Custom Prosthetic & Orthotic Design

Why Choose Us

We Get Better Patient Outcomes

We are committed to providing the best outcomes for all of our patients. Our experienced team understands that these outcomes aren’t driven only by the prescription you receive, but rather through a thorough assessment of your individual needs.

We are your advocate, and we’ll be sure you experience a better patient outcome.

a person training with a prosthetic leg


The Golden Triangle:

Prosthetic limbs are extremely complicated. They have to work correctly for millions of step cycles, over several years, without issue. For any prosthesis to work correctly there are three main parts that are all related to each other. These parts must work in harmony in order to work correctly. If any of these parts are not correct, the result will be a prosthesis that is painful and unsafe to use.

Fit - The fit is the relationship between the prosthetic socket and the residual limb. If the socket fit is not correct, the prosthesis can be very painful, and the risk of developing wounds is increased. A well fit socket is generally thought of as the key to a successful prosthetic outcome.
Alignment - The alignment is the relationship between the prosthetic socket, the prosthetic joints (knee and ankle), and the ground. The forces from the ground are relayed through the socket into the residual limb anatomy, and these forces are mitigated by prosthetic knees and feet. If the alignment is correct, walking will be more symmetrical, resulting in an energy efficient, comfortable, and predictable gait cycle.
Suspension - The suspension keeps the prosthesis secured in place on the residual limb during swing phase of the gait cycle. If the suspension is not correct, the prosthesis can become uncontrollable as it moves forward. Proper suspension results in safe and secure control of the residual limb and prosthesis. In lower extremity prosthetic users suspension prevents “catching the toes” and tripping. Predictable foot placement, when stepping onto a prosthetic leg, is critical in walking safely.
a young girl being fitted with an orthotic device


Orthotics are complicated! A great outcome takes a clinician that is capable of asking the right questions, checking the right metrics, and making a proper assessment. This is how we are able to determine what the best option for our patient is. Do you actually need a custom designed and fabricated orthosis? Or would something “off the shelf” work better?

We see cases every day that the best option for our patient may be a solution we can’t bill for at all. If a heal wedge is a better solution than a custom AFO, we try the wedge first. What we do here at Elite is GET BETTER PATIENT OUTCOMES. Billing as much as possible for whatever is the most expensive device covered by a patient's insurance is a disturbing trend in orthotics and prosthetics. At Elite, each case is individually evaluated with the patient’s needs first, not what’s best for our checking account. The mechanics of each solution are explained to the patient so that they have a complete understanding of what their issue is. Then we discuss what options we are suggesting to resolve the patient’s issue, and why.

From custom wrist braces to microprocessor KAFOs and transfemoral prosthetics, every case is treated the same here.

If you are looking for the best outcome for any orthosis or prosthesis, trust in Elite. If you present with an unusual prescription which we are not as familiar with, we can help guide you to a facility that is. As an example, plagiocephalic molding helmets for infants would be typically be referred to the Shriner's Hospital for Children, simply based on their familiarity with the design and fitting processes, and the number of helmets that they have provided with high quality outcomes.


What Our Patients Are Saying

Margaret Estrada
Brett Hightower