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Shriners Children’s Pediatric Orthotics and Prosthetic Services, LLC (POPS) designs, fits and manufactures orthotics and prosthetics for children, from infants to teenagers to young adults.

These devices – including shoe inserts, braces, and artificial limbs (both arms and legs) – provide the support children need to meet their full potential and pursue their dreams, whether that’s swimming in a race, throwing a baseball, playing an instrument, or just keeping up with their friends.

Children are our only focus. We understand the unique requirements of their growing bodies and how those requirements change and evolve as children get older.

POPS is onsite at every Shriners Children's location. The close relationship between our staff and a center's medical staff allows us to work together to evaluate a child's needs and abilities. Using the information they gather, POPS experienced, accredited orthotists and prosthetists will create a custom device that's the most effective and least restrictive for a child, typically in days instead of weeks.

We support children with a range of genetic and acquired pediatric conditions and provide a full range of orthotic and prosthetic services, including upper and lower extremity prosthetic care, scoliosis bracing and pediatric orthotic services. Several of our locations can also provide cranial remolding helmets for the treatment of plagiocephaly. All POPS locations can complete device fittings and adjustments, as well as minor repairs, and emergency fabrications when they're needed.

A visit to POPS is more than measurements and mechanics. It’s about sharing hopes and dreams and providing the orthotic or prosthetic with the fit and function a child needs at that moment. We're devoted to designing braces, artificial limbs and adaptive devices, fitting upper and lower limb prostheses and orthoses with an emphasis on exceptional fit, comfort and appearance that improve function and mobility, reduce pain and allow children to live life more independently.

For the teen attending a prom, that might be a prosthetic leg that slips into high heels. For a swimmer, it may be a prosthetic arm to perform the breaststroke. For the violinist, it could be an adaptive to grip the bow. In all instances, we want to maximize their abilities and their self-confidence, opening a new world of possibilities.

Here you can learn more about the pediatric orthotic and prosthetic services we offer and how to best prepare for a visit to one of our local POPS facilities.

Specific treatments and services may vary by location. Please contact a specific location for more information.

The Difference Between Orthotics & Prosthetics

Orthotics (also called orthoses) are custom braces that support and protect a part of a child’s body. These stabilizers can range from a custom insert in a shoe to a full-leg or trunk brace.

Prosthetics (also called prostheses) are also custom. They replace a limb or extremity that may have been absent at birth, an amputation from trauma, or an amputation as a result of a disease. Prosthetics can range in size and complexity, from a foot or hand to a complete arm or leg.

Devices POPS Provides

Using noninvasive, advanced computer aided design (CAD) and manufacturing (CAM) technologies, we’ll collect detailed images of your child’s limbs, extremities and/or spine, and at some locations, their head. We then modify those 3D images and send them electronically to one of our two fabrication centers, one on each coast, where we manufacture the device using the most advanced materials. The completed device is sent back to POPS, where it's custom fitted to your child.

The technology, along with the skills of our orthotists and prosthetists, allow us to fabricate exact pediatric orthotics and prosthetics that consider a child’s specific needs and body mechanics. Because we build all the pediatric specialty orthotics and prosthetic devices listed below in two facilities, we can easily apply all we’ve learned from all the devices and orthoses we’ve built. As a result, your child gets a well-designed, accurate device, and often gets it faster, sometimes in days instead of weeks.

  • Orthotics including FOs, AFOs, KAFOs, HKAFOs and RGOs (foot orthotics, ankle foot orthotics, knee ankle foot orthotics, hip knee ankle foot orthotics, reciprocating gait hip joint orthotics)
  • Night-time stretching AFO
  • TLSO - thoraco lumbar sacral orthosis
  • LSO - lumbar sacral orthosis
  • Body-powered myeloelectric and upper extremity prostheses
  • Boston-style scoliosis brace
  • Providence-style scoliosis brace (nighttime)
  • Endoskeletal and exoskeletal prostheses
  • Variety of sports related prostheses
  • Cranial molding helmets (at some locations)

Does your child have a favorite color, hobby or sports team? Many of the orthotics and prosthetics we build can be further customized during fabrication. Children can decorate the surface of their leg brace or limb sockets with a range of colors, cartoon characters, sports teams, princesses, camouflage, etc.

Understanding your Child’s POPS Appointments

Many children visit POPS the same day they're seen by a Shriners Children’s doctor, which means no time lost scheduling another appointment or driving somewhere else.

Patients typically meet with multiple people at their first visit, including a prosthetist/orthotist, an occupational or physical therapist and a social worker. This multidisciplinary approach means your child, and you, are supported by a team that designs and executes the right treatment plan for your child.

Your Child's First POPS Appointment

Often, to fully understand your child’s needs and abilities, we’ll want to watch them walk, pick up items or perform other activities. In addition to bringing comfortable clothing – shorts, a T-shirt or tank top and tennis shoes – please bring your child’s existing device, if they have one, even if they no longer wear it or it doesn't fit. We’ll take a close look at it, watch your child put it on and adjust it, and discuss any issues that come up during normal wear.

Does your child play a sport or an instrument? What do they want to do? It’s extremely helpful for us to hear from those who interact with your child when they are, or are not, wearing a device. What do they do well? What do they have trouble with? Gather some notes, and your questions, and bring them with you.

Working together, our practitioners and your child’s medical team will determine the most appropriate device for you child. Often, measurements, scans and casts are taken and sent to one of our two fabrication centers the same day.

The Follow-Up

You’ll return with your child once the device has been made. This appointment, and sometimes additional visits, will allow us to properly fit and adjust the device to your child. During this visit, you and your child will also be instructed on a device’s proper wear and use.

Visit a Motion Analysis Center

Many Shriners Children’s locations have on-site motion analysis centers. Partnering with the motion analysis center team allows POPS to take advantage of their knowledge and the technologies they use. Working together often provides additional details and direction to better evaluate your child’s needs and the effectiveness of their device and make delicate adjustments to those devices.

POPS

Pediatric Orthotic and Prosthetic Services (POPS) are teams of certified prosthetists, orthotists and specially trained technicians who manufacture and fit custom-designed braces and artificial limbs.
View Transcript
Joanne Kanas:
POPS or Pediatric Orthotics & Prosthetic Services is a separate LLC that is solely owned and controlled by Shriners Children's. The most important thing is that each Shriners Hospitals for Children POPS provides the same care. So we are providing the same services at all of our hospitals through the POPS LLC.

Joanne Kanas:
Prior to the implementation of this program, each Shriners hospital had their own orthotics and prosthetics program, so that made it very difficult from a compliance perspective. Where the change really comes in, instead of having that device made locally, we have divided the fabrication into two major areas, the East and the West. One is in Tampa and the other at Shriners Children's Portland. 

Dino Scanio:
So my job is to oversee the fabrication process for Shriners Children. Here at CFAB East, we fabricate for the majority of the system. I oversee the digital technology, the CAD technology that we utilize to capture images of the children's extremities, the quality assurance check process for devices that come in and out of the facility, and making sure that all of our locations across the country are serviced in a timely manner so that we can meet the objectives of the clinical plans across the system.

Dino Scanio:
Prior to our advancement in technology, we used to take the old school model of plaster. Now with our CAD technology, we are able to take that cast and digitize it and as a practitioner I can modify that patient's scan to the millimeter and send that electronically from California, Portland here to our facility in Tampa. What used to take a couple of hours to do we can have modified and into production within 20 minutes.

Joanne Kanas:
It's great that POPS really has the ability to provide whatever orthotic or prosthetic need that any patient has throughout our system. Really anything that is currently state of the art and available, the POPS department through Shriners Children's provides. 

Dino Scanio:
Everything that we do at Shriners is custom. These days with all of the componentry, we make legs for sprinting, for swimming. We have made multiple arms for weight lifting, violin, trumpets. We have all the tools to be able to build a device to accommodate any of the special requests.

Joanne Kanas:
The lab back there truly is state of the art. When we designed this lab, we took in account safety, function, and workflow, and really made sure that this facility is probably the nicest throughout the country.

Dino Scanio:
We have the ability to literally receive a job digitally and turn it around in under 24 hours. It's something that I'm proud that Shriners Children has always been on the forefront of making sure that we have the latest and greatest in technology in the OMP industry.
Everyone in my school knows I wear a back brace. It’s really no big deal. I just want other patients to know that it’s OK to wear your brace. It could make a difference, like it did for me.
Katie, Greenville
male and dad watch as patient is fitted for brace

Pediatric Orthopedics: Specialized Care for Growing Bones

We're home to a renowned team of board-certified pediatric orthopedic surgeons, specialists and support teams devoted to providing progressive orthopedic treatments. Anchored in research based on real evidence, these teams take advantage of a number of minimally invasive approaches, like the EOS imaging system to reduce radiation exposure and the MAGEC spinal system to reduce surgeries for patients with early-onset scoliosis.

Conditions We Support

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Scoliosis

Scoliosis is a condition where the spine is curved sideways. With advanced treatments and world-class expertise, Shriners Children's cares for more than 10,000 children with scoliosis each year

Clubfoot / Club feet

Talipes equinovarus (TEV) is the medical term for "clubfoot," and Shriners Children's physicians are specialists in this common and treatable pediatric orthopedic condition.

Pes Planus / Pes Planovalgus

Pes Planus / Pes Planovalgus, also known as flat foot, occurs when the feet are flat on the bottom and don’t have an arch. Shriners Children's physicians typically treat it using a special shoe insert designed by our in-house technicians.

Spina Bifida

At Shriners Children's, our unique team of specialists provides the highest quality care for your child with spina bifida.

Congenital Neuromuscular Disorders

Shriners Children's is a renowned leader in providing specialized pediatric medical care, utilizing the latest clinical and scientific research in our comprehensive approach to treatment for children with muscular and neuromuscular disorders.

Limb Deficiencies

Shriners Children's specializes in treating limb deficiencies, which occur when part or all of a child's limb does not completely form during pregnancy or as a result of a major injury.

Spinal Cord Injury

Spinal cord injury occurs when nerves in the spinal column in the center of the back are damaged. Shriners Children’s offers advanced surgery options and therapy options to help restore your child’s function and mobility.

Plagiocephaly

Plagiocephaly (flat head syndrome) is a lasting flat spot on an infant's head where bones may not be correctly fusing together. Shriners Children's can diagnose and treat with cranial molding helmets, bands, or surgery.

Next Steps

Request an Appointment

Families and caregivers seeking treatment should start by contacting us for an appointment.

Log in to the Patient Portal

Parents and guardians of existing patients can email, request records, schedule appointments and more.

Refer a Patient

Physicians and healthcare providers can request appointments, start transfers or contact us with questions.