Residency Information
Last updated Tuesday, December 04, 2007
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Foot and ankle reconstruction
About the rotation
The foot reconstruction rotation offers an excellent experience under the supervision of fellowship-trained faculty.
This fourth year rotation is based at the University of Washington
Medical Center and Harborview Medical Center. Mondays are spent with Nancy Kadel M.D. in the operating room at the University of Washington Medical Center. Tuesday through Friday are spent with Sig T. Hansen M.D., Bruce Sangeorzan M.D. and Steve Benirschke M.D. at Harborview Medical Center.
During this rotation emphasis is placed on the comprehensive
evaluation of patients with degenerative, inflammatory and post
traumatic conditions of the foot and ankle.
Goals & objectives
Our goals are to teach the essentials of foot and ankle reconstruction relevant to a general orthopedic practice.
During this rotation, residents learn to perform a thorough
assessment and management plan for individuals with foot and ankle
conditions. This will often include consideration of systemic factors
such as age, immune compromise, rheumatoid arthritis, urinary tract
problems, and potential for pulmonary, cardiac and coagulopathic
problems and Diabetes Mellitus.
Residents learn preoperative planning of primary and revision ankle
arthodesis, arthroplasty, and re-alignment procedures for malunion and
acquired foot deformity.
Residents read actively during this rotation. There is a reading
list that is updated by regular review of the current literature and
primary textbooks.
In the clinic, residents learn the principles of evaluation of the
foot and ankle, including the history, physical exam, radiography and
ancillary tests. This experience provides a context for understanding
the natural history of OA, RA, Post traumatic AVN, sepsis, fractures,
and charcot joints associated with Diabetes Mellitus. The evaluation of
soft tissue imbalance is paramount to this service.
On the inpatient service the residents learn the details of caring
for patients after surgical procedures. This includes DVT prophylaxis,
pain management, physical therapy and discharge planning.
In the operating room the residents learn the surgical approaches to
the foot and ankle and become facile with those procedures that are
performed routinely by a general orthopedist.