Detroit Medical Center / Wayne State University 

Orthopaedic Trauma Fellowship:

OTA Approved / AO North America Trauma Fellowship 

The fellowship is designed to provide a complete experience in the management of orthopedic trauma.  At the completion of the fellowship, the participants should be competent to treat orthopaedic trauma in either a private practice trauma center or academic setting.  Fellowship goals include:  

1) To develop clinical expertise in the diagnosis and management of complex and multi-system orthopedic trauma.
2) To refine clinical skills in such a way that new problems can be addressed based upon pathophysiologic and patient-oriented information allowing an appropriate treatment plan to be initiated in patient care.
3) To attain technical and surgical expertise in complex orthopedic trauma, to all orthopaedic body parts.
4) To gain exposure to research including clinical reviews, clinical outcome studies, and basic science research.

These goals are obtained through the following educational methods:  1) clinical preceptorship, 2) didactic lectures, 3) Socratic conferences, and 4) formal research experience.  The clinical preceptorship includes experience in the offices of the attendings as well as a fellow-directed clinic, and operating room coverage.  New patients are followed from diagnosis through the selection of treatment plan, pre-operative planning, operative intervention, and post-operative management.  Outpatient clinic time allows the fellow to observe directly the recovery process and to observe long-term results following surgical procedures.  The didactic portion of the education process includes lectures by the faculty during a weekly trauma conference, weekly resident core conference, a weekly fellow specific lecture series and guest lectureships.  The Socratic conferences include pre-operative conferences, case presentations at Trauma Conference, one-on-one discussions and interchanges during rounds, and direct evaluation of patients in the office.  

Also the Fellow should have completed the AO  Advanced Trauma Course and will attend the AO North America Pelvic Course, the AONA Fellows course and all OTA and AO fellow activities 

Has to be certified in ATLS

There are Funds for the Fellow to attend the OTA annual Meeting in Washington DC

 

 

The following are Qualifying Trauma Cases

 

Acetabular fractures 27226-27228

Open treatment hip dislocation with ORIF acetab. wall 27254

Pelvic ring fractures 27215 to 27218

 

Long bone fractures

femur 27506, 27507

(ORIF) tibia 27759, 27758 (ORIF)

humerus 24515, 24516 (IM nail)

both bone forearm fractures 25575,

one bone of BB forearm 25574

Radius 25515

Ulna 25545

 

Proximal femur Hip fractures/dislocations 27244-45

Fem neck fracture 27235 and 27236

Girdlestone 27295

Femoral Head 27269

Greater trochanter 27248

 

Upper extremity periarticular fractures

 

Periarticular elbow 24586

Open rx elbow dislocation 24615

Proximal humerus 23615-20

Prox humerus fx hemi 23616

Clavicle 23515

Scapula 23585

Monteggia 24635

Radial Head/neck 24665-66

Galeazzi 25525

Distal radius 25606-9

Olecranon/coronoid 25685

Distal humerus 24545 (supracondylar), 24546 (intracondylar)

 

Lower extremity periarticular fractures

 

Distal femur 27511-27514

Proximal tibia 27535-27536

Patella 27524

Pilon 27826-27-28

ORIF prox tib/ fib joint 27832

ORIF intercondylar spine/ tuberosity 27540

 

Foot and ankle fractures

Calcaneus 28415, 28406 (perc. Calc)

Talus 28445 9

Tarsal 28465

Tarsal dislocation 28555

Talotarsal dislocation 28585

Tarsometatarsal dislocation 28615, 28606 (perc)

Ankle 27766, 27769 27792, 27814, 27822, 27823 (trimal with post. Mal) 27829

Metatarsal fx 28476 (perc), 28485 (open) Great toe fx 28496 (perc), 28508 (open)

 

Upper and lower extremity nonunions and deformity corrections

 

clavicle 23485 humerus 24430-35 radius and ulna 25400-05-15-20 pelvis 27146 pertrochanteric 27165 femur 27470-72 tibia and fibula 27720-22-24-25-26 Fibular ostoetomy 27707

 

Soft tissue management cases

 

STSG 15000-101 Gastroc flap 15738 I&D open fx 11011-2 Quad and patellar tendon 27380-85 Foot fasciotomy 28008 Lower leg fasciotomy 27602 Thigh fasciotomy 27025 Buttock/pelvis fasciotomy 27027 Hand fasciotomy 26037 Forearm fasciotomy 25020 Elbow ligaments 24343-45 Achilles repair 27650 Knee and ankle ligament reconstructions 27405-07-09, 27427-28-29, 27556-57-58, 27695-96-98, 29888-89 Pediatric fractures supracondylar 24539 lateral condyle 24579

 

Amputations-Lower extremity

 

Hemipelvectomy 27290 Hip disartic 27295 AKA 27590 Revise AKA 27594 BKA 27880 BKA with cast 27881 Guillotine 27882 Ankle disartic 27888 10 Trans met 28805 Upper Extremity Forequarter 23900 Shoulder disartic 23920 Humerus 24900, 24920, 24930 Forearm 25900, 25905, 25909 Wrist 25920, 25925 Hand 25927, 25931

 

Quadriceps plasty 27430

 

External fixation, uniplanar, multiplanar, revision 20690, 20692, 20693, 20694, 20696

 

Knee and elbow arthrotomy 24000, 27310