Department of Orthopaedics
Dr. Cromack has been a plastic surgeon in the Department of Orthopaedics, trauma division since 2005. The observation that extremity trauma care could be markedly enhanced by the a multi discipline team approach is what drove Dr. Cromack to the division of orthopaedic trauma. He provides rapid and timely soft tissue reconstruction and limb salvage, decreasing hospital length of stay and allowing earlier initiation of rehabilitative efforts. One of two hand surgeons in the Department of Orthopaedics, he also takes faculty call for University Hospital and is the only surgeon performing congenital hand reconstruction within University Hospital. In addition to his clinical duties, he also has a long-standing interest in research, including spending 3 years at the NIH conducting research in the areas of growth factor regulation of the early response in wound healing and the metabolic changes seen in cancer cachexia. He has performed over 150 adipose tissue biopsies for research purposes.
- 1983 - MD - Medicine - University of Vermont College of Medicine, Burlington, VT
- 1973 - BS - Leadership - U.S. Military Academy, West Point, NY
- 1995 - Fellowship - Hand Surgery - Washington University, Department of Orthopaedic Surgery, St. Louis, MO
- 1994 - Residency - Plastic Surgery - St. Louis University, Division of Plastic Surgery, St. Louis, MO
- 1992 - Residency - General Surgery - St. Louis University, Department of Surgery, St. Louis, MO
- 1990 - Residency - Resident Research - Washington University, Department of Surgery, St. Louis, MO
- 1988 - Residency - Surgical Oncology - National Institutes of Health, National Cancer Institute, Bethesda, MD
- 1985 - Internship - General Surgery - Medical Center Hospital of Vermont, Burlington, VT
- 9/2016 - Professor/Clinical - UT Health San Antonio, Surgery, Division of Plastic and Reconstructive Surgery, San Antonio
- 9/2016 - Professor/Clinical - UT Health San Antonio, Orthopaedics, San Antonio
Instruction & Training
- 12/2014 - Present, Individual Instruction, UTHSCSA
- 6/2014 - Present, High School/Junior High School Student Supervision, UTHSCSA
- 10/2009 - Present, Post Graduate Rotation Supervision, University Hospital
- 7/2006 - Present, Post Graduate Rotation Supervision, University Hospital
Dr. Cromack is Co-Chair of the Clinical Competency Committee-Division of Plastic Surgery where is provides comprehensive review of each plastic surgery resident's clinical and professional performance. He also developed an action plan to ensure continued growth and developement, providing a pathway for success in board certification and the practice of plastic surgery. He also mentors plastic surgery residents where he reviews their performances.
Dr. Cromack is a mentor for the CCC, which was setup to review the performance of each resident and to identify their strengths and weaknessess and to assist them in meeting the milestones identified by the ACGME in order that they are successful in becoming board certified in plastic surgery. The committee also help residents implement a growth plan so they will be successful surgeons.
08/2009-09/2009 Dr. Cromack was a deployed flight surgeon responsible for primary care in an out patient clinic for 1000+ airman in Bagham, Afghanistan.
11/2007-11/2007 Dr. Cromack was the sole military provider/flight surgeon. He augmented civilian clinic providing to the 1200+ civilian and military members supporting the National Science Foundation research efforts in Antarctica. He was also a resident expert in aerospace medicine issues.
1. Jenkinson,Christopher P., Tripathy, Devjit T., Cromack DT, Curran, Joanne E.,Kumar, Satish, Carless, Melanie, Abdul- Ghani, Muhammad, Puppala, Sobha, Arya, Rector, Dyer, Thomas D., Lehman, Donna M., Hu, Shirley L., Fourcaudot, Marcel, Norton, Luke, Farook, Vidya S., Blangero, John, Goring, Harald H., DeFronzo, Ralph A., Duggirala, Ravindranath. Transcriptomic Identification of ADH1B as a Candidate Gene for Obesity and Insulin Resistance in Human Adipose Tissue in Mexican Americans from the Veterans Administration Genetic Epidemiology Study (VAGES). 2015.
2. Cromack DT, Moley JF, Pass HI, Sindelar WF, Maher M, Bergerson SJ, Steinberg SM, NortonJA. A prospective randomized trial of parenteral nutrition compared to ad lib oral nutrition in patients with upper gastrointestinal carconoma and weight loss undergoing surgical treatment. 1998. (Association of Academic Surgery).
3. Cromack DT, Strecker WB, Manske PA. Use of external fixation in the presurgical treatment of radial club hand. 1995. (Amer Soc. Surg. Hand).
4. Shands PA, Cromack DT, Strecker WB, Manske PR. Digital ray distraction lengthening in the pediatric population 1995. (ASSH Resident and Fellows Conference).
5. Cromack DT, Fraker DL, Talbot TL, Norton JA. The impact of cytokines on wound healing. 1990. (Clinical Research; vol.38, no. 406A).
6. Mustoe TA, Cromack DT, Wee SS, Kumar S. TGF-beta actions in deep wound repair. 1990. (J Cell Biochem Suppl; vol. 14E, no. 235).
7. Maher MD, Cromack DT, White D, Smith R, Kinsella T, Sinderlar WD. Complications of intraoperative radiotherapy (IORT). 1989.
8. Talbot TL, Cromack DT, Norton JA, Tyston HW. Strain rate dependence of wound breakingstrength for the dermal wound model. 1988. (IEEE Engineering in Med and Biology Society; vol.10, no. 687).
9. Cromack DT, Peacock J, Mahjer M, Agent S, White D, Peter J, Gorschboth C, Forquer R, MiserJ, Pizzo P, Norton JA. A prospective randomized comparison of 45% vs 25% branch chained amino acides (BCAA) in autologous marrow transplant (AMT) rcipients. 1987. (JPEN; vik, 12, no. 3S).
1. Chattar-Cora D, Okoro SA, Cromack DT. Free Flaps for Soft Tissue Coverage of the Diabetic Foot. In: Zgonis T,(ed). In Surgical Reconstruction of the Diabetic Foot and Ankle.. Philadelphis,
PA: Lippincott Williams & Wilkins; 2009. p. 193 - 204.
2. Cromack DT, Porras-Reyes B, Purdy JA, Pierce GF, Mustoe TA. Acceleration of tissue repair by transforming growth factor B1: Identification of in vivo mechanism of action by radiotherapy-induced specific healing deficits. In: Yearbook of Plastic Reconstructive and Aesthetic Surgery.1994.
3. Cromack DT, Imaging studies, Clinician's Pocket Reference in: Appleton & Lange. 1989. p. 159-168.
4. Cromack DT, Norton JA. Adrenal Incidentaloma, Common Problems in Endocrine Surgery: Recommendations of the Experts. In: Year Book Medical Publishers. 1988. p. 32-348
1. Zelle BA, Webb AJ, Cromack DT. Complete sciatic nerve treansection associated with a closed femoral shaft fractur, J Trauma Treat 2016 Apr;5(1)
2. Winnier DA, Fourcaudot M, Norton L, Abdul-Ghani MA, Hu SL, Farook VS, Coletta DK, Kumar S, Puppala S, Chittoor Dyer TD, Arya R, Carless M, Lehman DM, Curran JE, Cromack DT, Tripathy D, Blangero J, Duggirala R, Goring HH, DeFronzo 1 RA, Jenkinson CP. Transcriptomic Identification of ADH1B as a Novel Candidate Gene for Obesity and Insulin Resistance in Human Adipose Tissue in Mexican Americans from the Veterans Administration Genetic Epidemiology Study (VAGES) Public Library of Science 2015 Apr
3. Chavez AO, Coletta DK, Kamath S, Cromack DT, Monroy A, Folli F, DeFronzo RA, Tripathy D. Retinol-binding protein 4 is associated with impaired glucose tolerance, but not with whole body or hepatic insulin resistance in Mexican Americans. AM J Physiol Endocrinol Metab 2009 Apr;296(4):758-764.
4. Zgonis T, Roukis TS, Stapleton JJ, Cromack DT. Combined lateral column arthrodesis, medial plantar artery flap, and circular external fixation for the Charcot midfoot collapse with chronic plantar ulceration Advances in Skin and Wound Care 2008 Nov;21(11):521-525.
5. Zgonis T, Stapleton JJ, Rodriguez RH, Girard-Powell VA, Cromack DT. Plastic surgery reconstruction of the diabeticfoot. AORN J 2008 May;87(5):951-966.
6. Zgonis T, Orphanos J, Roukis TS, Cromack DT. Use of a muscle flap and a split-thickness skin graft for a calcaneal osteomyelitis after an open reduction and internal fixation Journal American Podiatric Medical Association 2008 Mar;98(2):139-142.
7. Zgonis T, Cromack DT, Stapleton JJ. Utilizing a crossover reverse sural artery flap for soft tissue reconstruction of the plantar forefoot after a severe degloving injury International Journal of Lower Extremity Wounds 2007 Jun;06(02):114-119.
8. Chattar-Cora, Tutela RR Jr, Daum AN, Cromack DT. Experience with railroad injuries at a major urban trauma center serving the United States-Mexico border. Journal of Trauma 2007 May;62(5):1123-1126.
9. Zgonis T, Cromack DT, Roukis TS, Orphanos J, Polyzois VD. Severe degloving injury of the sole and heel treated by a reverse flow sural artery neurofasciocutaneous flap and a modified off-loading external fixation device Injury Extra 2007 Mar;38:187-192.