Orthopaedic Surgery

Operative Experience

Surgerical Experience Ortho Surgery Trauma

Indiana University School of Medicine’s Trauma Fellowship program offers a comprehensive surgical experience with a wide breadth of complex pathology.

Indiana University Health Methodist Hospital serves as a tertiary referral center for complex orthopaedic trauma throughout Indiana.

The following gives an idea of the average number of operatively managed fractures handled on an annual basis:

LocationAnnual Number of Operations
Acetabulum120
Pelvis100
Hip fracture190
Femur180
Tibia plateau50
Tibia shaft130
Tibia pilon75
Calcaneus30
Nonunion120
Humerus shaft45
Distal humerus35
Upper extremity fracture dislocations35
Periacetabular osteotomy50
Bone transport>10

Daily Rotation

Fellows participate in morning X-ray report and inpatient rounding. The Orthopaedic Trauma Service faculty meets every morning to review the previous afternoon/evening/overnight trauma admissions and discuss diagnosis, surgical indications, surgical approach and anticipated outcomes. The advanced practice provider staff then rounds as a team through the intensive care unit (ICU) and inpatient units. The fellows will then follow one of the attending staff either to the operating room or to the orthopaedic physician office.

Call Responsibility

Call is shared between fellows and residents. Fellows are always on call with a staff member and thus do not take independent call. Each fellow takes no more than eight home calls per month and is on home call every third weekend. Advanced Practice Providers remain in-house 24/7 and field all floor calls and consults. Fellow call functions similar to staff call and primarily involves discussing consult disposition with the in-house team, operative planning, and surgery for urgent/emergent conditions.