Biography

Milton Lee (Chip) Routt, Jr., M.D. is the Dr. Andrew R. Burgess Endowed Chair and Professor in the Department of Orthopedic Surgery at McGovern Medical School at UTHealth Houston, The Texas Trauma Institute, and Memorial Hermann Hospital – Texas Medical Center. He currently serves as the President of the Surgeon’s Council and Co-Chairman of the Quality Assurance Committee, and on the Medical Executive Committee at Memorial Hermann Hospital – Texas Medical Center.

Dr. Routt is a native of Chappell Hill, Texas, graduating Summa Cum Laude from Texas A&M University. Following medical school at the University of Texas Medical Branch in Galveston, he completed a Surgical Internship and Orthopaedic Residency at Vanderbilt University. His Orthopaedic Traumatology fellowship was at the University of Washington’s Harborview Medical Center. He remained there as faculty from 1989 through 2012.

Dr. Routt has published over 100 peer-reviewed articles, as well as numerous other educational contributions including book chapters. He is best known as a tireless and devoted physician-surgeon, and passionate teacher.

Dr. Routt has received a variety of awards including the 2019 Leonard Tow Award for Humanism and Education, 2018 MHH Physician of the Year, Orthopedic Resident Teaching awards at UT Houston and the University of Washington, and the Jack McDaniels Traveling Fellowship. Dr. Routt is an Ashbel Smith Distinguished Alumnus of UTMB and a Distinguished Alumnus of Brenham High School. He has directly mentored, educated, and hosted 100s of Orthopaedic Traumatologists from the United States and Canada, and from across the globe. He is recognized nationally and internationally for his work with pelvic and acetabular injuries.

Dr. Routt is a member of the American Academy of Orthopedic Surgeons, the American Orthopedic Association, the Orthopedic Trauma Association, the AO Alumni Association and the Alpha Omega Alpha Honor Medical Society, among others. He served on the boards for AO North America and the Western Orthopaedic Association, and was an AO Foundation trustee. Dr. Routt is board certified by the American Board of Orthopedic Surgeons.

Education

Undergraduate Degree
Texas A&M University, College Station, Texas
Medical School
University of Texas Medical Branch at Galveston, Galveston, Texas
Internship
Vanderbilt University Medical Center
Residency
Orthopaedic Surgery Residency, Vanderbilt University Medical Center
Fellowship
Orthopaedic Traumatology Fellowship, University of Washington Harborview Medical Center, Seattle, Washington

Areas of Interest

Clinical Interests

Orthopedic Trauma
Fractures
Treatment of the multiply injured patient
Pelvic ring fractures and disruptions
Acetabular fractures

Research Interests

Pelvic ring fractures and disruptions
Acetabular fractures
Outcome and quality improvement
Improved treatment techniques
Orthopedic education

Publications

Peer Reviewed Journal Articles

Routt MC. Osteochondral fragment removal from the hip joint: Opinion: fragment removal. J Orthop Trauma. 2005 Mar;19(3):223-4.

Gourlay D, Hoffer E, Routt M, Bulger E. Pelvic angiography for recurrent traumatic pelvic arterial hemorrhage. J Trauma. 2005 Nov;59(5):1168-73; discussion 1173-4.

Routt ML Jr., Falicov A, Woodhouse E, Schildhauer TA: Circumferential pelvic antishock sheeting: a temporary resuscitation aid. J Orthop Trauma. 2006 Jan;20(1 Suppl):S3-6.

Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Routt ML Jr, Chapman JR. Decompression and lumbopelvic fixation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma. 2006 Jul;20(7):447-57.

Linnau, KF, Blackmore CC, Kaufman, R, Nguyen TN, Routt, ML, Stambaugh LE 3rd, Jurkovich, GJ, Mock, CN: Do Initial Radiographs Agree with Crash Site Mechanism of Injury in Pelvic Ring Disruptions? A Pilot Study. J Orthop Trauma. 2007 Jul;21(6):375-80.

Molnar, R, Routt, M.L..: Open Reduction of Intracapsular Hip Fractures using a Modified Smith-Petersen Surgical Exposure. Accepted for publication by J Orthop Trauma. 2007 Aug;21(7):490-4.

Gardner MJ, Farrell ED, Nork SE, Segina DN, Chip Routt ML Jr. Percutaneous Placement of Iliosacral Screws Without Electrodiagnostic Monitoring. J Trauma. 2008 Sep 15.

Mehta S, Routt ML Jr. Irreducible fracture-dislocations of the femoral head without posterior wall acetabular fractures. J Orthop Trauma. 2008 Nov-Dec;22(10):686-92.

Dunbar RP Jr, Gardner MJ, Cunningham B, Routt ML Jr. Sciatic nerve entrapment in associated both-column acetabular fractures: a report of 2 cases and review of the literature. J Orthop Trauma. 2009 Jan;23(1):80-3.

Gardner MJ, Farrell ED, Nork SE, Segina DN, Routt ML Jr. Percutaneous placement of iliosacral screws without electrodiagnostic monitoring. J Trauma. 2009 May;66(5):1411-5.

Farrell ED, Gardner MJ, Krieg JC, Chip Routt ML Jr. The upper sacral nerve root tunnel: an anatomic and clinical study. J Orthop Trauma. 2009 May-Jun;23(5):333-9

Gardner MJ, Parada S, Chip Routt ML Jr. Internal rotation and taping of the lower extremities for closed pelvic reduction. J Orthop Trauma. 2009 May-Jun;23(5):361-4. Review

Gardner MJ, Osgood G, Molnar R, Chip Routt ML Jr. Percutaneous pelvic fixation using working portals in a circumferential pelvic antishock sheet. J Orthop Trauma. 2009 Oct;23(9):668-74.

Calafi LA, Routt ML. Direct hip joint distraction during acetabular fracture surgery using the AO universal manipulator. J Trauma. 2010 Feb;68(2):481-4.

Barei DP, Shafer BL,. Beingessner DM, Gardner MJ, Nork SE, Routt ML. The impact of open reduction internal fixation on acute pain management in unstable pelvic ring injuries. J Trauma. 2010 Apr:68(4);949-53.

Evans AR, Routt ML Jr., Nork SE, Krieg JC. Oblique Distraction External Pelvic Fixation. J Orthop Trauma. 2011 Oct.

Graves ML, Routt ML Jr. Iliosacral screw placement: are uniplanar changes realistic based on standard fluoroscopic imaging? J Trauma. 2011 Jul;71(1):204-8, discussion 208.

Gardner MJ, Routt ML Jr. Transiliac-transsacral screws for posterior pelvic stabilization. J Orthop Trauma. 2011 Jun;25(6):378-84.

Miller AN, Routt ML Jr. Variations in Sacral Morphology and Implications for Iliosacral Screw Fixation. J Am Acad Orth Surg. 2012 Jan:20(1):8-16.

Evans AR, Routt ML Jr, Nork SE, Krieg JC. Oblique distraction external pelvic fixation. J Orthop Trauma. 2012 May;26(5):322-6.

Bishop JA, Routt ML Jr. Osseous fixation pathways in pelvic and acetabular fracture surgery: osteology, radiology, and clinical applications. J Trauma Acute Care Surg. 2012 Jun;72(6):1502-9.

Calafi LA, Routt ML Jr. Posterior iliac crescent fracture-dislocation: what morphological variations are amenable to iliosacral screw fixation? Injury. 2013 Feb;44(2):194-8

Scolaro JA, Routt ML. Intraosseous correction of misdirected cannulated screws and fracture malalignment using a bent tip 2.0 mm guidewire: technique and indications. Arch Orthop Trauma Surg. 2013 Jul;133(7):883-7

Scolaro JA, Routt ML Jr. Reduction of osteoarticular acetabular dome impaction through an independent iliac cortical window. Injury. 2013 Dec;44(12):1959-64.

Book Chapters

Routt ML Jr, Falicov A, Woodhouse E, Schildhauer TA. Circumferential pelvic antishock sheeting: a temporary resuscitation aid. J Orthop Trauma. 2006 Jan;20(1 Suppl):S3-6.

Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Routt ML Jr, Chapman JR. Decompression and lumbopelvic fixation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma. 2006 Jul;20(7):447-57.

Linnau KF, Blackmore CC, Kaufman R, Nguyen TN, Routt ML Jr., Stambaugh LE 3rd, Jurkovich GH, Mock CN. Do initial radiographs agree with crash site mechanism of injury in pelvic ring disruptions? A pilot study. J Orthop Trauma. 2007 Jul;21(6):375-80.

Molnar RB, Routt ML Jr. Open reduction of intracapsular hip fractures using a modified Smith-Petersen surgical exposure. J Orthop Trauma. 2007 Aug;21(7)490-4.

Courses Chaired

Co-Chair: Surgical Skills Course. AAOS, Rosemont, IL, May 20 -22, 2005.

Advanced Principles and Techniques Course. AO ASIF, Marco Island, FL, June 4 – 9, 2006.

Pelvic and Acetabular Fractures: Advanced Concepts, Details and Improved Techniques. AAOS/OTA, Rosemont, IL, May 4 – 6, 2007.

Course Co-Director: “AAOS/OTA Fractures of the Pelvis and Acetabulum”, Rosemont, Illinois, October 31- November 2, 2013.

Course Chairman: The 57th Annual Edward T. Smith Orthopedic Lectureship: Controversies & Advances in Traumatic Pelvic and Acetabular Injuries, The University of Texas Health Science Center at Houston, Department of Orthopedic Surgery, November 14-15, 2013