The Orthopaedic Trauma Service at the University of Texas Health Science Center at Houston serves the community twenty-four hours a day, 365 days a year, by providing the highest quality of fracture care. We achieve this through innovative research, the education of future orthopedic surgeons, and a commitment to clinical excellence. Our faculty includes surgeons and physicians who specialize in orthopedic fracture care and polytrauma, supported by our physician assistants, residents, and fellows.

While honing skills to manage all aspects of orthopaedic trauma, a special focus will be placed on building expertise in pelvic and acetabular reconstruction.

Under the direction of Dr. Andrew R. Burgess, the Orthopedic Trauma fellowship program has built a world class faculty. There are international and national experts in the field of Orthopedic Traumatology. More importantly, the program prides itself in assuring that its faculty are trained to be the best educators possible.

If you have questions about our fellowship program or our application process, please contact Peggy Bleichroth in our academic office at 713-486-6998 or Peggy.L.Bleichroth@uth.tmc.edu 

 

Goals & Objectives

Goal # 1
Become a clinically proficient orthopaedic trauma surgeon able to manage common musculoskeletal injuries, including fractures and dislocations.

  • Objective 1. Effective pre-operative evaluation of acute trauma, including pertinent and synthesized history, physical examination, tests and radiographic information, assessment and formulation of a plan.
  • Objective 2. Intra-operative performance of osteosynthesis by various techniques.
  • Objective 3. Post-operative management of patients with fractures including inpatients and subsequent outpatients through rehabilitation and final healing.
  • Objective 4. Clinical evaluation and management of nonunions and malunions.
  • Objective 5. Acute management of high energy soft tissue injuries.

Goal #2
Develop an academic basis for orthopaedic trauma surgery.

  • Objective 1. Reading of relevant publications relating to orthopaedic trauma and the development of an evidence-based approach to the analysis of these situations.
  • Objective 2. Performing a research project including application of the scientific method. This includes development of a hypothesis, a model producing results, statistical analysis, and conclusion.
  • Objective 3. The publication of scientific information, including the preparation of the manuscript to include production of appropriate bibliography and illustrations, as well as content of the manuscript and the process of peer review through publication.
  • Objective 4. Critical review of the literature, including the editorial process.

Goal #3
Effective management of multiple traumas.

  • Objective 1. Recognition of the principles of multiple trauma and the treatment options.
  • Objective 2. Coordinated application of this knowledge in the clinical setting, including the emergency room, the operating room and post-operatively, with specific coordination with general surgery and other health care providers.
  • Objective 3. Recognition and management of the complications associated with multiple traumas, including ARDS and multiple organ system failure.
  • Objective 4. Critical review of the outcomes of multiple trauma treatment.

Goal # 4
Effective clinical management of post- traumatic infections of the musculoskeletal system.

  • Objective 1. Recognition of the principles and theories of effective treatment of open fractures with clinical application of that knowledge.
  • Objective 2. Development and recognition of sterile techniques in the operating room.
  • Objective 3. Recognition of effective infection prevention strategies.
  • Objective 4. Clinical acumen in the treatment of post-traumatic infections of the musculoskeletal system including effective use of antibiotics and antibiotic delivery implants, the role of surgical debridement, recognition of the importance of host factors, knowledge of soft tissue management and coverage, and the positive and negative effects of various forms of osteosynthesis.
  • Objective 5. Recognition of the patient factors associated with the treatment of chronic osteomyelitis.

Goal #5
Clinical expertise in trauma related areas of orthopaedics.

  • Objective 1. Amputation. Knowledge and clinical expertise in performance of amputations including current techniques of osteoplasty and recognition of their role in trauma treatment.
  • Objective 2. Anatomic-specific trauma techniques including hand, foot and pelvis.
  • Objective 3. Management of trauma other than fractures including ligament injuries and dislocations. This includes specifically ligament repairs and reconstructions, arthroscopic techniques and stabilization procedures, both acute and chronic.
  • Objective 4. Management of injury to the musculotendinous structures including operative and non-operative treatment and rehabilitation.

Services

The primary fellowship site is Memorial Hermann-Texas Medical Center, which operates the busiest Life Flight service in the country, covering a 150-mile radius with a population of 5,500,000 people. It is one of the busiest trauma centers in the country, admitting more polytrauma patients per year than any other US institution. Fellows rotate through different services at MHH-TMC, treating over 300 pelvic and acetabular fractures per year.

Participating faculty include Drs. Timothy Achor, Andrew Burgess, Andrew Choo, Joshua Gary, William Harvin, James Kellam, Danielle Melton, John Munz, Milton “Chip” Routt, Ryan Taylor, Jide Tinubu, Camden Tissue, and Stephen Warner.

In addition to fractures of the pelvis and acetabulum, Fellows are also exposed to complex periarticular fractures and long bone fractures, nonunions and malunions. Typically, on weekdays there are 4-5 orthopaedic trauma OR’s running concurrently; on weekends there are 2 OR’s running. There are daily trauma conferences, weekly teaching fracture conference, cadaver labs, and Grand Rounds. This fellowship participates in the San Francisco Match Program and is accredited by the OTA and Texas Medical Board.

Research
In keeping with the Department of Orthopaedic Surgery’s focus on research and innovation, each Fellow is responsible for completing a minimum of one research project during the one year fellowship. The research requirement will be considered to be met upon the completion of one manuscript of publishable quality. Each Fellow will meet with the Fellowship Director on a monthly basis and provide research update. Each Fellow will present their findings at Research Day in June.

Community

Texas Medical Center is the world’s largest medical complex. Today, TMC is comprised of 21 hospitals, 13 support organizations, 8 academic and research institutions, six nursing institutions, three medical schools, two universities, two pharmacy schools, and a dental school. Within this collaborative network, more than 20,000 physicians, scientists, and researchers strive each day to transform the future of medicine, touching the lives of more than seven million patients annually.

As Houston’s health university, The University of Texas Health Science Center at Houston is the most comprehensive academic health center in the University of Texas system. One of the nation’s largest medical schools, UTHSC is proud to educate more health care professionals than any other health-related institute in the state.