CU Orthopaedics offers world class care for musculoskeletal tumors
and bone infections. Our multidisciplinary team of orthopaedic
surgeons, oncologists, and nurses is dedicated to the treatment
of these very rare conditions.
Treatments and Procedures
Orthopaedic
Tumors
Malignant or Benign bone tumors/soft tissue
sarcomas or tumor of the limbs or pelvis
The University of Colorado Hospital and the Department of Orthopaedic
Surgery has a special unit for patients with bone and soft tissue
tumors (benign or malignant) of the limbs, spine and pelvis.
Patients with these tumors need a team approach comprised of
experts in radiology, pathology, orthopaedic surgery, medical
oncology (chemotherapy), radiation oncology (radiotherapy), tumor
counseling, information consultants and nurses.
The UCD Orthopaedic Tumor Unit (Musculoskeletal Tumor Unit)
offers all of the services to you as a patient under one umbrella.
When you visit our clinic we will ensure that all of your appointments
with all the different members at the Unit are done cohesively.
The members of the Unit are all highly specialized and deal with
similar cases like yours on a regular basis. We also agree on
a treatment plan for you and abide by highly respected proven
treatment plans. We respect patient privacy and our members are
always available for discussion and advise.
Bone
Infections/Osteomyelitis, Septic Joints/Septic Artificial Joints
The University of Colorado Denver (UCD) has
a specialized unit dealing with bone and joint infections. The
Unit functions as a team with highly qualified radiologists, pathologists,
microbiologists, infectious disease specialists and reconstructive
surgeons, working to repair your infection.
Pediatric
Orthopedic Care
Our physicians are expert orthopaedists who provide consultations
to community physicians for common pediatric orthopedic problems.
Our specialty providers also collaborate with community physicians
to provide a comprehensive continuum of care when more complex
treatment is needed. Our pediatric orthopedists and providers
are involved in several clinical research studies for the advancement
of pediatric orthopedic treatment protocols that are coordinated
by Musculoskeletal Research Center. Patients of The Children’s
Hospital have access to the most advanced pediatric orthopedic
care in the Rocky Mountain region. Visit The
Children's Hospital website for more information.
Frequently Asked Questions
What is a bone tumor? A bone tumor is a spontaneous
growth that starts anywhere in bone. It starts at a small group
of cells that escape normal control mechanisms and grow. Eventually
it destroys the surrounding normal bone and may be so large that
it breaks through the confines at the bone and it is then palpable
as a nodule or mass.
What is the difference between a malignant or benign
tumor? Both grow locally and should not be inside the
bone or muscle. Malignant tumors are usually more aggressive,
grow faster and tend to metastatize (spread to other parts of
the body) and they may spread to the lungs (most common). Benign
tumors tend to grow slower and they also destroy the normal bone
or muscle but do not metastasize. Benign tumors also tend not
to recur as often as malignant tumors after surgical removal.
What is a soft tissue tumor? This is a growth
(multiplications) of abnormal cells usually within muscle or fat
tissue. It later forms a nodule which becomes larger and is essentially
palpable with your fingers. Again this may be benign or malignant.
How do we treat tumors? We may surgically excise
them (cut them out). Some tumors will be treated with radiation
and or chemotherapy followed by an operation. Also surgical removal
of the tumor especially in the bone, the portion of bone or joint
that has been removed must be replaced. This is done by way of
a dorsal bone transplant or a metal prosthesis.
What is a muscle or skin flap? After removal
of the tumor and a layer of the normal tissue, a hole (defect)
is left behind and sometimes it is not possible to just pull the
skin edges together because the defect is too big. A muscle or
skin from a nearby location is then transferred to fill the gap.
This procedure enhances healing.
What is Osteomyelitis? Osteomyelitis is a condition
where bacteriae locate themselves in a bone and start to multiply
bone. Bacteriae gain access to bone via the blood stream. These
bacteriae then move along with the blood stream to bone and start
a new infection. Occasionally they travel from the hair follicles
in your skin to the deeper bone after an operation. Open fractures
where the bone fragments protrude through the skin from inside
out also pick up bacteriae from your clothes or soil.
What is a joint infection? Joint Infections
occur for the same reason as a bone infection; bacteriae may travel
to a joint with the blood stream but they start a joint infection.
They may also go to a newly implanted artificial joint, start
to multiply, cause inflammation, and eventually pus will form.
Your joint will become painful, red, warm, and swollen.
How are joint infections treated? Antibiotics
are used to treat joint infections. The joint is washed with sterile
water but sometimes your artificial joint must be removed, only
to be replaced later.