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Panorama Orthopedics & Spine Center has been a trusted provider of orthopedic care in metro Denver for more than 70 years. With more than 30 orthopedic surgeons, we are one of the largest and most specialized orthopedic groups in the United States and are known as a leader in orthopedic care. We offer highly trained surgeons and
specialists in sports medicine, spine, joint replacement, orthopedic trauma, foot and ankle, hand and wrist and non-operative pain management. We are committed to excellence in everything we do. That’s why patients of all ages — from children to seniors — trust Panorama Orthopedics to help them get them back to doing the things they love.
Have Questions? Contact Our Office Today! (303) 233-1223

Golden Office

660 Golden Ridge Rd., Suite 250

Golden, CO 80401

Phone: (303) 233-1223

Westminster Office

8510 Bryant St. #120

Westminster, CO 80031

Phone: (303) 233-1223

Highlands Ranch Office

1060 Plaza Drive

Highlands Ranch, CO 80129​

Phone: (303) 233-1223

Limb Preservation

Unfortunately, trauma, cancer, infection or even some congenital conditions may put someone at risk for losing an arm or leg. At Panorama Orthopedics & Spine Center, we take this seriously and provide every option available to avoid amputation and improve function. We are committed to providing our patients the newest reconstructive procedures and the best medical advancements to save limbs, whenever possible.

Dr. Ron Hugate is specially trained in orthopedic oncology and he treats both children and adults with limb threatening conditions. Through his training at the Mayo Clinic and subsequent years of experience, he has developed an expertise in limb-sparing reconstructive techniques. He has worked extensively with bone, muscle, and joint tumors of all types and treats every patient with surgical skill and compassion.

Having been an Army surgeon for 16 years (with deployments to Iraq and Afghanistan to work at combat hospitals there), Dr. Hugate also has extensive experience working with traumatic injuries and traumatic amputations. When limb amputation is necessary, Dr. Hugate and his team offer the most advanced surgical options for improving an amputee’s function and optimizing prosthetic use and rehabilitation. He consults with patients about all the available alternatives to find the best possible solution to help them continue to lead full and active lives.

Osseous Integration - New Hope for Amputees

Osseous Integration (OI) is an exciting new evolving technology used to treat amputees in which metallic implants are connected directly into the bone and then come out through the skin to attach to an external prosthetic directly.

Traditionally, amputee’s residual limbs are molded to a socket. The socket is then connected to an external prosthetic. The socket fits around the residual leg and provides a soft attachment point for the leg. This is an acceptable solution from a pain and function standpoint for most amputees. For some, however, use of traditional socket technology is not effective. Issues can include: perspiration (causing sockets to fall off), pressure sores, pain, lack of ability to “feel” the ground as one walks, and having to expend a lot of energy to simply achieve every day tasks.

The purpose of OI is to improve pain, function, and energy efficiency for amputees. This technology was first introduced in Europe in the 1990’s and has been used in dental implants as well. The difficulty with this technology has always been the risk for infection. Those who receive OI implants typically have a chronic draining sinus that forms around the skin interface and it is through this sinus that infection can ascend into the bone. If the infection is severe enough, it can loosen the implant from the bone and cause failure.

Osseous Integration Implant

Osseous Integration Implant

Dr. Hugate’s interest in this technology started in 2003 when he was deployed as an army surgeon to Baghdad, Iraq and cared for many service members who had suffered traumatic amputations. Upon his return the U.S., while a Fellow at the Mayo Clinic, he began researching a new genre of implant materials termed “highly porous” materials in which skin and soft tissues could actually grow into and seal off implants.

Over the last decade, Dr. Hugate has developed an OI implant that utilizes porous metal technology to help “seal off” the implant and reduce the risk of infection. This technology is still in the early stages of development but has shown promising early results.

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Osseous Integration Implant for Permanent Prosthetic Leg

Although Dr. Hugate believes that OI will eventually become the standard of care for amputees worldwide, he is only considering a very select group of patients to receive this technology at this time.

Patients who are candidates for consideration for Osseous Integration include:

  • Patients who have failed use of traditional socket technology
  • Between ages of 18-50
  • Healthy
  • Non-smokers
  • Non-diabetics
  • Above-Knee amputees (although other amputee types would be considered)
  • No history of active infection

Dr Hugate Talks About Osseous Integration

Osseous Integration Gives Amputee a Permanent Prosthesis

Just before Dr. Hugate joined Panorama Orthopedics & Spine Center, he developed and implanted the first Osseous Integration device in the United States using porous metal technology.

One of his patients, Jace Badia, was a veteran from the Iraq war who lost his leg in a traumatic amputation, due to a roadside bomb. Today, he has a new leg and a new lease on life, thanks to Dr Hugate and the cutting-edge technology that he helped to design and develop. Dr. Hugate now brings his skill and advanced technology to Panorama Orthopedics & Spine Center.

Limb Preservation Team