Foot and Ankle Fellowship
The Orthopaedic Foot and Ankle Service at Washington University School of Medicine provides state-of-the-art care for all types of problems related to the foot and ankle, including but not limited to trauma of the foot and ankle, sports-related injuries, reconstruction of post-traumatic problems of the foot and ankle, foot deformities related to neuromuscular, arthritic and congenital conditions, tendon injuries of the hind foot and ankle, sports-related injuries, and foot complications of diabetes mellitus.
A more detailed listing of the depth and breadth of the foot problems treated by the Foot and Ankle Service includes:
- Sequelae of arthritis - ankle, hind foot and midfoot fusions, forefoot reconstructive procedures, comprehensive foot orthosis and bracing services by a certified pedorthist or orthotist.
- Arthroscopic surgery and sports medicine - treatment for sports-related bone, tendon and ligament problems of the hind foot and ankle, including ankle instability, Achilles' tendon problems, ankle and subtalar arthroscopy, and reconstructive surgery.
- Foot and ankle trauma - fractures of the ankle, calcaneus, talus, midfoot and forefoot, including complex bone and soft tissue injuries.
- Sequelae of trauma to the foot and ankle - fusions of the ankle, hind foot, midfoot and forefoot. Corrective osteotomies for deformity realignment using internal fixation or gradual correction with external fixation.
- Acquired problems - forefoot deformities, such as bunions, hammertoes, digital neuromas, heel pain, tendonitis, acquired flat foot deformity, and late effects of clubfoot.
- Neuromuscular disorders - treatment of foot deformities or paralysis associated with Charcot-Marie-Tooth disease, stroke, head injury and peripheral nerve injuries.
- Diabetic foot - a team approach provided in association with the Barnes-Jewish Hospital Diabetic Foot Center, focusing on prevention, salvage options, amputations, pedorthic and orthotic management and state-of-the-art wound management. In addition to the orthopaedic surgeon, team members include podiatrists, physical therapists, nurses, advanced practice wound care specialists, cast technicians, certified pedorthists, certified orthotists, and certified prosthetists.
The Foot and Ankle Service is located primarily on the main campus of the Washington University Medical Center at Barnes-Jewish Hospital as well as at the Washington University and Barnes-Jewish Outpatient Orthopedic Center in West St. Louis County. Surgery is performed both at Barnes-Jewish Hospital, Center for Advanced Medicine and the Outpatient Orthopedic Center in Chesterfield on a weekly basis. Additional services are provided at Shriners Hospitals for Children - St. Louis.
The Foot and Ankle Service performs over 800 surgical cases per year with about two-thirds of these procedures being either outpatient or less than 24 hour admissions. There are approximately 11,500 outpatient visits per year to the Foot and Ankle Service which represent approximately 3,000 new patients per year.
The Foot and Ankle Service is made up of three primary faculty members, Jeffrey E. Johnson, M.D., Sandra E. Klein, M.D., and Jeremy J. McCormick, M.D. A post-graduate Foot and Ankle Fellow, two orthopaedic residents, a nurse practitioner, an orthopaedic nurse with a large experience in both inpatient and outpatient orthopaedic nursing and medical assistants round out the service. A certified pedorthist/orthotist (for foot orthosis, shoe or brace fabrication) is available in the office. A certified prosthetist (prosthetic fabrication) is available on an as-needed basis. This provides a "one-stop" visit for the patient to obtain comprehensive foot and ankle evaluations and treatment.
Some foot and ankle problems are initially screened and treated non-operatively by the nurse practitioner or a physical medicine and rehabilitation physician with a special interest in foot and ankle problems. Referrals are then made to Drs. Johnson, Klein and McCormick or nurse practitioner for either further evaluation or surgery, as appropriate.
Trauma call is paid at the same level as faculty, and one day per month is recommended.
Autonomy in clinical practice for the fellow is provided through a foot and ankle clinic managed by the fellow and the residents twice per month.
Research opportunities are available for basic science or clinical projects, and one paper of publishable quality is required. Clinical research is currently underway or recently completed in the areas of surgical treatment of repeat ankle arthroscopy, foot drop, hallux rigidus, salvage of failed 1st MTP implants, late sequela of clubfoot deformity, and anatomical studies on blood supply to bones of the foot.
Muscle, joint, and movement deterioration contributing to neuropathic forefoot deformity, NIH/NIDDK (RO1 DK107809) co-investigator
Foot and Ankle Fellowship Program Mission Statement
To develop capable and curious orthopedic foot and ankle specialists who leave this program well equipped (with knowledge and skills) to understand and respond to the challenges of providing exceptional foot and ankle care to patients in an ever changing healthcare environment.
Applications are available through the Orthopaedic Foot & Ankle Fellowship Match Program sponsored by AOFAS. For additional information, please contact:
ATT: Foot and Ankle Fellowship
Department of Orthopaedic Surgery
Washington University School of Medicine
14532 S. Outer Forty Drive, Suite 210
Chesterfield, MO 63017-5701
Phone: (314) 514-3511 | email@example.com