Conditions That Lead To A Complex Reconstruction

A unique specialty of Greater Dallas Orthopaedics that we’ve yet to discuss at length is complex reconstruction surgeries. These complex procedures are among the most challenging but also provide the patients who need them with an unmatched sense of relief from chronic pain. The team of surgeons at GDO perform thousands of complex reconstructions each year, handling cases ranging from significant bone loss to the revisions of prior joint replacements.

Rather than talk through complex reconstructions and the recovery process following them, which vary significantly from condition to condition and patient to patient, we’d like to talk through some of the common reasons that result in a patient visiting Greater Dallas Orthopaedics for the procedure in the first place.

Revision Joint Replacement

Revision joint replacement procedures, which we’ve discussed at length in other blogs, are a subset of complex reconstructions, rather than a condition. However, they are an area of expertise at GDO and a procedure that patients travel from across the country to undergo. While joint replacements are remarkably reliable, our patients are relieved to know that should something go wrong, they have the regional leader in revision replacements by their side.

Common causes of revision joint replacements include fractures around the prosthetic, loosening of the prosthesis, dislocation, instability, painful prosthetic joint, swelling around implants, hematomas, seromas, and wound complications related to joint replacement.



Prosthetic Joint Infection

Infection is one of the least common complications from a joint replacement but is still a possibility. It’s possible for a prosthetic joint to become infected during the initial procedure or long after. The team of surgeons at GDO treats more periprosthetic infections in the region than any other clinic by a substantial margin.


Avascular Necrosis

Also known as bone death, avascular necrosis occurs when a bone’s blood supply is cut off. While this condition is most commonly caused by dislocated joints or fractures, there are also studies that show avascular necrosis is heavily linked to excessive alcohol or steroidal drug consumption.

Treatment for this condition can be minimally invasive, but this relies on early diagnosis. Because the condition can go unnoticed, even after a fracture or dislocation is treated, an accurate early diagnosis is often missed. This ultimately results in more advanced care being required.



Osteomyelitis means there is an infection within a bone. Compared to most of the conditions we’re discussing in this post, treating osteomyelitis is arguably the condition that requires the greatest degree of bone & joint surgery experience, specifically in regards to infections.

Medication and precise surgical technique can be used to eliminate infection and prevent more extensive bone damage, ultimately resulting in the salvage of the vast majority of limbs. Due to the expertise required for this procedure, GDO is sought out to treat thousands of patients with bone, joint, and joint replacement infections each year.



Non/Malunited Fractures

If a fracture fails to heal properly, it can cause serious and chronic pain. After examination, it may be decided that complex reconstruction surgery is needed to fully treat both the fracture and the pain.

Whether this means changing hardware, bone grafting, or microsurgery to place a vascularized fibular graft, the surgeons at Greater Dallas Orthopaedics have performed thousands of corrective procedures and are viewed as the regional experts in this regard.



No matter what kind of complex reconstruction our team is performing, we always strive to provide compassion and peace of mind while preserving limbs and restoring our patients to optimal function. If you or a loved one is suffering from one of the ailments listed above, don’t hesitate to reach out to our team at Greater Dallas Orthopaedics.

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