Experts in Advanced Limb Optimization
From preventing limb loss to performing cutting-edge procedures like osseointegration, our multidisciplinary team uses the latest techniques and technologies to help patients regain mobility, function and quality of life—even in the most complex cases.
- Advanced limb salvage and reconstruction
- Comprehensive amputee care
- Image guided rehabilitation
- Osseointegration
- Thighplasty
- TMR and other neuromodulation
Pioneering Osseointegration Surgery
UT Health San Antonio is among the first in the region to offer osseointegration—a groundbreaking procedure that is transforming prosthetic care. This advanced approach provides greater stability, improved mobility and a more natural connection to the prosthesis, helping restore independence and quality of life.
What is Osseointegration?
Osseointegration is a two-stage surgery that attaches a prosthetic limb directly to the bone, removing the need for a traditional socket. By reducing common socket issues—like skin irritation, poor fit and limited mobility—it offers a more comfortable, stable solution. This can be especially helpful for patients with socket discomfort or short residual limbs, allowing for more natural movement and freedom in daily activities.
Multidisciplinary Care
Surgeons, rehabilitation physicians, prosthetists, therapists and behavioral health providers collaborate closely to ensure every aspect of healing and recovery is supported. From surgery and prosthetic fitting to rehabilitation and emotional well-being, our team shares one goal: helping patients regain independence and improve quality of life.
This coordinated, whole-person approach means you and your family receive seamless, compassionate care—not just for today, but for the long term.
Meet Our Team
Dr. Joseph Alderete is a board-certified orthopaedic surgeon with fellowship training in musculoskeletal oncology and leads the Limb Optimization Program at UT Health San Antonio.
With 30 years of military service, Dr. Alderete previously led advanced amputee and limb salvage care as chief of Orthopaedic Oncology and medical director of the Center for the Intrepid at Brooke Army Medical Center. He was among the first handful of surgeons in the United States to perform osseointegration and played a key role in shaping the Department of Defense and VA Osseointegration Human Clinical Trial, which helped establish a national standard for this life-changing procedure.
He is internationally recognized for his expertise in sarcoma care, limb salvage, osseointegration and advanced prosthetic integration.
Ashlee Blume, PA-C, is a board-certified physician assistant and medical director of the UT Health Limb Optimization Program. She leads a multidisciplinary team dedicated to advancing amputee care through surgical innovation, prosthetic interface optimization and coordinated long-term support.
With expertise in osseointegration, limb salvage and complex orthopedic oncology, Ashlee has been instrumental in developing seamless clinical pathways that integrate surgery, prosthetics, rehabilitation, and patient education. Her leadership has helped establish UT Health San Antonio as a center of excellence, expanding access to cutting-edge care for individuals with complex limb conditions.
Location
UT Health Medical Arts & Research Center
8300 Floyd Curl Drive
San Antonio TX, 78229