South Texas Orthopaedic Specialty Group
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Alamo Orthopedics is a comprehensive orthopedic sub specialty practice that offers a full range of services addressing a variety of musculoskeletal conditions. Explore our list of professionals and executive staff. Call our office to request an appointment with any of our providers. Find our forms online and download and complete them prior to your appointment to save time.

We look forward to helping you get back to an active lifestyle by restoring your orthopedic health. Let Dr Gerken know I went skiing in Breckenridge CO this past weekend and my knee did awesome! I didn't cross country ski but I did ski the slope for the 1st time in my life! I highly recommend Dr. Tuder.
Services
Alamo Orthopedics physician group is one of the fastest growing multi-specialty physician and surgical practice groups in South Texas. With Alamo Orthopedics improved patient access points, we're connecting consumers to state-of-the-art technology, clinical resources and vast professional expertise to keep you healthier.
Arthroscopic surgery can be used to address pathology in nearly every joint of the body and is often utilized to treat athletes with sports related injuries. Arthroscopic Surgery involves the use of small incisions around a joint to facilitate a minimally invasive procedure utilizing a camera, video monitor, and highly specialized instruments.
Joint Preservation Surgery aims to restore movement to your joints, decrease pain, and potentially delay the need for joint replacement procedures. These procedures are used to address focal deficits to the cartilage, which are often the result of acute trauma.

Arthroscopic procedures can be used to graft donor cartilage or transplant autologous (patient's own) cartilage from non-critical portions of the joint to those that are essential for pain free motion and weight bearing.Alternatively, a patient's cartilage cells can be harvested for culture outside the body and are later transplanted back to the defective area.
Joint Replacement Surgery (also referred to as Joint Arthroplasty) involves the removal of the damaged cartilaginous surfaces of a joint through carefully planned cuts of the bone utilizing specialized guides sized to each individual patient. These cuts facilitate the placement of a replacement joint through the use of a biocompatible metal cap and interposed plastic (polyethylene) spacer.
Alamo Orthopedics understands fracture care: our highly skilled surgeons have dedicated their practices to offering the latest and most advanced techniques for fracture care management. Fracture care can be both nonoperative and operative. Nonoperative techniques consist of closed reduction if required, followed by a period of immobilization with casting or splinting.
Reviews (10)
Donavon Lee
Donavon Lee
Feb 01, 2022
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Nobody told me I needed physical copies of my X-rays and MRI. They will not accept faxed documents or links so I have now canceled my appointment to reschedule an orthopedic procedure that’s long overdue and none of the appointment times work with my work schedules. I’m a paying patient in pain and there needs to be better communication along with transferring of released copies of X-rays and MRI’s from one medical center to the next. It’s unnecessary for me to pay for another X-ray and MRI if I already have them done. I just need the procedure done so I can live regularly and be pain free
Josefa Palencia Rodriguez
Josefa Palencia Rodriguez
Jan 14, 2022
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Personal was excellent. Dr...is so good an gentle..feel good Dr. Said I would...
Erica Sullivan
Erica Sullivan
Dec 05, 2021
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I'm very happy to have found Dr Tuder and his staff. Everyone at Alamo Orthopedics is pleasant, the wait is not long and the waiting room is nice and large. Dr Tuder is very knowledgeable and skilled. I feel safe and trust his judgement.
Alexandra Ahmadi
Alexandra Ahmadi
Nov 17, 2021
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Dr. Kreines has taken very good care of my family, friends and even my tennis team! Thank you Doc for keeping the Dominion Rebels in the best shape!
Clem Arriaga
Clem Arriaga
Nov 14, 2021
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Friendly fast service. God bless them all shots on knee 🙏make me with know Pain
Robin Dean
Robin Dean
Nov 13, 2021
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The staff was friendly even though they were working a new software and could tell they were trying hard to figure it out.. Loved the xray people.. So nice.. And loved the doctor.. He told me what was happening and had a since of humor.. Would recommend this place to everyone..
Rose M. Bocanegra
Rose M. Bocanegra
Oct 14, 2021
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Everyone is very courteous and professional. My experience with Dr. Kreines and everyone has been great. I would definitely recommend Alamo Orthopedics to anyone. 👍
Nomkita Chirunga-Cortez
Nomkita Chirunga-Cortez
Oct 14, 2021
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The staff is always friendly and helpful. Although Dr. Tudor is busy, he takes the time to explain things and answer questions.
Jody Johnson
Jody Johnson
Jul 21, 2021
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Dr. Tuder is an amazing Provider. That’s why I gave 5 stars. But I must agree with the other comments. The front desk staff especially the check in lady is not very friendly and made me feel like we were not welcomed. I am a Health Care Provider and no patient should come into a medical office that services they are paying for feel like they are bothering the staff. Please do better.
JoAnn Ahmadi
JoAnn Ahmadi
Mar 16, 2021
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Dr Kreines did an excellent job on my shoulder! I’m so happy I went to him! Dr Kreines has a great bedside manner. He listens to his patients and is empathetic. I an referring him to my best friend.