When is bone replacement necessary?

Bone replacement surgery becomes necessary in various scenarios when the integrity and function of the bone are compromised due to injury, disease, or degenerative conditions. Some conditions that require bone replacement surgery include:

Severe Bone Fractures

When a bone is severely broken or shattered, traditional fracture treatments may not be sufficient to ensure proper healing and restoration of function. In such cases, bone replacement surgery, which may involve using bone grafts or artificial implants, can be employed to stabilize and support the fractured bone, facilitating proper healing.

Advanced Arthritis

Osteoarthritis or rheumatoid arthritis can lead to significant joint deterioration, causing pain, stiffness, and reduced mobility. When conservative treatments fail to provide relief, joint replacement surgery may be recommended to replace damaged joint surfaces with artificial components, restoring joint function and alleviating pain.

Bone Tumors

Bone tumors, whether benign or malignant, can weaken the bone structure and necessitate surgical intervention. In some cases, tumor removal followed by bone replacement may be required to preserve bone integrity and function.

Bone Infections

Infections in the bone, known as osteomyelitis, can cause significant damage and lead to bone death. Bone replacement surgery may be necessary to replace the infected bone with healthy bone or artificial implants to restore stability and prevent further complications.

Failed Previous Surgeries

In some instances, previous surgical interventions may not have yielded the desired results or led to complications. Bone replacement surgery might be considered a corrective procedure to address any failures in an earlier surgery to restore bone health.

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Man stretching before a run

Candidates for bone replacement surgery

The decision to undergo bone replacement surgery is made after a comprehensive evaluation by our experienced surgeons, who evaluate the severity of the condition, overall health, and medical history. At Hand to Shoulder Associates, we prioritize patient education and communication, ensuring that you fully understand the reasons for bone replacement surgery and are actively involved in the decision-making process.

If you are experiencing bone-related issues or have concerns about your bone health, our specialized team is here to provide expert guidance and personalized care. We aim to offer the most effective and advanced bone replacement solutions to help you regain optimal bone function and improve your quality of life.

Surgical options for bone replacement

Upper extremity bone replacement surgery encompasses a range of advanced procedures designed to address bone-related issues in the hand, wrist, elbow, and shoulder. At Hand to Shoulder Associates, our expert surgeons offer a comprehensive approach to bone replacement, tailoring treatments to meet each patient's unique needs.
Some standard upper extremity bone replacement surgical options include the following:

Joint Replacement

Joint replacement surgery is a well-established procedure to address severe degeneration caused by arthritis or joint injuries. During this surgery, the damaged joint surfaces are removed and replaced with artificial components, restoring joint function and relieving pain. Common joint replacements include wrist joint replacement and elbow joint replacement.

Bone Grafting

Bone grafting involves taking bone tissue from one area of the body (autograft) or using donor bone (allograft) to fill gaps or promote bone growth. This procedure is commonly used to support bone healing after fractures or to address bone loss due to injury or disease.


Arthroplasty refers to the reconstruction or reshaping of joints to improve joint function and alleviate pain. This surgical option is often utilized for joint conditions not severe enough to warrant complete joint replacement.

Bone Implants

In cases where bone loss or deformities are significant, bone implants may replace damaged or missing bone. These implants are made from biocompatible materials that integrate with the natural bone over time, providing stability and support.


Osteotomy is a procedure that involves cutting and repositioning bone to correct alignment issues or deformities. It often addresses malunions (improperly healed fractures) or joint misalignments.

Tendon and Ligament Repair

Bone replacement surgery may also involve repairing or reconstructing damaged tendons and ligaments to restore joint stability and function.

Our board-certified and fellowship-trained surgeons at Hand to Shoulder Associates are experts in the latest advancements in bone replacement surgery. They are dedicated to providing personalized and comprehensive care to each patient, ensuring the best possible outcomes for bone health and function.

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Prasant Atluri MD

Upper extremity specialists for bone replacement surgery

Hand to Shoulder Associates has a highly qualified and experienced surgeon. Each of our surgeons is a board-certified orthopedic specialist with credentials from the American Board of Orthopaedic Surgeons. Additionally, our surgeons have pursued further sub-specialization training in upper extremity and microvascular surgery, giving them a deep understanding of complex bone conditions and the latest advancements in bone replacement techniques. We are dedicated to continuous learning and remain at the forefront of medical advancements to offer our patients the most effective and innovative bone replacement surgical techniques. Our surgeons actively participate in research, contributing to the progress of the field for superior patient care and results. If you are experiencing bone-related concerns in your hand, wrist, elbow, or shoulder, don't hesitate to seek specialized care at Hand to Shoulder Associates. Our highly qualified team is prepared to provide you with the expertise and support you need to achieve optimal bone health and a renewed quality of life.

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