Although many severe injuries heal completely, others can linger. Medardo Maroto, M.D., an orthopaedic trauma surgeon and Assistant Professor of Orthopaedic Surgery at UT Southwestern Medical Center, meets many of his patients for the first time weeks, months, or even years after their original injuries. Whether it’s a nonunion (bone that didn’t heal), a malunion (a bone that healed at the wrong angle), or a post-traumatic infection, repairing these types of post-traumatic injuries is one of Dr. Maroto’s specialties, in addition to treating acute injuries.
For traumatic injuries, we apply surgical techniques to allow the soft tissue to heal effectively, alongside the bone. This helps minimize complications of soft-tissue injuries or problems after the bone heals.”
Helping patients with severe fractures near a joint, or complex periarticular fractures, is also among Dr. Maroto’s areas of expertise. When a bone is shattered near a joint, the injury doesn’t just stop with bone. It can also involve cartilage, ligaments, the skin, blood vessels, and fat (soft tissue) around the injury. Dr. Maroto trained at one of the country’s foremost orthopaedic trauma hospitals, Harborview Medical Center in Seattle, Washington, to gain experience with these complex injuries.
That subspecialized training has allowed Dr. Maroto to push past what other surgeons might judge the limits of repair. “We're using newer techniques of reconstructing very traumatic injuries that maybe even 10 years ago may have been treated suboptimally without surgery, or may even have been amputated by many orthopaedic surgeons,” he says.
“We are an academic center, so our job is to also explore newer and better techniques.
If there's a chance for us to save a leg that otherwise would be amputated, we do that here. We will use the gold standard, but we want to also be challenging and maybe redefining those gold standards. We’re always striving to do better.”
- Orthopaedic (high-energy) trauma
- Post-traumatic orthopaedic injuries
- Complex fractures
- Upper and lower extremity fractures
- Hip and pelvic fractures
- Bone graft
- Bone morphogenetic protein (BMP)
- Bone substitutes
- Calcium phosphate bone grafts
- Calcium sulfate bone grafts
- Joint injury