Dr. Marschall B. Berkes | Orthopedic Trauma Surgery | Washington University Orthopedics

Dr. Berkes specializes in the nonoperative and operative management of acute fractures and dislocations of the upper and lower extremities as well as fractures that fail to heal (nonunions).

Common Diagnoses Treated

Fractures and dislocations of the upper and lower extremities, including:
- Clavicle
- AC joint
- Proximal and distal humerus, humeral shaft
- Elbow fracture dislocations
- Forearm
- Pelvis and acetabulum
- Hip
- Femoral shaft
- Distal femur
- Knee fracture dislocations
- Tibial plateau
- Midshaft tibia
- Pilon
- Ankle
- Calcaneus
- Talus and midfoot
Nonunion repair
Treatment of acute and chronic infections
Post-traumatic reconstruction

Clinical Office Locations

Center for Advanced Medicine

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

Patient Resources

Patient Forms

Click here for patient forms.

Diaz JJ, Guy J, Berkes M, Guillamondegui O, Miller RS. Acellular Dermal Allograft (Alloderm) for Ventral Hernia Repair in the Compromised Surgical Field. American Surgeon. 2006 Dec;72(12):1181-7
Fletcher N, Sofianos D, Berkes MB, Obremskey WT. Prevention of Perioperative Infection. Journal of Bone and Joint Surgery Am. 2007 Jul;89(7):1605-18.
Diaz JJ, Norris PR, Collier BR, Berkes MB, Ozdas A, May AK, Miller RS, Morris JA Jr. Morbid Obesity is not a Risk Factor for Mortality in Critically Injury Trauma Patients. J Trauma. 2009 Jan;66(1): 226-31.
Berkes M, Obremskey WT, Scannell B, Ellington K, Hymes RA, Bosse M; Southeast Fracture
Consortium. Maintenance of Hardware After Early Postoperative Infection for Fracture Internal Fixation. J Bone Joint Surg Am. 2010 Apr;92(4):823-8.
Berkes MB, Garrigues G, Solic J, Van Zeeland N, Shourbaji N, Brouwer K, Jupiter J, Ruch D, Obremskey WT. Locking and nonlocking constructs achieve similar radiographic and clinical outcomes for internal fixation of intraarticular distal humerus fractures. HSS Journal. 2011 Oct;7(3):244-50.
Berkes MB, Cross M, Shindle MK, Bedi A, Kelly BT. Traumatic posterior hip instability and femoroacetabular impingement in athletes. Am J Orthop (Belle Mead NJ). 2012 Apr;41(4):166-71.
Fabricant PD, Berkes MB, Dy CJ, Bogner EA. Diagnostic medical imaging radiation exposure and risk of development of solid and hematologic malignancy. Orthopaedics. 2012 May;35(5):415-20.
Dy CJ, Little MTM, Berkes MB, Roberts T, Lorich DG, Helfet DL. Have outcomes after patella fracture fixation improved in the last 33 years? A systematic review and meta-analysis. J Trauma Acute Care Surg. 2012 Oct; 73(4):928-32.
Berkes MB, Little MTM, Lazaro LE, Cymerman RM, Helfet DL, Lorich DG.Catastrophic failure
following open reduction internal fixation of femoral neck fractures with a novel locking plate implant. J Orthop Trauma. 2012 Oct;26(10):e170-6.
Berkes MB, Little MTM, Lazaro LE, Sculco PK, Cymerman RM, Daigl M, Helfet DL, Lorich DG.
Malleolar fractures and their ligamentous injury equivalents have similar outcomes in supination external rotation type IV ankle fractures treated by anatomical internal fixation. J Bone Joint Surg Br. 2012 Nov;94(11):1567-72.
Berkes MB, Little MTM, Weeks D, Lorich DG. Open reduction internal fixation of proximal humerus fractures. Current Rev Musculoskelet Med. 2013 Mar;6(1):47-56.
Little MTM, Berkes MB, Lazaro LE, Sculco PK, Helfet DL, Lorich DG. Complications following
treatment of supination external rotation ankle fractures through the posterolateral approach. Foot Ankle Int. 2013 Apr;34(4):523-9.
Little MT, Berkes MB, Lazaro LE, Sculco PK, Cymerman RM, Pardee N, Helfet DL, Lorich DG.
Comparison of supination external rotation type IV ankle fractures in geriatric versus non-geriatric populations. Foot Ankle Int. Apr;34(4):512-7.
Berkes MB, Little MTM, Lazaro LE, Pardee NC, Helfet DL, Lorich DG. Defining the lateral and
accessory views of the patella: an anatomic and radiographic study with implications for fracture treatment. J Orthop Trauma. 2013 Dec;27(12):663-71.
Berkes MB, Little MT, Schottel PC, Pardee NC, Zuiderbaan A, Lazaro LE, Helfet DL, Lorich DG.
Outcomes of Schatzker II tibial plateau fracture open reduction internal fixation using structural bone allograft. J Orthop Trauma, 2014 Feb;28(2):97-102.
Schottel PC, Berkes MB, Little MT, Lazaro LE, Helfet DL, Lorich DG. Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures. J Orthop Trauma. 2014 Feb;28(2):103-7.
Ladenhauf HN, Berkes MB, Green DW. Medial patellofemoral ligament reconstruction using hamstring autograft in children and adolescents. Arthrosc Tech. 2013 Apr 26;2(2):e151-4.
Lazaro LE, Wellman DS, Sauro G, Pardee NC, Berkes MB, Little MT, Nguyen JT, Helfet DL, Lorich DG. Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. J Bone Joint Surg Am. 2013 Jul 17;95(14):e96 1-8.
Berkes MB, Little MTM, Lazaro LE, Pardee NC, Schottel PC, Helfet DL, Lorich DG. Articular congruity is associated with short term clinical outcomes in operatively treated SER IV ankle fractures. J Bone Joint Surg Am. 2013 Oct 2;95(19):1769-75.
Lazaro LE, Wellman DS, Klinger CE, Dyke JP, Pardee NC, Sculco PK, Berkes MB, Helfet DL, Lorich
DG. Quantitative and qualitative assessment of bone perfusion and arterial contributions in a patellar fracture model using gadolinium-enhanced magnetic resonance imaging: a cadaveric study. J Bone Joint Surg Am. 2013 Oct 2;95(19):e1401-7.
Little MT, Berkes MB, Schottel PC, Lazaro LE, LaMont LE, Pardee NC, Nguyen JT, Helfet DL, Lorich DG. The impact of preoperative coronal plane deformity on proximal humerus fixation with endosteal augmentation. J Orthop Trauma. 2014 Jun;28(5):338-47.
Schottle PC, Berkes MB, Little MT, Garner MR, Fabricant PD, Lazaro LE, Helfet DL, Lorich DG.
Comparison of clinical outcome of pronation external rotation versus supination external rotation ankle fractures. Foot Ankle Int. 2014 Apr;35(4):353-9.
Berkes MB, Little MTM, Lazaro LE, Cymerman RM, Helfet DL, Lorich DG. Intramedullary allograft
fibula as a reduction and fixation tool for treatment of complex proximal humerus fractures with
diaphyseal extension. J Orthop Trauma. 2014 Mar;28(3):e56-64.
Hinds RM, Schottel PC, Berkes MB, Little MT, Helfet DL, Lorich DG. Evaluation of Lauge-Hansen
designation of Weber C fractures. J Foot Ankle Surg. 2014 Jul-Aug;53(4):434-9.
Berkes MB, Dines JS, Little MT, Garner MR, Shifflett GD, Lazaro LE, Wellman DS, Dines DM, Lorich DG. The impact of three-dimensional CT imaging on intraobserver and interobserver reliability of proximal humeral fracture classifications and treatment recommendations. J Bone Joint Surg Am. 2014 Aug 6;96(15): 1281-1286
Schottel PC, Fabricant PD, Berkes MB, Garner MR, Little MT, Hentel KD, Mintz DN, Helfet DL, Lorich DG. Manual stress radiography has poor ability to predict deep deltoid ligament integrity in a supination external rotation fracture cohort. J Foot Ankle Surg. 2014 Sep1. S1067-2516 (14)00325-1
Garner MR, Fabricant PD, Schottel PC, Berkes MB, Shaffer AD, Ni A, Lorich DG. Standard
perioperative imaging modalities are unreliable in assessing articular congruity of ankle fractures. J Orthop Trauma. 2015 Apr;29(4):e161-5.
Little MM, Berkes MB, Schottel PC, Garner MR, Lazaro LE, Birnbaum JF, Helfet DL, Lorich DG.
Anatomic fixation of supination external rotation type IV equivalent ankle fractures. J Orthop Trauma. 2015 May;29(5):250-5.
Garner MR, Thacher RR, Ni A Berkes MB, Lorich DG. Elective removal of implants after open reduction and internal fixation of tibial plateau fractures improves clinical outcomes. Arch Orthop Trauma Surg. 2015 Nov;135(11):1491-6.
Garner MR, Gausden EG, Berkes MB, Nguyen JT, Lorich DG. Extensor mechanism injuries of the knee:patient demographics and comorbidities from a review of 726 cases. J Bone Joint Surg Am. 2015 Oct7;97(19):1592-6.
Berkes MB, Dines JS, Birnbaum JF, Lazaro LE, Lorich TC, Little MT, Nguyen JT, Lorich DG. The axillary view typically does not contribute to decision making in care for proximal humeral fractures. HSS J. 2015 Oct;11(3):192-7.
Sculco PK, Lazaro LE, Little MM, Berkes MB, Warner SJ ,Helfet DL, Lorich DG. Dislocation is a risk factor for poor outcome after supination external rotation type ankle fractures. Arch Orthop Trauma Surg. 2016 Jan;136(1):9-15.
Berkes MB, Little MT, Pardee NC, Schottel PC, Lazaro LE, Lorich DG. Outcomes of proximal humerus fracture open reduction internal fixation with concomitant ipsilateral shoulder girdle injuries: a case control study. HSS J. 2016 Jul;12(2):105-10.
Berkes MB, Schottel PC, Weldon M, Hansen DH, Achor TS. Ninety-five degree angled blade plate fixation of high-energy unstable proximal femur fractures results in high rates of union and minimal complications. J Orthop Trauma, 2019 Jul;33(7):335-340.
Berkes MB, Shaw JS, Warner SJ, Achor TS. Medialized trochanteric starting point and focused lateral endosteal beak reaming to optimize success of intramedullary nailing in atypical femur fractures: a technical trick and case series. J Orthop Trauma, 2019 Aug;33(8):e313-e317.
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.
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.
Cunningham BA, Warner SJ, Berkes MB, Achor TS, Choo AM, Munz JW, Routt ML Jr, Gary JL. Effect of Intraoperative Multidimensional Fluoroscopy Versus Conventional Fluoroscopy on Syndesmotic Reduction. Foot Ankle Int. 2021 Feb;42(2):132-136. doi: 10.1177/1071100720959025. PMID: 32945190
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
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
Berkes MB. In Patients with Sanders Type 2 Calcaneal Fractures, the Sinus Tarsi and Extensile Lateral Approaches Did Not Differ for Wound Complications. J Bone Joint Surg Am 2021 Aug 18;103(16):1553. doi: 10.2106/JBJS.21.00684. PMID: 34166272
Obey MR, cClever DC, Bechtold DA, Stwalley D, McAndrew CM, Berkes MB, Wolinsky PR, Miller AN. In-Hospital Morbidity with Delays to Femoral Shaft Fracture Fixation. J Orthop Trauma. 2021 Sept. 14. Online ahead of print. doi: 10.1097/BOT.0000000000002271. PMID: 34520446
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 Sep14. doi:10.1097/BOT.0000000000002271. PMID: 34520446 PMCID: PMC8918437
Chang EY, Berkes MB, Baker JC. The pivot fracture: an unusual tibial plateau fracture found in association with acute ACL injury. Skeletal Radiology 2021 Dec. 27. Online ahead of print. https://doi.org/10.1007/s00256-021-03962-x PMID: 34958411
Obey MR, Berkes MB. Nail Plate Fixation Technique to Optimize Indirect Reduction and Fixation of Proximal Tibia Fractures. Techniques of Orthopaedics. 2022 Mar 37(1):56-61. Epub ahead of print. doi: 10.1097/BTO.0000000000000532

Research Interests

Dr. Berkes has research interests in clinical outcomes and anatomical studies.

Background

Dr. Berkes graduated with a medical degree from Vanderbilt University School of Medicine, and completed a surgical internship at the New York Presbyterian Hospital/Weill Cornell Medical College. He was selected for residency training at the Hospital for Special Surgery, then completed a trauma fellowship at the University of Texas Health Science Center at Houston. Dr. Berkes also served in the United States Air Force as part of the special operations surgical team, where he received numerous awards, commendations and medals during his service.

Medical Degree

Vanderbilt University School of Medicine, Nashville, TN

Residency

Orthopaedic Surgery, Hospital for Special Surgery, New York, NY

Fellowship

Orthopaedic Trauma Surgery, University of Texas Health Science Center at Houston, Houston, TX

Honors and Awards

2021, Washington University Department of Orthopaedic Surgery Jerome J. Gilden Distinguished Physician Award
2020, Washington University Department of Orthopaedic Surgery Jerome J. Gilden Distinguished Physician Award
2019, Washington University Department of Orthopaedic Surgery Excellence in
Education Award
2018, AOTrauma North America Davos Fellows Experience, Davos, Switzerland
2017, Army Commendation Medal, United States Army
2016, Global War on Terrorism Expeditionary Medal, United States Air Force
2014, Meritorious Service Medal, United States Air Force
2014, Air Force Commendation Medal, United States Air Force
2014, Afghanistan Campaign Medal, United States Air Force
2013, Invited Member, Resident Advisory Board, American Journal of Orthopaedics
2004, Health Profession Scholarship Award, United States Air Force

Professional Societies and Organizations

2020 - present, American Orthopaedic Association
2013 - present, Society of Military Orthopaedic Surgeons
2012 - present, AO Trauma North America
2008 - present, American Academy of Orthopaedic Surgeons
2008 - present, Orthopaedic Trauma Association

Washington University Orthopedics

Marschall B. Berkes, MD