After life-changing UTV crash, teen commits to restoration

After life-changing UTV crash, teen commits to restoration

It was Memorial Day Weekend in 2021 when Landyn Keiser’s life modified eternally.

His dad and mom, Judd and Daisy Keiser, recall what occurred that day of their hometown of Fordyce, Nebraska.

“He had taken our UTV, it had tipped over right into a gulley, (Landyn) fell out and the roll bars pinned him face down behind his knees,” Landyn’s mother Daisy Keiser defined.

Landyn, 13, lay there for 45 minutes earlier than she may discover him.

“I’m a nurse,” she defined. “However I used to be panicking as I used to be attempting to be in mother mode, not nurse mode.”

A medical helicopter was dispatched to their farm and primarily based on the extent of his accidents, emergency crews decided Landyn would wish extra superior care to incorporate orthopedics and trauma groups.

“We met the helicopter, Sanford Well being and Dr. Jared Daniel that night time,” Daisy mentioned.

“Landyn, sadly, developed compartment syndrome in each of his decrease extremities,” Jared Daniel, M.D., informed Sanford Well being Information. “It’s a type of orthopedic emergencies the place, to assist protect life and limb, you need to do one thing instantly.”

Traumatic accidents, emergency surgical procedure

Immediately, Dr. Daniel, a surgeon specializing in pediatric orthopedic trauma at Sanford Youngsters’s Hospital in Sioux Falls, South Dakota, took Landyn to the working room to attempt to deal with his compartment syndrome with a fasciotomy.

See the Citadel of Care: 135 specialists in 35 specialties out there to care for youths

“Compartment syndrome is a situation the place the circulation, muscular tissues and nerve are affected. So that you need to give them extra room to provide them total higher perform. That was simply the beginning,” Dr. Daniel mentioned.

With Landyn’s accidents and greater than a dozen procedures got here an immense quantity of ache and a big collaborative group of suppliers.

Wound care, ache administration a part of the group

“He was coping with surgical procedures, ache from a extreme an infection, and nerve ache from the entire irritation in his legs as nicely,” mentioned Daniel Mark, M.D.

Dr. Mark is a specialist in Youngsters’s Palliative Care, who helps Landyn and his household handle his ache and attempt to maintain him as comfy as potential.

“This ache can be one thing that will final for some time. So I used to be concerned as a request to see if I may give you some form of plan for him that was more practical and one thing he may do at dwelling,” Dr. Mark mentioned.

“There have been plenty of heavy discussions. It was heart-wrenching to see his household undergo all of that,” mentioned Sarah Dorr, CPNP.

Dorr, a pediatric wound care specialist, coordinated a lot of Landyn’s care from the very starting.

Landyn and his household confronted their hardest determination but: whether or not to salvage his legs or transfer ahead with an amputation.

“They have been very a lot on board with attempting to do limb salvage which is our primary purpose,” Dr. Daniel added.

“We received him to the purpose of having the ability to salvage his legs with the understanding that he misplaced a lot of the muscle – the muscle that might have died. That muscle doesn’t develop again. The muscle remaining might be conditioned and might be constructed up, however what’s gone isn’t coming again once more,” Daisy defined.

Landyn is an enormous sports activities fan and aggressive athlete in baseball, basketball and soccer.

After life-changing UTV crash, teen commits to restoration

Landyn Keiser throws a soccer as a part of his rehabilitation on the Sanford Fieldhouse in Sioux Falls. He is pushed to return to sports activities with the assistance of his group of Sanford specialists.

Picture by Max Jensen, Sanford Well being

Pushed to get again to sports activities

His care group knew nothing was going to cease him from pushing ahead.

One of many greatest objectives once I first met him was how are we gonna get him again to enjoying sports activities,” Dr. Daniel mentioned.

“He’s a child that he would push by means of nearly any robust scenario,” Dr. Mark added.

In the present day, his journey continues with Sanford Sports activities bodily therapist Josie Stockland.

“Issues we’re working with by means of Josie are increase energy, vary of movement of joints which might be stiff and tight,” Dr. Daniel mentioned.

“Are there sure orthotic gadgets, braces, to assist with administration, to assist with total perform or something sooner or later from a surgical perspective to enhance his total perform.”

“I can see the place he was to the place he’s now and it blows my thoughts what he can do in comparison with what the choice may have been,” Daisy mentioned.

“He’s strolling independently, he continues to work with therapies, performs basketball, soccer and goes {golfing} together with his dad,” Dorr mentioned.

Specialised care in a single place

Each step of Landyn’s journey is stronger because of his group’s collaboration for care.

We as surgeons are a small portion of the group. We all know there’s a much bigger image. That’s the great thing about having a kids’s hospital with these sources at your disposal always. Not each establishment is as fortunate as we’re to have sources like that,” Dr. Daniel mentioned.

The Keiser household is grateful for that.

“Somebody was at all times there for us, to information us, and we by no means felt alone,” Daisy mentioned.

“Landyn operates on the philosophy of ‘can’t cease, received’t cease’, and received that from the College of Nebraska soccer group,” Dorr defined. “It’s one thing I’ve carried with me within the sufferers I deal with. There’s at all times a little bit piece of Landyn that walks round this fort each day.”

“Seeing the distinction you may make, when everybody works collectively, reveals you what Sanford Youngsters’s is all about.”

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Youngsters’s, Emergency Medication, Rehabilitation & Remedy, Sanford Sports activities, Sioux Falls, Specialty Care