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Orthopaedic Sub-Specialty Clinics
The Orthopaedic Clinic sees patients only by referral for musculoskeletal and neuromusculoskeletal disorders. The below subspecialties are located in Wilford Hall.
Foot/Ankle
The WHASC Orthopaedic Foot & Ankle Service provides state-of-the-art care in the diagnosis and management of all foot and ankle conditions including congenital deformities, arthritic conditions, fractures, rheumatoid arthritis, diabetic complications, and sports-related injuries. We are highly skilled in complex reconstructive surgery for ankle/hindfoot problems, bunion deformities, joint instabilities, and degenerative processes as well as doing arthroscopies, toe correction surgery, ligament/tendon surgery, orthotic prescriptions, and diabetic counseling.
Podiatry
It is our pleasure to treat all foot and ankle complaints and pathology in the largest podiatry clinic in the United States Air Force and DoD. Our three board-certified foot and ankle surgeons are well-trained in complete comprehensive conservative and reconstructive surgical care of all foot and ankle problems ranging from digital deformities, hallux valgus, and hallux rigidus to sports medicine injuries, tendon pathology, posterior tibial tendon dysfunction, and chronic ankle pain and instability. The mission of Podiatry Services, 59th MDW is to provide comprehensive foot and ankle care to active- duty military, dependents, and retirees in support of both military readiness and an active healthy lifestyle. We treat a patient population base of ten DoD facilities, 200,000 local beneficiaries, and 67,000 trainees annually. We welcome all active duty referrals and consults and can provide telemedicine support upon request.
Hand
Our physicians are Board-certified, fellowship-trained hand and microvascular surgeons. Patients with problems involving their shoulders, elbows, wrists and hands comprise the majority of referrals. Special problems in the upper extremity to include congenital defects, rheumatoid arthritis and Dupuytren's disease also fall into our physician's area. Their practice includes shoulder and elbow joint replacement as well. Free tissue transfers for a variety of traumatic or acquired injury round out their surgical practice. Referrals consist primarily of disorders of the upper extremities.
Physical Medicine
Our physician's clinical expertise is predominantly in diagnostic and therapeutic spine injections within the context of a rehabilitation program. He also provides electrodiagnostic evaluations and some pain management for orthopaedic patients.
Sports Medicine
As fellowship trained sports medicine physicians, our surgeon takes care of a variety of sports-related injuries. They are very experienced with knee ACL, PCL, MCL, LCL, PLC, articular cartilage and meniscal injury treatment to include revision surgery and transplantation. Their shoulder expertise includes instability, tendon injury, cuff tears, SLAP tears and many other problems, including revision. They are familiar with arthroscopy of the knee, shoulder, hip, elbow and other joints.
The following clinics have moved to Brooke Army Medical Center, Ft Sam Houston. Wilford Hall general orthopedists and physician assistants can make referrals to these subspecialties, but they are not available at Wilford Hall.
Musculoskeletal Oncology
Our physician is fellowship trained in musculoskeletal oncology, treating benign and malignant tumors of bone and soft tissue, and is a Fellow of the Musculoskeletal Tumor Society, American College of Surgeons, American Academy of Orthopaedic Surgeons, and the Academic Orthopaedic Society. He is also a nationally recognized author, lecturer and academician. Our physician treats both adult and pediatric musculoskeletal tumors. He has expertise in adult reconstruction and complex reconstructive cases, limb salvage surgery, allograft and cartilage transplant, and all types of amputation surgery. He reviews consults and imaging studies for appointments and/or second opinions.
Spine
The orthopaedic spine surgery team at SAMMC diagnoses and treats all spinal problems to include herniated discs, spinal stenosis, spondylolisthesis, scoliosis, fractures, and tumors. These include all aspects of the cervical thoracic and lumbar spine. Fellowship trained surgeons are proficient in spinal cord and nerve decompressions for radiculopathy, sciatica, rheumatoid arthritis and spinal stenosis in the cervical thoracic and lumbar spine by anterior and posterior approaches. The spine team is also skilled in spinal stabilization procedures for degenerative conditions, instability, spondylolisthesis, fractures, deformity and tumors. We use advanced techniques, electrophysiologic monitoring and state of the art instrumentation for both anterior and posterior spinal fusions to manage any complex spinal problem.
Adult Reconstruction
Our physician is fellowship trained adult reconstructive surgeon. His area of expertise includes complex primary total hip and total knee replacement, revision cases, and unicompartmental knee replacements as well as primary total joint replacements.
Orthopaedic Trauma
The orthopaedic trauma team has expertise in acetabular fractures and pelvic ring fractures. All complex fractures including periarticular fractures would also fall under the purview of the traumatologist. Any problem fracture or nonunion would also meet the criteria for trauma referral. Our physician is also skilled in a variety of general orthopaedic surgery problems.
Pediatrics
The pediatric orthopaedic service is proud to offer complete and comprehensive management of a wide spectrum of pediatric orthopaedic conditions. Included are general pediatric orthopaedic conditions such as developmental hip dysplasia, rotational and angular deformities of the extremities, leg length inequalities, bone and joint infections and pediatric sports medicine injuries. Management of congenital and developmental pediatric foot disorders including clubfoot, metatarsus adductus, congenital vertical talus, tarsal coalition, polydactyly, macrodactyly and syndactyly is also available.
The pediatric orthopaedic team is skilled in spinal stabilization procedures for idiopathic, congenital and neuromuscular scoliosis, utilizing state of the art instrumentation and fusion techniques. A multidisciplinary clinic is also available for the management of patients with myelogmeningocele. Pediatric subspecialists attending this clinic include pediatric orthopaedics, pediatric urology, developmental pediatrics, pediatric neurosurgery, physical therapy, occupational therapy, dietary and physical medicine and rehabilitation services. This clinic meets every 2nd Tuesday of the month.
We also have a special interest in the treatment of other neuromuscular conditions such as cerebral palsy, muscular dystrophys and arthrogryposis. These clinics are held on the 1st and 4th Thursday of the month, with the third Thursday reserved for a multidisciplinary spasticity management clinic.
As an integral part of a level I trauma center, we offer comprehensive treatment of pediatric orthopaedic trauma to include the management of simple and complex upper and lower extremity fractures, pelvic fractures, and stabilization of spinal fractures including spinal cord injury. Management of benign pediatric orthopaedic tumors is also available, with treatment of malignant pediatric orthopaedic tumors available through our orthopaedic oncology section. The pediatric orthopaedic service perform outreach consultation and some surgical procedures at Darnell Army Hospital, Fort Hood Texas every other month, and offers similar services at Ft Sill, Oklahoma, and Fort Carson, Colorado approximately every three months.
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