Dr. Vilas Saldanha, MD

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Dr. Vilas Saldanha, MD

Dedicated to healing. Exceptional orthopedic care for optimal mobility.

08/08/2025

Meet the team behind the scrubs — committed to helping you move with confidence. 💪

23/07/2025

Complex Distal Femur Fracture in a 77-Year-Old

This patient sustained a mechanical fall resulting in a comminuted intra-articular distal femur fracture—a challenging injury, especially in the setting of osteoporosis.

In osteoporotic bone, fixation strategy must be deliberate. Options included:
  •  Screw and side plate fixation
  •  Retrograde nailing
  •  Distal femoral replacement (arthroplasty)— though aggressive in this context.

We incorporated blocking screws (poller technique) to aid in guiding the implant and improve trajectory—particularly useful when bone stock is limited.

We’ve included some intra-op fluoro shots to highlight technique:
One helpful trick—insert the rod 180° off axis and then rotate into position to engage between blocking pins for more reliable placement.

For fixation:
  •  We utilized headless compression screws where applicable
  •  The selected Stryker nail allows an interference fit between the screw and rod—this gives excellent purchase and rotational control even in poor-quality bone.

The patient was made non-weight bearing, but knee ROM was allowed immediately.

Always interested in how others manage these fragile distal femurs. ✨ What’s your go-to strategy?

20/01/2025

Starting off 2025 with gratitude. Honored to be nominated by my fellow peers as a Top Doctor for the fifth consecutive year in . This recognition motivates me to continue providing the best care possible. Here’s to another year of making a difference ⭐️

14/11/2024

Honored to be among such talented colleagues. Congratulations to all – proud to be part of this team!

Please join us in congratulating the many providers who have been nominated! Physicians are selected using a multiphase selection process, combining peer nominations and evaluations with independent research. Catch them in the December 2024 issue of Texas Monthly and on the Super Doctors website. We are so proud of all of our providers!

11/11/2024

We want to take a moment today to thank the many veterans who have chosen to serve our country. We are especially grateful for those who now work at Texas Orthopedics and continually serve our patients day in and day out. Happy Veterans Day.

Address

4700 Seton Center Pkwy STE 200

78759

Telephone

+15124390548

Website

https://www.drsaldanha.com/

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