Dr. Christopher McAndrew | Orthopaedic Trauma Surgeon | Washington University Orthopedics

Dr. McAndrew specializes in the management of acute fractures of the arm, leg, and pelvis. Peri-articular fracture care, polytrauma, fractures of the pelvis and acetabulum, non-unions and malunions of fractures, osteomyelitis, and post-traumatic reconstruction. Dr. McAndrew has particular interest and expertise in treating: periarticular fractures of the shoulder (proximal humerus), elbow (distal humerus, olecranon, and radial head), hip (acetabulum, femoral head and neck, intertrochanteric, and subtrochanteric), knee (patella, distal femur, tibial plateau), ankle (pilon and plafond), and foot (calcaneus, talus, midfoot, Lisfranc); fractures in the polytrauma patient; fractures of the pelvis and acetabulum; peri-prosthetic fractures; and management of post-traumatic problems including nonunions, malunions, arthritis, and osteomyelitis.

Clinical Office Locations

Center for Advanced Medicine (CAM)

Barnes Jewish Hospital

4921 Parkview Place

St. Louis, MO 63110

Hospital Affiliations

Barnes-Jewish Hospital

Academic Office Mailing Address

Washington University School of Medicine

Campus Box 8233

660 Euclid Avenue

Saint Louis, MO 63110

MyChart Patient Portal

Patient Education

Trauma patient education

Meet Dr. McAndrew's Patients

Callaghan JJ, McAndrew C, Boese CK, Forest E. Intrapelvic migration of the trial femoral head during total hip arthroplasty: is retrieval necessary? A report of four cases. Iowa Orthop J. 2006; 26: 60-2.
McAndrew CM, Fitzgerald SJ, Kraay MK, Goldberg VM. Incidence of Postthrombotic Syndrome in Patients Undergoing Primary Total Knee Arthroplasty for Osteoarthritis. Clin Orthop Relat Res. 2010; 468(1): 178-81.
Fitzgerald SJ, McAndrew CM, Kraay MJ, Goldberg VM. Incidence of Postthrombotic Syndrome in Patients Undergoing Primary Total Hip Arthroplasty for Osteoarthritis. Clin Orthop Relat Res. 2011; 469(2): 530-4.
Ricci WM, McAndrew CM, Merriman DJ, Gardner MJ. What’s New in Orthopaedic Trauma. J Bone Joint Surg Am. 2011; 93(18):1746-1756.
Merriman DJ, Ricci WM, McAndrew CM, Gardner MJ. Is Application of an Anterior Pelvic Fixator Anatomically Feasible? Clin Orthop Relat Res. 2012;470: 2111-2115.
Ricci WM, McAndrew CM, Jo M, Gardner MJ. What’s New in Orthopaedic Trauma. J Bone Joint Surg Am. 2012; 94(16):1525-1535.
Yang JS, Otero J, McAndrew CM, Ricci WM, Gardner MJ. Can Tibial Nonunion Be Predicted at 3 Months after Intramedullary Nailing? J Orthop Trauma 2013;27(11):599-603.
Ricci WM, Collinge C, Streubel PN, McAndrew CM, Gardner MJ. A Comparison of More and Less Aggressive Bone Debridement Protocols for the Treatment of Open Supracondylar Femur Fractures. J Orthop Trauma 2013;27(12):722-5.
Ricci WM, Spiguel A, McAndrew C, Gardner M. What’s New in Orthopaedic Trauma. J Bone Joint Surg Am. 2013; 95(14): 1333-1342.
Okike K, O’Toole RV, Pollak AN, Bishop JA, McAndrew CM, Mehta S, Cross WW 3rd, Garrigues GE, Harris MB, Lebrun CT. Survey Finds Few Orthopaedic Surgeons Know the Costs of the Devices They Implant. Health Aff (Millwood) 2014:33(1):103-9.
Godzik J, McAndrew CM, Morshed S, Kandemir U, Kelly MP. Multiple Lower-extremity and Pelvic Fractures Increase Pulmonary Embolus Risk. Orthopaedics 2014;37(6): e517-24.
Shah CM, Babb PE, McAndrew CM, Brimmo O, Badarudeen S, Tornetta P 3, Ricci WM, Gardner MJ. Definitive Plates Overlapping Provisional External Fixator Pin Sites: Is the Infection Risk Increased? J Orthop Trauma 2014;28(9):518-522.
Linn MS, Gardner MJ, McAndrew CM, Gallagher, Ricci WM. Is Primary Total Elbow Arthroplasty Safe for the Treatment of Open Intra-articular Distal Humerus Fractures? Injury 2014;45(11):1747-1751.
Backus JD, Merriman DJ, McAndrew CM, Gardner MJ, Ricci WM. Upright vs. Supine Radiographs of Clavicle Fractures: Does Positioning Matter? J Orthop Trauma 2014;28(11):636-641.
McAndrew CM, Merriman DJ, Gardner MJ, Ricci WM. Standardized Posterior Pelvic Imaging: Use of CT Inlet and CT Outlet for Evaluation and Management of Pelvic Ring Injuries. J Orthop Trauma 2014;28(12):665-673.
Ricci WM, Linn M, Gardner MJ, McAndrew CM. What’s New in Orthopaedic Trauma. J Bone Joint Surg Am. 2014; 96(14):1222-1230.
Collinge CA, Mir H, McAndrew C. Displaced Femoral Neck Fracture in Young Adults: Accessory Fixation with Buttress Plating. Techniques in Orthopaedics. 2015; 30(1): 16-21.
Bumpass DB, Ricci WM, McAndrew CM, Gardner MJ. A Prospective Study of Pain Reduction and Knee Dysfunction Comparing Femoral Skeletal Traction and Splinting in Adult Trauma Patients. J Orthop Trauma 2015;29(2):112-118.
Ricci WM, Brandt A, McAndrew CM, Gardner MJ. Factors Affecting Delay to Surgery and Length of Stay for Patients with Hip Fracture. J Orthop Trauma 2015;29(3): e109-e114.
Cherney SM, Haynes JA, Spraggs-Hughes AG, McAndrew CM, Ricci WM, Gardner MJ. In Vivo Syndesmotic Over-Compression after Fixation of Ankle Fractures with a Syndesmotic Injury. J Orthop Trauma 2015:29(9):414-419.
Linn MS, McAndrew CM, Prusaczyk B, Brimmo O, Ricci WM, Gardner MJ. Dynamic Locked Plating of Distal Femur Fractures. J Orthop Trauma, 2015:29(10):447-450.
Ricci WM, Black JC, McAndrew CM, Gardner MJ. What’s New in Orthopaedic Trauma. J Bone Joint Surg Am. 2015; 97(14):1200-1207.
Abraham AC, Agarwalla A, Yadavalli A, McAndrew C, Liu JY, Tang SY. Multiscale Predictors of Femoral Neck in situ Strength in Aging Women: Contributions of BMD, Cortical Porosity, Reference Point Indentation, and Nonenzymatic Glycation. J Bone Miner Res. 2015:30(12):2207-2214.
Ricci WM, Tornetta P, Gardner MJ, Black JC, McAndrew CM, Sanders R. Current Opinions on Fracture Follow-up: A Survey of OTA Members regarding Standards of Care and Implications for Clinical Research. J Orthop Trauma 2016:30(3):e100-e105.
Bakhsh WR, Cherney SM, McAndrew CM, Ricci WM, Gardner MJ. Surgical approaches to intramedullary nailing of the tibia: Comparative analysis of knee pain and functional outcomes. Injury 2016:47(4):958-961.
Haynes J, Cherney S, Spraggs-Hughes A, McAndrew CM, Ricci WM, Gardner, MJ. Increased Reduction Clamp Force Associated with Syndesmotic Overcompression. Foot Ankle Int. 2016 Jul;37(7):722-729.
Cherney SM, Spraggs-Hughes AG, McAndrew CM, Ricci WM, Gardner, MJ. Incisura Morphology as a Risk Factor for Syndesmotic Malreduction. Foot Ankle Int. 2016 Jul;37(7):748-754.
Mardam-Bey SW, Beebe MJ, Black JC, Chang EY, Kubiak EN, Bishop JA, McAndrew CM, Ricci WM, Gardner MJ. The Effect of Transiliac-Transsacral Screw Fixation for Pelvic Ring Injuries on the Uninjured Sacroliliac Joint. J Orthop Trauma 2016;30(9):463-468.
Black JC, Black JC, Ricci WM, Gardner MJ, McAndrew CM, Agarwalla A, Wojahn RD, Abar O, Simon YT. Novel Augmentation Technique for Patellar Tendon Repair Improves Strength and Decreases Gap Formation: A Cadaveric Study. Clin Orthop Rel Res 2016;474:2611-2618.
Bosse MJ, Murray CK, Carlini AR, Firoozabadi R, Manson T, Scharfstein DO, Wenke JC, Zadnik M, Castillo RC, McAndrew CM and METRC Collaborators. Assessment of Severe Extremity Wound Bioburden at the Time of Definitive Wound Closure or Coverage: Correlation With Subsequent Postclosure Deep Wound Infection (Bioburden Study). J Orthop Trauma. 2017;31(Suppl 1):S3-S9.
OʼToole RV, Joshi M, Carlini AR, Murray CK, Allen LE, Scharfstein DO, Gary JL, Bosse MJ, Castillo RC, McAndrew CM and METRC Collaborators. Local Antibiotic Therapy to Reduce Infection After Operative Treatment of Fractures at High Risk of Infection: A Multicenter, Randomized, Controlled Trial (VANCO Study). J Orthop Trauma. 2017;31(Suppl 1):S18-S24.
Bosse MJ, Teague D, Reider L, Gary JL, Morshed S, Seymour RB, Toledano J, Cannada LK, Steverson B, Scharfstein DO, Luly J, MacKenzie EJ, McAndrew CM and METRC Collaborators. Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET). J Orthop Trauma. 2017;31(Suppl 1):S48-S55.
Bosse MJ, Morshed S, Reider L, Ertl W, Toledano J, Firoozabadi R, Seymour RB, Carroll E, Scharfstein DO, Steverson B, MacKenzie EJ, McAndrew CM and METRC Collaborators. Transtibial Amputation Outcomes Study (TAOS): Comparing Transtibial Amputation With and Without a Tibiofibular Synostosis (Ertl) Procedure. J Orthop Trauma. 2017;31(Suppl 1):S63-S69.
Putnam SM, Linn MS, Spraggs-Hughes A, McAndrew CM, Ricci WM, Gardner MJ. Simulating Clamp Placement Across the Trans-Syndesmotic Angle of the Ankle to Minimize Malreduction: A Radiological Study. Injury. 2017 Mar;48(3):770-775.
Cosgrove CT, Putnam SM, Cherney SM, Ricci WM, Spraggs-Hughes A, McAndrew CM, Gardner MJ. Medial Clamp Tine Positioning Affects Ankle Syndesmosis Malreduction. J Orthop Trauma. 2017;Aug 31(8):440-446
VandenBerg J, Osei D, Boyer MI, Gardner MJ, Ricci WM, Spraggs-Hughes A, McAndrew CM. Open Tibia Shaft Fractures and Soft-Tissue Coverage: The Effects of Management by an Orthopedic Trauma/Microsurgical Team. J Orthop Trauma. 2017;31(6):339-344.
Cherney SM, Cosgrove CT, Spraggs-Hughes AG, McAndrew CM, Ricci WM, Gardner MJ. Functional Outcomes of Syndesmotic Injuries Based on Objective Reduction Accuracy at a Minimum 1-Year Follow-Up. J Orthop Trauma. 2018;Jan 32(1): 43-51 PMID: 29257779
McAndrew CM, Agarwalla A, Abraham AC, Feuchtbaum E, Ricci WM, Tang SY. Local bone quality measurements correlates with maximum screw torque at the femoral diaphysis. Clin Biomech (Bristol, Avon). 2018 Feb 2;52:95-99 PMID: 29407864
Guattery JM, Dardas AZ, Kelly MP, Chamberlain A, McAndrew C, Calfee RP. Floor Effect of PROMIS Depression CAT Associated with Hasty Completion in Orthopaedic Surgery Patients. Clin Orthop Rel Res. 2018;Apr 476(4):696-703 PMID: 29419628
Cosgrove CT, Spraggs-Hughes AG, Putnam SM, Ricci WM, Miller AN, McAndrew CM, Gardner MJ. A Novel Indirect Reduction Technique in Ankle Syndesmotic Injuries: A Cadaveric Study. J Orthop Trauma. 2018;July 32(7):361-368. PMID:29738403
Parks C, McAndrew CM, Spraggs-Hughes A, Ricci WM, Silva MJ, Gardner MJ. In-vivo stiffness assessment of distal femur fracture locked plating constructs. Clin Biomech (Bristol, Avon). 2018;Jul 56:46-51. PMID: 29803822 doi: 10.1016/j.clinbiomech.2018.05.012.
VandenBerg J, Cullison K, Fowler SA, Parsons MS, McAndrew CM, Carpenter CR. Blunt Thoracolumbar-Spine Trauma Evaluation in the Emergency Department: A Meta- Analysis of Diagnostic Accuracy for History, Physical Examination, and Imaging. J Emerg Med. 2019;Feb 56(2):153-165. PMID: 30598296 doi: 10.1016/j.jemermed.2018.10.032.
Putnam SM, Collinge CA, Gardner MJ, Ricci WM, McAndrew CM. Vascular Anatomy of the Medial Femoral Neck and Implications for Surface Plate Fixation. J Orthop Trauma. 2019;Mar 33(3):111-115. PMID:30562252 doi: 10.1097/BOT.0000000000001377.
Stambough JB, Nunley RM, Spraggs-Hughes AG, Gardner MJ, Ricci WM, McAndrew CM. Clinical Practice Guidelines in Action: Differences in Femoral Neck Fracture Management by Trauma and Arthroplasty Training. J Am Acad Orthop Surg. 2019 Apr 15;27 (8):287-294. doi: 10.5435/JAAOS-D-17-00760. [Epub ahead of print] PMID: 30278016
Stambough JB, Nunley RM, Spraggs-Hughes AG, Gardner MJ, Ricci WM, McAndrew CM. Clinical Practice Guidelines in Action: Differences in Femoral Neck Fracture Management by Trauma and Arthroplasty Training. J Am Acad Orthop Surg. 2019 Apr 15;27(8):287-294. PMID: 30278016 doi: 10.5435/JAAOS-D-17-00760.
Avery MC, Jo S, Chang A, Ricci WM, McAndrew CM, Miller AN, Tang S. Cannulated Screw Prominence in Tension Band Wiring of Patella Fractures Increases Fracture Gapping: A Cadaver Study. Clinical Orthopaedics and Related Research 2019 May 477(5):1249-1255. PMID: 30998643 doi: 10.1097/CORR.0000000000000683
Ricci MJ, McAndrew CM, Miller AN, Kamath G, Ricci WM. Are Two-Part Intertrochanteric Femur Fractures Stable and does Stability Depend on Fixation Method? J Ortho Trauma 2019; Sept 33(9):428-431. PMID: 31335506 doi: 10.1097/BOT.0000000000001509
Obey MR, Berkes MB, McAndrew CM, Miller AN. Lower-Extremity Skeletal Traction following Orthopaedic Trauma: Indications, Techniques and Evidence. JBJS Rev. 2019 Nov;7(11):e4. doi: 10.2106/JBJS.RVW.19.00032 PMID: 31764196
Gitajn IL, Reider L, Scharfstein DO, OʼToole RV, Bosse MJ, Castillo RC, Jevsevar DS, Pollak AN, McAndrew CM and METRC. Variability in Discharge Disposition Across US Trauma Centers After Treatment for High-Energy Lower Extremity Injuries. J Orthop Trauma. 2020; Mar 34(3):e78-e85. PMID: 31868766 doi: 10.1097/BOT.0000000000001657.
Surface LE, Burrow DT, Li J, Park J, Kumar S, Lyu C, Song N, Yu Z, Rajagopal A, Bae Y, Lee BH, Mumm S, Gu CC, Baker JC, Mohseni M, Sum M, Huskey M, Duan S, Bijanki VN, Civitelli R, Gardner MJ, McAndrew CM, Ricci WM, Gurnett CA, Diemer K, Wan F, Costantino CL, Shannon KM, Raje N, Dodson TB, Haber DA, Carette JE, Varadarajan M, Brummelkamp TR, Birsoy K, Sabatini DM, Haller G, Peterson TR. ATRAID regulates the action of nitrogen-containing bisphosphonates on bone. Sci Transl Med. 2020; May 20; 12(544):eaav9166. doi: 10.1126/scitranslmed.aav9166. PMID: 32434850
Cosgrove CT, Berkes MB, McAndrew CM, Miller AN. Kocher-Langenbeck Approach for Posterior Wall Acetabular Fractures. J Orthop Trauma. 2020 Aug; 34 Suppl 2:S21-S22. doi: 10.1097/BOT.0000000000001816. PMID: 32639344
Namm JD, Obey MR, Jo S, Berkes, MB, McAndrew CM, Miller AN. Surgical Wound Complications after Percutaneous Posterior Pelvic Ring Fixation in Patients who Undergo Pelvic Arterial Embolization. J Orthop Trauma. 2021; Apr 1; 35(4):167-170. doi: 10.1097/BOT.0000000000001956. PMID: 32931686
O'Toole RV, Joshi M, Carlini AR, Murray CK, Allen LE, Huang Y, Scharfstein DO, O'Hara NN, Gary JL, Bosse MJ, Castillo RC, McAndrew CM, and METRC collaborators. Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures: A Randomized Clinical Trial. JAMA Surg. 2021; May 1;156(5):e207259. doi: 10.1001/jamasurg.2020.7259. PMID: 33760010
Obey MR, Berkes MB, McAndrew CM, Miller AN. Proximal Tibia Skeletal Traction: Technique and Indications. J Orthop Trauma. 2021 Aug 35:S44-S45. doi: 10.1097/BOT.0000000000002160 PMID: 34227608
Major Extremity Trauma Research Consortium (METRC collaborators – McAndrew CM). Outcomes Following Severe Distal Tibial, Ankle, and/or Mid/Hindfoot Trauma: Comparison of Limb Salvage and Transtibial Amputation (OUTLET). J Bone Joint Surg Am. 2021; Sep 1;103(17):1588-1597. doi: 10.2106/JBJS.20.01320 PMID: 33979309
Obey MR, Clever DC, Bechtold DA, Stwalley D, McAndrew CM, Berkes MB, Wolinsky PR, Miller AN. In-hospital morbidity and mortality with delays to femoral shaft fracture fixation. J Orthop Trauma. 2021; Sept. 14. doi:10.1097/BOT.0000000000002271. PMID: 34520446
Wojahn RD, Bechtold D, Abraamyan T, Spraggs-Hughes A, Gardner MJ, Ricci WM, McAndrew CM. Progression of Tibia Fracture Healing Using RUST: Are Early Radiographs Helpful? J Orthop Trauma. 2022; Jan 1;36(1):e6-e11. doi: 10.1097/BOT.0000000000002146. PMID: 33935194
Anthony R Carlini, Susan C Collins, Elena D Staguhn, Katherine P Frey, Robert V O'Toole, Kristin R Archer, William T Obremskey, Julie Agel, Conor P Kleweno, Saam Morshed, Michael J Weaver, Thomas F Higgins, Michael J Bosse, Joseph F Levy, Albert W Wu, Renan C Castillo, METRC (METRC collaborators – McAndrew CM). Streamlining Trauma Research Evaluation With Advanced Measurement (STREAM) Study: Implementation of the PROMIS Toolbox Within an Orthopaedic Trauma Clinical Trials Consortium. J Orthop Trauma. 2022; Jan 1;36(Suppl 1):S33-S39. doi: 10.1097/BOT.0000000000002291 PMID: 34924517 PMCID: PMC8694658

Research Interests

Clinical outcomes after peri-articular fractures and polytrauma.

Clinical Interests

Management of acute fractures of the arm, leg, and pelvis. Peri-articular fracture care, polytrauma, fractures of the pelvis and acetabulum, non-unions and malunions of fractures, osteomyelitis, and post-traumatic reconstruction. Dr. McAndrew has particular interest and expertise in treating: periarticular fractures of the shoulder (proximal humerus), elbow (distal humerus, olecranon, and radial head), hip (acetabulum, femoral head and neck, intertrochanteric, and subtrochanteric), knee (patella, distal femur, tibial plateau), ankle (pilon and plafond), and foot (calcaneus, talus, midfoot, Lisfranc); fractures in the polytrauma patient; fractures of the pelvis and acetabulum; peri-prosthetic fractures; and management of post-traumatic problems including nonunions, malunions, arthritis, and osteomyelitis.

Background

Dr. McAndrew completed his fellowship training in Orthopaedic Trauma Surgery at Harborview Medical Center in Seattle, Washington. He completed residency training in Orthopaedic Surgery at Case Western Reserve University School of Medicine in Cleveland, Ohio.

Journal Affiliations

Associate Editor, Journal of Orthopaedic Trauma, 2014-present
Reviewer, Journal of Orthopaedic Trauma, 2010 - present
Reviewer, Journal of Shoulder and Elbow Surgery, 2011 – present

Medical Degree

University of Tennessee

Residency

Orthopaedic Surgery, Case Western Reserve University School of Medicine

Fellowship

Trauma, Harborview Medical Center

Milestones

Excellence in Teaching Award, Washington University in Saint Louis, Department of Orthopaedic Surgery, 2016

Excellence in Teaching Award, Washington University in Saint Louis, Department of Orthopaedic Surgery, 2015

Jerome J. Gilden Distinguished Physician Award, Washington University in Saint Louis, Department of Orthopaedic Surgery, 2014

Excellence in Teaching Award, Washington University in Saint Louis, Department of Orthopaedic Surgery, 2014

Alpha Omega Alpha (AOA) Medical Honor Society, 2004

Honors and Awards

2004 - Alpha Omega Alpha Honor Medical Society
2008 - American Orthopaedic Association Resident Leadership Forum Representative
2014 - Excellence in Education Award, Washington University in St. Louis, Department of Orthopaedic Surgery
2014 - Jerome J. Gilden Distinguished Physician Award, Washington University in St. Louis, Department of Orthopaedic Surgery
2015 - Excellence in Education Award, Washington University in St. Louis, Department of Orthopaedic Surgery
2016 - Excellence in Education Award, Washington University in St. Louis, Department of Orthopaedic Surgery

Professional Societies and Organizations

St. Louis Orthopedic Society, 2010 – present
American Board of Orthopaedic Surgery, Diplomate, 2012 – present
American Academy of Orthopaedic Surgery, Member, 2013 – present
Orthopaedic Trauma Association, Member, 2013 – present
Mid-America Orthopaedic Association, Member, 2013 – present
American College of Surgeons ATLS Instructor, 2017 – present

Committees

Residency Committees/Honors

American Academy of Orthopaedic Surgery Resident Liaison, 2008 – 2009
American Orthopaedic Association Resident Leadership Forum, 2008
Department of Orthopaedic Surgery Education Committee, 2007 – 2009

University/Hospital Committees

Orthopaedic Trauma Service “Meaningful Use” Liaison, 2010 – present
BJH Trauma Performance Improvement Committee, 2010 – present
Department of Orthopaedic Surgery Patient Safety Data Review Committee, 2012 – present
Department of Orthopaedic Surgery Resident Research Committee, 2012 - present
Barnes-Jewish Hospital Safety and Quality Council, 2013 – present
Department of Orthopaedic Surgery IRB Internal Review Committee, 2015 - present
Department of Orthopaedic Surgery Residency Clinical Competency Committee, 2015 - present
Department of Orthopaedic Surgery Peer Review Liaison, Barnes-Jewish Hospital, 2017-present
Department of Orthopaedic Surgery Medical Director, Center for Advanced Medicine, 2017-present

National and International Committees

AO Trauma North America Fellowship Supervisory Board, 2015-2018
AO Trauma North America Fellowship Committee, 2018-2021
Orthopaedic Trauma Association Health Policy Committee, 2016-present

Washington University Orthopedics

Christopher McAndrew, MD, MSc