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In This Section Texas Health Dallas
Orthopedic Oncology & Complex Reconstruction Center

Orthopedic Oncology & Complex Reconstruction Center

Treatment Options | After Treatment | Complex Reconstruction


From diagnosis to treatment, specialists on the medical staff at Texas Health Presbyterian Hospital Dallas work with physical therapists, occupational therapists, dietitians, psychiatrists and others to provide the best possible care for orthopedic oncology and complex reconstruction. An orthopedic oncology navigator is available to guide patients through their journey.

Bone Cancers

Tumors within the bone destroy normal bone tissue and most often begin as cancer that has spread from another organ, such as the breasts, lung or prostate. Often, simple observation with physical exams or X-rays is all that is necessary for benign conditions, while more complex benign and malignant tumors usually require surgical removal.

Diagnosing Bone Cancer

Texas Health Dallas employees and medical staff physicians can quickly and effectively diagnose bone cancer. Diagnostic tests may include X-rays, blood tests, bone scan, computed tomography (CT) scan, magnetic resonance imaging (MRI), positron emission tomography (PET) scan, biopsy and angiogram. Once a diagnosis is made, orthopedic oncology specialists on the medical staff can perform advanced surgeries, as well as make recommendations about other treatments.

Treatment Options

As with other cancers, treatment options include surgery, chemotherapy and radiation therapy. Physicians on the medical staff are committed to preserve as much bone and functionality as possible.

Surgery is the most common treatment for bone cancer, with the surgeon removing the entire tumor. Chemotherapy, the use of anticancer drugs to kill cancer cells, and radiation therapy, high-energy X-rays that kill cancer cells, is usually used in conjunction with surgery.

Physicians on staff also specialize in the treatment of metastatic bone disease, cancers that have spread from other sites to the bones, and are among only a handful of surgeons to provide comprehensive care for metastatic bone disease patients in Texas. Our goal is to treat these complex patients in the least invasive manner possible while controlling pain and preserving function. Minimally invasive techniques are utilized to make certain each patient has the optimal outcome.

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After Treatment

After your initial treatment, your physician may prescribe physical therapy. Texas Health Dallas offers rehabilitation services with advanced equipment and experienced therapists. Rehabilitation usually includes training and exercise with a physical therapist.

In addition, bone cancer can reappear in another organ or come back at the same location or in other bones. Therefore, people who have been diagnosed with a bone cancer should see their physician regularly and immediately report any unusual symptoms.

Benign Soft Tissue Tumors

  • Lipoma
  • Ganglion/Popliteal cysts
  • Hemangioma
  • Benign Peripheral Nerve Sheath Tumors
  • Schwannoma
  • Neurofibroma
  • Desmoid Tumor/aggressive fibromatosis
  • PVNS (pigmented villonodualr synovitis)
  • Giant Cell Tumor of Tendon Sheath
  • Synovial Chondromatosis
  • Hematoma
  • Myositis Ossificans/Heterotopic ossification

Benign Bone Tumors

  • Unicameral Bone Cyst
  • Aneurysmal Bone Cyst
  • Fibrous Dysplasia
  • Enchondroma
  • Chondroblastoma
  • Giant Cell Tumor
  • Osteoid Osteoma
  • Osteoblastoma
  • Eosinophilic Granuloma
  • Nonossifying Fibroma

Malignant Soft Tissue Tumors

  • Soft Tissue Sarcoma of all types
  • Synovial Sarcoma
  • Malignant Fibrous Histiocytoma
  • Liposarcoma
  • Lymphoma
  • Angiosarcoma
  • Malignant peripheral nerve sheath tumor
  • Advanced Skin Cancers of the extremities:
    • Melanoma
    • Squamous cell carcinoma

Malignant Bone Tumors

  • Osteosarcoma
  • Chondrosarcoma
  • Chordoma
  • Lymphoma
  • Ewings Sarcoma
  • Adamantinoma
  • Myeloma/Plasmacytoma

Metastatic Bone Disease

  • Prostate
  • Breast
  • Lung
  • Renal
  • Thyroid
  • Melanoma
  • Other metastatic carcinomas

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Complex Reconstruction

Physicians on the medical staff at Texas Health Dallas treat a variety of orthopedic conditions. Surgeons on staff perform a large volume of complex reconstructive cases, including revision of infected or failed joint replacement of the knee, hip, elbow, and shoulder. They also manage general orthopedic issues in oncology patients who require multidisciplinary care.

Often, patients come to us as a last resort for limb salvage surgery. In 95 percent of cases a successful outcome is obtained with individualized treatment plans.

Reconstructive Orthopaedic Conditions

  • Arthritis/Joint Replacement
  • Knee, hip, shoulder, elbow
  • Revision of total joint replacement
  • Treatment of infected joint replacement
  • Allograft tendon reconstruction of dislocating total hip replacement
  • Limb salvage for failed total joints
  • Extensor mechanism repair/reconstruction

Fracture Treatment

  • Large volume of hip fracture surgery
  • Fracture around joint replacement (periprosthetic fracture)
  • Complex fractures around joints requiring replacement
  • Surgical and closed treatment of fractures

Avascular Necrosis

  • All joints
  • Medical and surgical treatment
  • Minimally invasive core decompression with grafting
  • Joint replacement

Osteomyelitis/Septic Arthritis

  • Bone and joint infection

Non/Malunited Fractures

  • Fractures that have not healed correctly
  • Often require revision of hardware

Bone grafting

  • Vascularized fibular graft (done in conjunction with microsurgeon)

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