Advanced Orthopedic Treatments &Technologies

Spine Surgery, Limb Replantation, Clinical Trials, Chemotherapy

Antibiotic Beads for Bone Infections

Antibiotic beads are popular treatments for bone infections (osteomyelitis) and other musculoskeletal infections. Plastic beads made of polymethylmethacrylate can be filled with antibiotics such as vancomycin, tobramycin and gentamycin. When inserted into a patient, they provide high local levels of antibiotics without systemic toxicity.

Benefits of Antibiotic Beads

  • Completely biodegradable
  • High tissue levels of antibiotic
  • Destroys dead space
  • Aids in bone repair
  • Does not require removal


Bone Morphogenic Proteins: Clinical Trial for Spine Surgery Patients

Physicians at the Advanced Orthopedic Center at P/SL are participating in an investigational study (clinical trial) comparing the use of bone morphogenic proteins to graft for single level lumbar fusion. This FDA-regulated study is in the 3rd phase of the approval process for use during spinal surgery. 

The bone morphogenic protein may prove to be a new tool for establishing solid bony fusion without the complications and pain associated with harvesting a patient’s own bone. This controlled study is only available to qualified patients. The Advanced Orthopedic Center at P/SL is the only center in the Rocky Mountain region involved in this study.

Ilizarov External Fixation: Treatment for Fractures that Won’t Heal

Doctors at the Denver Clinic for Extremities at Risk at P/SL have used the Ilizarov External Fixator for more than 10 years for treatment of fractures that do not heal properly. This device the bones to lengthen (distraction osteogenesis) It also controls fracture healing over a longer period of time. In many cases, amputation of the limb is avoided.

Implantable Neurostimulator For Low Chronic Back Pain

Surgeons at P/SL implant a neurostimulator (spinal cord stimulator) to treat severe low chronic back pain that has not responded to more conservative therapy.

The neurostimulator delivers low-levels of electricity directly to nerve fibers. This direct approach can be very effective in reducing pain and improving motor function.


Intraarterial Chemotherapy for Osteogenic Sarcoma

At P/SL, we use a novel intraarterial (administered through the artery) chemotherapy treatment. Tumor response is monitored through a series of angiograms and the surgical resection is done when optimal response is achieved. This chemotherapy protocol is appropriate for adults and children and has proven to have better results than intravenous (administered through the vein) chemotherapy treatments. 

This treatment is administered by the Denver Clinic for Extremities at Risk team in cooperation with the interventional radiology department at P/SL.

Limb Replant/Revascularization Program

The Denver Clinic for Extremities at Risk at P/SL (formerly Institute for Limb Preservation) is focused on assisting in care of patients at risk for losing a limb due to disease or trauma.

Our team of replant/revascularization surgeons is available 24/7 for emergency consultation and/or referral of patients with an acute single-system limb trauma. Our replant team includes fellowship-trained microvascular surgeons and all replant procedures are done utilizing the operating microscope. Our post-operative care team focus on the highest possible outcome for the patient, utilizing doppler ultrasound, leech therapy, and early hand therapy intervention.

Repiphysis™ Growing Prosthesis for Children with Bone Cancer

The Repiphysis™ Growing Prothesis allows the bone to grow as the child grows, so repeated surgeries are not necessary. Periodic treatments with an electromagnetic field allow the prosthesis lengthens in small increments to keep both limbs the same length.

The Denver Clinic for Extremities at Risk at P/SL was the first site in the United States to implant a growing prosthesis in a pediatric cancer patient.

Spinal Microsurgery and Zeiss Microscopes
During a spinal microsurgery, the Zeiss Microscope provides our team with crisp, magnified images that make it easier to differentiate tissue and localize abnormal tissue.

Benefits of Spinal Microsurgery and Zeiss Microscopes

  • Reduces tissue trauma and blood loss
  • Less pain
  • Fewer complications
  • Shorter hospital stay
  • Faster recovery