3D Knee Replacement

Is knee pain affecting your daily activities? Are you considering a knee replacement? Don't replace your knee, recreate it with the Conformis 3D Knee Replacement.

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Meet Dr. Jason Davis

Dr. Davis brings sports medicine expertise to The Dallas Limb Restoration Center. He also completed a fellowship in hip and knee replacement and honorably served in the U.S. Army…

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Regenerative Orthopedics & Stem Cells

Utilizing Regenerative Medicine and Stem Cells we can get you back to doing the things you want to faster and without surgery.

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MUTARS Silver Coated Implant

Saving Infected Limbs with Silver Coated Implants

Infections in total joint replacements have increased in the United States dramatically over last few years and is now one of the biggest problems we face in this country. The cost of total hip and knee replacement infections was analyzed using 2001-2009 Nationwide Inpatient Sample to identify total hip and knee arthroplasty using International Classification of Diseases, Ninth Revision, procedure codes. The annual cost of infected revisions to U.S. hospitals increased from $320 million to $566 million during 2001-2009 and is projected to exceed $1.62 billion by 2020. On average the cost of treating an infected joint is 3 times the cost of the original joint replacement.

Why are infections increasing?

An increased number of surgeons are doing joint replacements as the population ages and live longer. The complication of infection can occur in any total joint surgery, as the numbers of total joint replacements increases so does number of infections. With this increasing number many of these physicians are not fellowship trained to handle complex infections. This leads to more complications and further surgery to fix these problems. Each proceeding surgery carries an increased risk of infection, for example: 

  • A patient’s 1st surgery carries a 1-2% risk of infection
  • The patient’s 2nd surgery carries a 3-5% risk of infection
  • When a patient needs a 3rd surgery the infection risk increases > 5%

There are an increasing number of resistant bacteria that make a infected joint more difficult to eradicate. People are living longer and diseases such as diabetes, obesity, and other chronic illnesses all increase the risk of infections. The Dallas Limb Restoration Center has dealt with thousands of patients with complex infections. We are one of the most experienced centers in Texas and the Southwest United States for treating complex joint infections. We see patients from across the country and globe as we are a national referral center for patients who have become infected after numerous unsuccessful surgeries. Our limb salvage and success rates are higher then the majority of centers in the country. However, in recent years it has been harder to treat these chronically infected cases due to a limitation in available products, what worked twenty year ago does not work today.

These higher infection rates most likely occur due to longer surgery time, larger incisions, immunosuppression due to chemo and radiation therapy, as well as the increasing resistance of bacteria against antibiotic drugs. The anti-microbial effect of silver ions has been known for centuries. This special property of silver is used for the silver coated components to build an implant that aids in preventing bacteria growth on the implant. By the application of a silver coating the ions are released from the implant which attach to the bacteria and ultimately kill the bacteria cell. The lifetime of a standard implant is predominantly limited by septic and aseptic loosening. This is caused by inflammation in the body which is a natural reaction to fight bacteria.

The Dallas Limb Restoration Center is the first and only center that has been using these products by special request through the FDA in limited patients. We are leading the development of other centers across the country to make this potential limb saving treatment more readily available to certain patients. We done more of these procedures under FDA approval then any center in the country, we are also continuing to do extensive research on these products.

Learn more about silver coated implants:

Richard Buch, M.D. Performs the First Silver Coated Total Humorous Replacement in the United States »

Silver Shines as Antibacterial for Medical Implants »