A multidisciplinary approach to musculoskeletal diseases

Baylor Scott & White Health offers complex joint revision and musculoskeletal tumor services at its Dallas, Plano and Temple hospitals. These complex services use the skilled expertise of orthopedic oncology surgeons and offer a comprehensive, multidisciplinary approach to diagnosing and treating musculoskeletal disease, including bone and soft tissue cancer, infected joints, dislocations, prosthesis loosening and instability, and other conditions that may require joint revision surgery.

Services and complex joint conditions treated

As a recognized leader in both orthopedics and cancer care, the Complex Joint Revision and Musculoskeletal Tumor Program offers a wide range of services to treat:

  • Bone loss
  • Joint replacement instability or loosening
  • Orthopedic cancer
  • Osteomyelitis/bone infections
  • Hematomas
  • Seromas
  • Musculoskeletal tumors
  • Fractures near an implanted joint
  • Dislocation
  • Infected joints
  • Avascular necrosis
  • Painful prosthetic joints
  • Joint replacement wound complications
  • Limb salvage

Orthopedic patients from across the country with serious conditions affecting bones, joints and soft tissue have turned to the program for help saving and/or restoring their quality of life. Treatment plans available through the Complex Joint Revision and Musculoskeletal Tumor Program are tailored to each individual, but the goal is always the same: pain-free recoveries that restore function, salvage limbs and eliminate the underlying cause of the problem.

Our specialized complex joint and musculoskeletal cancer care team includes radiologists, oncologists, pathologists, orthopedic oncologists, internists, infectious disease specialists, hyperbaric medicine specialists, plastic surgeons and other subspecialists on the medical staff as appropriate.

This team approach—combined with advanced technology and forward-thinking research—provides each patient with a proper diagnosis and allows a full breadth of treatment options to be explored, implemented, monitored and adjusted on an ongoing basis to help promote a quality outcome.

Complex cases


The Complex Joint Revision and Musculoskeletal Tumors Program specializes in managing these complicated cases.

Joint replacements and complex reconstruction

Infections, tumors and deformities in the bones and joints may mean total joint replacement is the best course of treatment. These orthopedic surgery cases are often more complicated due to the underlying cause, which may have led to bone or soft tissue loss or other structural deficits in the joint that needs to be replaced whether the knee, hip, elbow or shoulder.

The Complex Joint Revision and Musculoskeletal Tumors Program specializes in managing these complicated cases. The program's multidisciplinary team of specialists understands the disease processes involved in these cases and the techniques necessary to replace or reconstruct diseased joints and prevent future damage or infection. We also have a high success rate when it comes to limb salvage.

Joint revision surgery

Joint revision surgery can help relieve pain and restore function in joints that have undergone a previous procedure. Even when the initial outcome of the original joint replacement procedure is good, the need for revision surgery for the hip, knee, shoulder or elbow can arise for a variety of reasons, including:

  • Normal wear of an artificial joint. Most prostheses have a life of 10 to 20 years. As time passes, an artificial joint may fit less securely and lose effectiveness or break
  • Pain. Any pain or discomfort that persists after joint replacement recovery may indicate one or more problems
  • Infection of surrounding tissue. Infection can cause weakness or damage to the joint
  • Fractures near the joint prosthesis
  • Dislocation
  • Structural defects. Debris from components of an artificial joint can cause problems
  • Musculoskeletal tumors. This serious condition in the joint or surrounding soft tissue can lead to functional impairment

Correction of a previous joint repair or replacement is typically more complex than an initial joint procedure. The cause, previous damage and structural issues complicate these cases and call for specialized orthopedic expertise.