.

OF COURSE, THAT'S more difficult than it sounds. It was easy to enjoy the success of Jim Abbott, the major league pitcher who thrived with just one good arm. We had to wring our hands a bit during the saga of Casey Martin, the disabled golfer who was denied permission by the PGA to use a cart, but he disappeared quietly after failing to qualify for the tour. Pistorius is different. He and his prosthetic Cheetahs force us to deal with uncomfortable questions we’ve never had to ponder before. If a man without legs can challenge the best athletes in the world, what does it mean to be disabled? And what will it mean in the coming decades, when technological advances annihilate handicaps and create amputee athletes who can run faster than their able-bodied competition? Is it fair? How will the advantages of one athlete’s carbon-fiber shinbones be weighed against another’s surgically corrected vision?

These are all questions that the man in question has grown weary of. When I scheduled a call with Pistorius, his manager, Peet van Zyl, asked me to e-mail my interview topics in advance. I declined. “Well, I can tell you right now that if you want to talk about advantages or the science of his Cheetahs, he’s done,” he said tersely. “He’s so done talking about that.”

I reached Pistorius on August 16, just a few days before he would fly to Daegu. He was sick with the flu. Even though rigorous testing has cleared Pistorius of having an advantage, a well-known blogger and sports scientist in South Africa had just made headlines by calling the amputee’s inclusion at the championships “a farce.” As I dialed Pistorius’s South African cell-phone number, I pictured him in a defensive crouch. Instead, he came across the way he’s always described: humble, easygoing, and incredibly open. When I asked him about the controversy, he didn’t flinch.

“It has been tiring in the past,” he admitted. “I’ve tried to educate people about the tests, and there are some people who don’t want to accept anything you say. I don’t really think it’s my job to do that. The scientists have done that already. I’m putting my focus on the running.”

Running—and just about every other kind of competitive sport—has been his focus since he was a young boy in Pretoria. Pistorius learned to walk on his first set of prosthetic legs before he turned two. By adolescence he was wrestling and playing water polo and tennis for his high school. In June 2003, Pistorius shattered his knee playing rugby and began rehabilitation at the University of Pretoria shortly afterward. It was there that he met his longtime coach, Ampie Louw, who introduced him to competitive running.

Six months of physical therapy later, in January 2004, Pistorius entered his first 100-meter race for his high school. Later that season, he ran the 100 in 11.72 seconds, shattering the Paralympic world record by nearly half a second.

The next summer, he tried on his first pair of Flex-Foot Cheetahs, the revolutionary carbon-fiber artificial limbs manufactured by Icelandic company Össur that are now worn by an estimated 75 percent of Paralympic runners. Wearing the Cheetahs, Pistorius dominated the 2006 Paralympic Athletics World Championships, winning gold in the 100, 200, and 400. By then, though the sprint events were still competitive, Pistorius was literally running away from the Paralympic field in the 400, consistently coming in five seconds ahead of the second-place finisher. To challenge himself, he started to compete more regularly in the 400 against able-bodied athletes. And he started doing well.

What happened next will be familiar to just about anyone who pays attention during the quadrennial Summer Olympics news cycle. In 2007, the International Association of Athletics Federations (IAAF), which oversees international track-and-field competitions, amended its rules to bar “any technical device … that provides a user with an advantage over another athlete not using such a device.” Anything, in other words, that might be attached to Oscar Pistorius and explain his unprecedented times. After testing Pistorius and the Cheetahs, Peter Brüggemann, a professor of biomechanics at the German Sports University in Cologne, concluded that the artificial limbs enabled Pistorius to use 25 percent less energy than able-bodied runners. The IAAF barred the Cheetahs—and Pistorius—from international competition.

RODGER KRAM, a professor of integrative physiology at the University of Colorado, isn’t shy when asked about his reaction to Brüggemann’s findings, which weren’t published in a peer-reviewed journal. “Oh, that’s bogus,” he remembers thinking. “You can’t measure -energy the way they tried to do it.” He forwarded the report to Hugh Herr, a friend and associate professor of biomechatronics at MIT. By then, Herr had already been contacted by Dewey and LeBoeuf, the international law firm hired by Pistorius to mount an appeal, about testing the Brüggemann findings. The two scientists, along with a team of seven others, agreed to put Pistorius through a series of their own tests conducted at Rice University in Houston. The team, Kram points out, was not paid by Pistorius or his law firm. “We agreed to examine [Brüggemann’s] claims on the condition that we could publish our findings and that we could see if the claims were valid,” he says. “It wasn’t, ‘Can we discredit the claims?’ ”

Brüggemann had calculated the energy cost of the Cheetahs by measuring Pistorius’s oxygen consumption during a simulated 400-meter race, a method Kram and his colleagues felt was absurd. “There’s no reliable way to do that,” says Kram. “Four hundred meters is over before oxygen intake is up to full speed.” The standard for measuring energy cost and efficiency is to put a runner on a treadmill, at a fixed speed, for five to seven minutes. So that’s what they did. Their findings, as summed up by Kram: “Do the Cheetahs give him superhuman powers? No.” Pistorius’s running economy, while better than the average nonamputee runner’s, is within the range of elite and sub-elite nonamputee runners.

Critics have also claimed that because Pistorius’s limbs are lighter, he can generate faster foot turnover and a longer stride, but subsequent studies have shown that he has a shorter stride than his nonamputee competitors and that his swing time—the duration between each stride—is the same or longer than other elite competitors’.

Still, Pistorius isn’t a normal athlete. We can believe in his genetic greatness in the same way we can appreciate Michael Phelps’s hered-itary gifts. How do we know this? The Cheetahs have been around since 1997. If they, and not Pistorius’s physical gifts, are what enabled him to run 400 meters in 45.07 seconds, then why hasn’t any other Paralympic runner consistently broken the 50-second barrier? “Oscar is running so fast because of what he has above the knees,” says Kram, who likens the South African’s freakish, once-in-a-generation abilities to those of Bob Beamon, the American long jumper whose 1968 world-record leap stood for 23 years.

Faced with the results from the new set of tests, in May 2008 a three-person arbitration panel voted unanimously to overturn the IAAF’s ruling, giving Pistorius another shot at reaching the Olympics.

“I thought I’d be jumping up and down when that news came in, but I just put my head in my hands and had a quiet moment,” he says. “It was a tiring and tedious -process. But I really don’t want to be in a sport in which I’m deemed to be at an advantage. I wanted to know the results and get down to the bottom of what I was facing.”

The IAAF reversal hasn’t exactly ended the controversy, and Pistorius hasn’t exactly tried to fly under the radar, either. In the past couple of years, he’s signed a number of high-profile endorsement deals with A-list companies, including Nike, Oakley, and British Telecom. He’s now the face of  Thierry Mugler’s A-Men fragrance. And he has competed regularly against able-bodied competitors in Europe. “I’m not going to run slower so I don’t pick up critics,” he says. “But I don’t breed controversy just because I’m in a position to.”

Pistorius says that 99 percent of the people he encounters support his efforts, a group that includes both his Paralympic and his able-bodied competition. In July, after he ran his qualifying time against a field of able-bodied athletes at a meet in Lignano, Italy, Pistorius was knocked down in a celebratory embrace by fifth-place finisher Talkmore Young Nyongani of Zimbabwe. Shortly afterward, he received an encouraging e-mail from Jerome Singleton, an American amputee sprinter who recently beat Pistorius in the 100.

But the critics are still out there. “It definitely is an inspiration for a lot of people, but at the same time he doesn’t have to deal with certain things like we have to,” Angelo Taylor, the veteran American 400 and 400-meter-hurdle runner, told The New York Times when asked about Pistorius in Daegu. “You have a calf injury. You have plantar fasciitis or any foot injury … [and] he doesn’t have to worry about that.” (In fact, studies show that Paralympic sprinters suffer more training injuries than their able-bodied competitors.)

For now, at least, both the science and the fans seem to be overwhelmingly in Pistorius’s camp. That could change if he starts being a threat on the podium. In Daegu, Pistorius was excluded from the 4x400 final despite helping his fellow South African sprinters break the national record in the semis. Perhaps the team managers were trying to duck controversy. It’s one thing to cheer him on and applaud his “gutsy” effort while he humbly bows out before the finals. It’s another thing entirely to embrace the notion that the man leading the relay team to a gold medal has no legs. Will the same calculus be applied in London?

But here we are again, mired in future hypotheticals and ignoring the real-life phenomenon in front of us. Oscar Pistorius, a 24-year-old South African whose lower legs were severed from his body by doctors when he was 11 months old, is going to the Olympics. Isn’t that amazing?  

How will the newly passed healthcare reform impact Orthotics & Prosthetics?

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The National Association for the Advancement of Orthotics and Prosthetics has done a great job keeping the Orthotics and Prosthetics industry up to date on the Healthcare Reform act otherwise known as Obamacare. Please read the entire article below which does a great job summarizing what is taking place.


via(http://www.naaop.org/)

The U.S. Supreme Court announced its decision in the Affordable Care Act (ACA) case on Thursday, June 28, 2012. The Court upheld the individual mandate as constitutional based on the fact that the penalty—that individuals will be required to pay if they do not have health insurance—is a “tax.” Congress has extensive authority to regulate taxes on individuals. The other major holding is that states will have a choice in deciding whether to participate in the Medicaid expansion detailed in the ACA without jeopardizing their existing Medicaid matching funds for their Medicaid population. 

There were many ironies and surprises in this decision, which totals over 125 pages between the majority and dissenting opinions. Chief Justice Roberts joined the liberal block of four justices to render this 5-4 decision, while Justice Kennedy, who was widely expected to be the “swing” vote, dissented along with the conservative block of justices and would have stuck down the entire law. Of course, this issue is highly politically charged and Republicans in the House have already scheduled a vote to repeal the entire law for mid July. This is expected to pass the House but stall in the Senate. Therefore, the fate of health care reform moves to the Presidential election, where the American people will decide whether to effectively support or repeal the law through their electoral decision.

From an O&P perspective, there is little that specifically impacts the field. However, there are many regulatory developments and trends that will impact all of health care, including O&P:

• ACA regulations are expected to be accelerated, especially the essential health benefits regulation that determines the level of O&P coverage in the state-based exchanges;

• Accountable Care Organizations (ACO’s) and other payment bundling mechanisms will pick up speed as these new delivery models are solidified and implemented;

• States legislatures and Governors will quickly turn to development of their state-based insurance exchanges and the design of their new health insurance markets which will prohibit discrimination based on health or disability status;

• The federally facilitated exchange (which applies in states that choose not to create their own exchanges) will receive significant attention as 2014 nears;

• The medical device tax and other revenue provisions of the ACA will begin to take effect although Congress will continue to find ways to lessen the impact of these provisions; and finally,

• O&P Medicare reimbursement will not be thrown into disarray (which would likely have occurred if the law were struck down).

NAAOP will continue to keep its members informed as developments on this issue occur.

Expert Witness in Orthotics & Prosthetics

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O'Connor Orthopedics is now offering Expert Witnessing services in the Orthotic and Prosthetic fields. Rod O'Connor is a CPO and has been practicing for over 20 years. With so much experience in Orthotics and Prosthetics he has found that offering his expert opinion can often be helpful in a variety of cases. Lifetime estimated cost of goods can be calculated quickly and clearly using advanced coding software. After only a short time Rod O'Connor has been brought on as an advisor for over 30 cases. The cases included everything from lifetime cost of good in both Orthotics and Prosthetics in cases across the country including Orange County, Los Angeles County, and back east as well.

On top of offering Expert witnessing we can also asses a patients needs if you are concerned that a patient is not getting his or her needs met. Rod is open to talking with patients about what their best needs are and will also talk with attorneys about what may be best for their clients.

Please call us at 714.635.2650.

We do have a full service Orthotics and Prosthetics location in Anaheim, Ca and Irvine, Ca to serve Orange County, Los Angeles County, and Riverside County.

Orion Microprocessor Controlled Knee & Elan Foot

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O'Connor Orthopedic & Prosthetic is now fully trained on using the all new Endolite Orion MPK knee and the all new Elan foot. Both are fully controlled by microprocessor's and now can work together to improve gait and patient safety. The Orion MPK adjusts to the patient's walking speed so that more active patient's can be assured that their prosthesis will no longer hold them back from any activities. Using computer programming we can adjust the dynamics of the knee to fit the patient's needs better than any knee before.

The Elan foot and ankle is not only an energy returning carbon fiber foot but also a computer controlled hydraulic ankle that adjusts to uneven terrain and provides active dorsi-flexion during swing phase as well as automatically adjusting to changing shoe heel heights.The elan is also an amazing choice for transtibial (below knee) amputees as it is proven to improve gait so that you can walk all day without burning out.

When used together the Endolite Elan & Orion are an unstoppable combination for any above knee amputee and O'Connor Orthopedic & Prosthetic is now fully trained and fitting patients with them. Please call us for more information or a free consultation.

Echelon Echelon

PDAC - Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthosis

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Recently Medicare's PDAC (Pricing, Data Analysis, & Coding) department has instituted a variety of new regulations for any DMEPOS vendors that may or may not supply medicare patients with custom articulating AFO's (L1970), custom spiral AFO's (L1960), and custom AFO (L1940). These new LCD (Local Coverage Determinations) require that any DMEPOS supplier that wants to bill Medicare prove to medicare that they are supplying Medicare patients with a device that actually is one of the above devices. 

Starting September 1rst, all DMEPOS providers must submit to Medicare the process in which they manufacture each of the above devices so that Medicare can verify it is being made appropriatlycorrectly. This regulation follows an already long list of LCD requirements that Orthotic and Prosthetic providers across the nation must follow to bill medicare.

O'Connor Orthopedics is working closely with the PDAC review department to make sure we are certified to bill these codes by September 1rst. Our Coding verification Applications have already been sent in and the PDAC review board has notified us that they did receive them. Please contact us if you have any questions about what is going on in Medicare Region D within the Orthotic and Prosthetic domain at Admin@OConnorOrtho.com.

 

BELOW IS THE ACTUAL ARTICLE POSTED BY PDACDMEPOS.

 

Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthoses

Recently the Durable Medical Equipment Medicare Administrative Contractors (DME MACs), in conjunction with the Pricing, Data Analysis and Coding (PDAC) contractor, have added coding verification reviews for various products to the Local Coverage Determinations (LCDs) and related Policy Articles. Questions have arisen about what manufacturers or suppliers must submit when responding to a coding verification review for a custom fabricated item.

A custom fabricated item is one that is individually made for a specific patient. No other patient would be able to use this item. A custom fabricated item is a device which is fabricated based on clinically derived and rectified castings, tracings, measurements, and/or other images (such as x-rays) of the body part. The fabrication may involve using calculations, templates and components. This process requires the use of basic materials including, but not limited to plastic, metal, leather or cloth in the form of uncut or unshaped sheets, bars, or other basic forms and involves substantial work such as vacuum forming, cutting, bending, molding, sewing, drilling and finishing prior to fitting on the patient.

There are two categories of custom fabricated items and the requirements for submission of samples differ:

  • Custom fabricated by a manufacturer/central fabrication facility: These items are constructed by a manufacturer or central fabrication facility and then sent to someone other than the patient. Manufacturers must send a representative sample of a completed product and a description of their custom manufacturing process to the PDAC. Once reviewed by the PDAC staff and correct coding is determined, this category of custom fabricated items will be listed on the PDAC’s Durable Medical Equipment Coding System (DMECS).

  • Custom fabricated by a supplier: These items are individually fabricated by a supplier from raw materials and are dispensed directly to the patient by the entity that fabricated the orthosis. For coding verification, the supplier must submit written documentation that lists the custom Ankle-Foot Orthosis (AFO) manufacturing processes and all components that will be a part of the base code for that AFO orthosis. The supplier must provide a narrative description of the item to include anatomical reference points, a list of the materials that were used and a description of the custom fabrication process (including photos of the process) used for this type of orthosis. These custom fabricated items must be listed on the PDAC’s DMECS in order to be billed using a custom fabricated code.

Custom AFOs which currently require a coding verification review are:

CodeDescriptorEffective
ANKLE FOOT ORTHOSIS
L1940 ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, CUSTOM-FABRICATED 9/1/2012
L1960 ANKLE FOOT ORTHOSIS, POSTERIOR SOLID ANKLE, PLASTIC, CUSTOM-FABRICATED 9/1/2012
L1970 ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM-FABRICATED 9/1/2012

Mike Schultz Adaptive Athlete

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Mike Schultz is an adaptive athlete that has deisnged his own prosthetic knee to enable himself to race motocross after a traumitc amputation. This young man refused to give up his dreams of racing even after facing very tough circumstances. His FOX Racing shock custom knee is designed to be used on a motocross bike and as you can see by video he has not slowed down. It is inspirational to see people out there with determination like Mike's.

Look for Mike at this years X-Games.

 

The all OSSUR Below Knee Prosthesis

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Today we delivered Dan Ruth's below knee prosthesis. Dan is a very active man who works in the garage building custom Hot Rods and racecars. Dan lives outside Phoenix Arizona and travels all the way to us to get what he considers the best prosthetic legs. We built dan an ultra light weight carbon fiber socket with the Ossur Icelock 600 titanium system, the Ossur TotalShock pylon and the Ossur VariFlex LP foot.

After receiving the leg and wearing it for a few days Dan wsa nice enough to send us a letter stating how great the leg is and that "The socket fits GREAT and the workmanship is SUPERB!!!!" So excited to hear that Dan is loving his new leg.

Check out Dan's Cars at Innovative Rodding