After life-changing UTV crash, teen commits to recovery
This paid piece is sponsored by Sanford Health.
It was Memorial Day weekend in 2021 when Landyn Keiserâs life changed forever.
His parents, Judd and Daisy Keiser, recall what happened that day in their hometown of Fordyce, Nebraska.
âHe had taken our UTV, it had tipped over into a gully, (Landyn) fell out and the roll bars pinned him face down behind his knees,â Landynâs mom explained.
Landyn, 13, lay there for 45 minutes before she could find him.
âIâm a nurse,â Keiser explained. âBut I was panicking as I was trying to be in mom mode, not nurse mode.â
A medical helicopter was dispatched to their farm, and based on the extent of his injuries, emergency crews determined Landyn would need more advanced care to include orthopedics and trauma teams.
âWe met the helicopter, Sanford Health and Dr. Jared Daniel that night,â Keiser said.
âLandyn, unfortunately, developed compartment syndrome in both of his lower extremities,â Dr. Jared Daniel said. âItâs one of those orthopedic emergencies where, to help preserve life and limb, you have to do something immediately.â
Traumatic injuries, emergency surgery
Right away, Daniel, a surgeon specializing in pediatric orthopedic trauma at Sanford Childrenâs Hospital in Sioux Falls, took Landyn to the operating room to try to treat his compartment syndrome with a fasciotomy.
See the Castle of Care: 135 experts in 35 specialties available to care for kids
âCompartment syndrome is a condition where the circulation, muscles and nerve are affected. So you want to give them more room to give them overall better function. That was just the start,â Daniel said.
With Landynâs injuries and more than a dozen procedures came an immense amount of pain and a large collaborative team of providers.
Wound care, pain management part of the team
âHe was dealing with surgeries, pain from a severe infection and nerve pain from all of the inflammation in his legs as well,â said Dr. Daniel Mark.
Mark is a specialist in Childrenâs Palliative Care, who helps Landyn and his family manage his pain and try to keep him as comfortable as possible.
âThis pain would be something that would last for a while. So I was involved as a request to see if I could come up with some sort of plan for him that was more effective and something he could do at home,â Mark said.
âThere were lots of heavy discussions. It was heart-wrenching to see his family go through all of that,â said Sarah Dorr, a certified pediatric nurse practitioner.
Dorr, a pediatric wound care specialist, coordinated much of Landynâs care from the very beginning.
Landyn and his family faced their hardest decision yet: whether to salvage his legs or move forward with an amputation.
âThey were very much on board with trying to do limb salvage, which is our No. 1 goal,â Daniel added.
âWe got him to the point of being able to salvage his legs with the understanding that he lost most of the muscle â the muscle that could have died. That muscle doesnât grow back. The muscle remaining can be conditioned and can be built up, but whatâs gone is never coming back again,â Keiser explained.
Landyn is a big sports fan and competitive athlete in baseball, basketball and football.
Driven to get back to sports
His care team knew nothing was going to stop him from pushing forward.
âOne of the biggest goals when I first met him was how are we going to get him back to playing sports,â Daniel said.
âHeâs a kid that he would push through almost any tough situation,â Mark added.
Today, Landyn’s journey continues with Sanford Sports physical therapist Josie Stockland.
âThings weâre working with through Josie are building up strength, range of motion of joints that are stiff and tight,â Daniel said.
âAre there certain orthotic devices, braces, to help with management, to help with overall function or anything in the future from a surgical perspective to improve his overall function.â
âI can see where he was to where he is now, and it blows my mind what he can do, compared to what the alternative could have been,â Keiser said.
âHeâs walking independently, he continues to work with therapies, plays basketball, football and goes golfing with his dad,â Dorr said.
Specialized care in one place
Every step of Landynâs journey is stronger thanks to his teamâs collaboration for care.
âWe as surgeons are a small portion of the team. We know thereâs a bigger picture. Thatâs the beauty of having a childrenâs hospital with those resources at your disposal at all times. Not every institution is as lucky as we are to have resources like that,â Daniel said.
The Keiser family is grateful for that.
âSomeone was always there for us, to guide us, and we never felt alone,â Keiser said.
âLandyn operates on the philosophy of âcanât stop, wonât stop,’ and got that from the University of Nebraska football team,â Dorr explained. âItâs something Iâve carried with me in the patients I take care of. Thereâs always a little piece of Landyn that walks around this castle every day.
âSeeing the difference you can make when everyone works together shows you what Sanford Childrenâs is all about.â
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