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Expert Joint Replacement in Carrollton, TX
The Dallas Limb Restoration Center in Carrollton, Texas, stands as a national referral center specializing in complex knee, shoulder, and hip conditions. Founded by board-certified, fellowship-trained orthopedic surgeon Dr. Richard Buch, our team prioritizes patient-centered care for teens and adults across the Dallas-Fort Worth metroplex. We begin with comprehensive evaluations and diagnostics, emphasizing conservative treatments before considering surgical interventions. Dr. Buchs expertise in regenerative medicine, including stem cell and PRP injections, often helps patients avoid surgery. Our advanced procedures include reverse shoulder replacement, bilateral joint replacements, and infection management, with customized knee implants using the Conformis iTotal PS system.

As one of the few orthopedic oncologists in the region, Dr. Buch provides tumor care from diagnosis through reconstruction. With over 25 years of experience and more than 11,000 joint replacements performed, we combine cutting-edge technology with compassionate care to restore active, pain-free lives. Patients consistently praise our teams ability to address complex cases, including those deemed untreatable elsewhere, and our commitment to transparency, personalized treatment plans, and long-term outcomes.
Services
Nano Knee Replacement Knee Replacement Hip Replacement Reverse Shoulder Replacement Bilateral Knee Replacement Bilateral Hip Replacement Infection Management Regenerative Medicine Rotator Cuff Repair Orthopedic Oncology
Highlights and features
  • We have over 25 years of experience in joint replacement surgery.
  • Our team offers regenerative medicine therapies to avoid surgery when possible.
  • We use 3D-printed, patient-specific knee implants for precise fit and function.
  • Our founder is one of the few orthopedic oncologists in the region.
  • We specialize in complex cases others have deemed untreatable.
What people say
Expertise in complex cases Compassionate, personalized care Successful pain relief Restored active lifestyles Precise implant customization
Services
Knee Replacement
Our knee replacement procedures utilize advanced technologies like the Conformis iTotal PS system to create 3D-printed implants tailored to your anatomy. This precision ensures better alignment, preserved healthy tissue, and improved mobility. Patients benefit from customized surgical plans and rapid recovery protocols.
Hip Replacement
We specialize in both primary and revision hip replacements, addressing severe arthritis, fractures, and failed prior surgeries. Our approach combines minimally invasive techniques with durable implant options, including ceramic-on-ceramic bearings, to restore pain-free movement and long-term function.
Regenerative Medicine
Our regenerative treatments, including stem cell and PRP injections, stimulate natural healing for joint damage and arthritis. These therapies often delay or eliminate the need for surgery, offering patients a less invasive path to pain relief and tissue repair.
Orthopedic Oncology
We provide comprehensive care for bone and soft tissue tumors, from diagnosis through surgical removal and reconstruction. Our expertise includes limb-salvage procedures and advanced techniques to preserve mobility while eliminating cancerous growths.
Reverse Shoulder Replacement
This procedure is ideal for patients with severe rotator cuff damage or complex fractures. By reversing the ball-and-socket anatomy, we restore shoulder stability and function, allowing improved range of motion and reduced pain for active lifestyles.
People
Richard Buch
Founder & Orthopedic Surgeon
Dr. Richard Buch is a board-certified, fellowship-trained orthopedic surgeon with over 25 years of experience. He has performed 11,000+ joint replacements and specializes in complex cases, regenerative medicine, and orthopedic oncology.
Questions
What joint replacement options do you offer?
We provide customized knee, hip, and shoulder replacements using advanced technologies like 3D-printed implants and minimally invasive techniques.
Do you treat non-surgical orthopedic conditions?
Yes, we offer regenerative medicine therapies, including stem cell and PRP injections, to repair joint damage without surgery.
Can you handle complex or revision surgeries?
Yes, we specialize in challenging cases, including failed prior surgeries, infections, and limb-salvage procedures for tumors.
What is your approach to patient care?
We prioritize personalized treatment plans, conservative options first, and transparent communication to ensure informed decisions.
How do you customize knee implants?
We use the Conformis iTotal PS system to create 3D-printed implants matching your unique anatomy for optimal fit and function.
Do you accept insurance?
We work with most major insurance providers. Contact our office for specific coverage verification and billing details.
Reviews (5)
Kimberly Siford
Jul 23, 2021 Report
Dr.Buch is very Unique in high job I did not like him to at first but ounce I got to no him iI liked his work and his sense of humor is Unique and different in its own way.Dr Buch goes above and beyond his job. And Dr Buch is very professional at his job he saved my right leg when everybody else wanted to amputate it I am very pleased with his work .
C. V. West
Jul 15, 2021 Report
Worst, Meanest, Grumpiest Doc I have ever seen! He asks a Question, then Rudely Interrupts when I try and answer! He had nothing for me, I'm not saying he's a Bad Doc, but he had no answer for my case!
Scott Baker
Nov 30, 2018 Report
I walked around in pain for almost 10 years and every other doctor I saw never wanted to do the surgery. But when I saw Dr Buch, he didnt hesitate. The surgery went perfectly and my recovery is going great. Dr Buch is professional but with a great sense of humor, making the experience more comfortable. I am so glad that I choose Dr Buch for my double hip replacement. I would not hesitate to use him again and recommend him to anyone.
Ignacio Guerra
Oct 29, 2018 Report
On my first visit to Dr. Jason Davis I was barely walking or standing or sitting my pain was at the top . After they took some x-rays they found out the problem was my hips both of them so they say surgery was necessary so I agree with them they already do both surgeries and seven months after the first surgery . I am feeling 90% better now I can walk sit and rest. I am still in physical therapy and helping by the time I finish Im going to be 100% healthy thank you very much Dr Jason Davis and all his crew thank you all very very much
Jim Mcclung
Jan 25, 2018 Report
Dr Buch and staff took the time to explain my options thoroughly and concisely, helping me to choose the procedure that would provide the best results for me going forward. In my case this was a partial knee replacement. From there the same care and protocols have been followed through from first visit, to surgery at Pine Creek Hospital and recommended physical therapy, all seamless from my view with the same level of care through each phase start to finish. We never felt unsure or alone. The communication and follow through has been excellent! Thank You