Limb Salvage and Amputation Reconstruction Center (LSARC)

This specialty center of excellence at HSS provides integrated care for those faced with a possible amputation or after having already undergone amputation surgery. Our mission is to provide optimal care and achieve the highest level of function and mobility for our patients - whether that is to help prevent a limb from being amputated or to offer the best options for a prosthetic. Patient-centered clinical research helps us further advance the care of the individual with a severely compromised limb. We strive to continuously improve and innovate with every patient that we help.

Dr. Rozbruch gives an overview of LSARC and treatment options for patients

Limb salvage and amputation reconstruction surgery

Our orthopedic surgeons who specialize in limb salvage surgery and amputation reconstruction surgery will evaluate and work with you to determine the best treatment approach. Focusing on your speicific needs, you and your expert surgeon will also interact with other key professionals:

• Prosthetics and orthotics: certified professionals who will build the best device to help you reach your maximum mobility. You will get fitted with a state of the art prosthesis or orthosis.
• HSS Motion Analysis Lab: specialists and scientists who perform gait analysis for diagnostic purposes, evaluation of outcomes, and clinical and translational research
• Patient counselors: individuals who are high-level, functioning amputees with personal experience and perspective providing support and advice, as well as running group programs and amputee walking schools.
• Psychologist: a trained physician who can provide psychological support to help you navigate this treatment program.
• Physical therapy: therapists who help guide your recovery during your hospital stay and provide you with the tools to strengthen your body and move independently.
• Medical specialists: physicians who specialize in infectious disease, vascular surgery, plastic surgery, and pain management

Who is a candidate for limb salvage or amputation reconstruction?

• Limb at risk for amputation

  If you have a limb at risk from infection, bone loss, soft-tissue compromise related to trauma, tumor reconstruction, or peripheral vascular disease, we will determine if you are a candidate for limb salvage surgery or amputation reconstruction surgery. Our surgeons are experts in both limb salvage surgery and amputation reconstruction: they will guide you toward the best approach for your needs. After surgery, you will get support and services at HSS.

• Amputation reconstruction

  If you have already had an amputation, we will provide the support you need. This includes prosthetic fitting, physical therapy, psychological support, and the expertise of patient counselors. These counselors are themselves amputees who run walking schools, support groups, and offer individual counseling. If you had an amputation surgery at a different hospital and are having difficulties, we will evaluate you to determine the root of the problem and offer to you the best solution. Osseointegration is an excellent option for select patients who are having difficulty with socket wear.