Orthopaedic Surgical Associates & Merrimack Valley Spine Center (“OSA”) were recently notified of a data breach impacting a third-party vendor, ConnectOnCall. OSA takes the protection of patient information seriously. Following notification of this incident, OSA terminated the partnership with ConnectOnCall. Patients will receive notification letters of the incident directly from ConnectOnCall. Patients may contact ConnectOnCall and learn more about the incident from the notification letter, or at the following web address: https://www.phreesia.com/security-incident/

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All offices will be closed on Wednesday, January 1, in observance of the holidays.

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Joseph Fleck, DPM, FACFAS

Specialties
Foot and Ankle
Located In

North Chelmsford, Westford

About

Joseph R. Fleck, DPM, FACFAS, is a fellowship-trained podiatrist and foot and ankle surgeon. He specializes in all aspects of non-surgical and surgical care of the foot and ankle. Dr. Fleck takes special interest in complicated revision cases such as reconstruction corrective surgery, ankle joint replacement, limb salvage surgery, and arthroscopy. 

Dr. Fleck treats all conditions of the foot and ankle including but not limited to Achilles tendon ruptures, tendinitis, ankle sprains, arthritis, fractures, heel pain, plantar fasciitis, Charcot, flatfoot, high arch, bone spurs, bunions, hammertoes, neuromas, and other deformities.

Dr. Fleck completed his medical training at Kent State University, where he earned his Doctor of Podiatric Medicine degree. He went on to complete a residency in Foot and Ankle Reconstructive Surgery at Saint Francis Hospital and Medical Center in Hartford, CT, serving as Chief Resident. He furthered his training with a fellowship at the American Foundation of Lower Extremity Surgery and Research (AFLESR) in Alamogordo, NM, where he gained expertise in advanced surgical and reconstructive techniques.

In his free time. Dr. Fleck enjoys spending time with his wife, their pets, and close friends and family. He is an avid sports fan and enjoys playing golf.

Aetna
AllWays Health Partners (formerly Neighborhood Health Plan / NHP)
Blue Cross Blue Shield Massachusetts
Cigna
Commonwealth Care Alliance
Coventry
Fallon
HPHC
Humana
Medicaid
Medicare
MultiPlan Networks
Tricare
Tufts Health Plan
Unicare
UnitedHealthcare

Orthopaedic Surgical Associates accepts most major insurance carriers and plans. Please see the list of accepted insurance carriers above. To confirm if we accept your specific plan, please contact our offices at (978) 454-0706 and have your insurance card available. Our team will be happy to provide additional information.

Fellowship

Fellowship in Foot, Ankle, and Lower Extremity Reconstructive Surgery
American Foundation of Lower Extremity Surgery and Research (AFLESR), Alamogordo, NM

Medical School

Doctor of Podiatric Medicine: Kent State University, Independence, OH

Residency

Residency in Foot and Ankle Reconstructive Surgery, PMSR/RRA
Saint Francis Hospital and Medical Center, Hartford, CT

College

Bachelor of Arts, Human Physiology: University of Minnesota, Minneapolis, MN

  • American Board of Foot and Ankle Surgery: Board Qualified
  • Advanced Cardiac Life Support
  • Basic Life Support
  • Integra Cadence Total Ankle System
  • Vilex Hintermann Series H2 & H3 Total Ankle Replacement
  • Wright Medical Infinity Total Ankle System
  • Wright Medical InBone Total Ankle System
  • Advanced Principles in Uniplanar and Multiplanar Fixation Devices
  • Arthroscopy Foot and Ankle
  • Paragon 28 Apex Total Ankle System

Memberships
  • American College of Foot and Ankle Surgeons
  • American Podiatric Medical Association
  • Connecticut Podiatric Medical Association
  • New Mexico Podiatric Medical Association
  • American Foundation of Lower Extremity Surgery and Research

  • Top Surgeon Award: Complex Ankle Fracture/Dislocations (2022)
  • Nuts & Bolts Award (2022)
  • Outstanding Presentation Award: Total Ankle Joint Reconstruction and Revisions (2022)
  • Projects Director for American Foundation of Lower Extremity Surgery and Research (2021/2022)
  • Outstanding Poster Abstract – 3rd Place, APMA 2019 Annual Scientific Meeting
  • APMA Educational Foundation Scholarship, Novartis Pharmaceuticals
  • Dean’s List, Kent State University College of Podiatric Medicine
  • Black Squirrel Scholarship, Kent State University College of Podiatric Medicine
  • Dean’s List, University of Minnesota

Publications
  • Kawalec J, Ehredt D, Bakhaj K, Fleck J, Nutter K, Osher L. (2021). Inaccuracy of Forefoot Axial Radiographs in Determining the Coronal Plane Angle of Sesamoid Rotation in Adult Hallux Valgus Deformity: A Study Using Weightbearing Computed Tomography. JAPMA. 111 (2). Article 11.
  • Goldfarb RA, Pisanksy A, Fleck J, Hoversten P, Cotter KJ, Katorski J, Liberman D, Elliott SP. (2016). Neurogenic Lower Urinary Tract Dysfunction in Adults with Cerebral Palsy: Outcomes following a Conservative Management Approach. The Journal of Urology. 195(4): 1009-13.
  • Sewell JM, Oluwakeyode OA, Fleck JR, Wolfson JR, Konety BR. (2015). Factors Associated with the Journal Impact Factor (JIF) for Urology and Nephrology Journals. Int Braz J Urol. 41(6):1058-66.
  • Summers SJ, Elliott S, McAdams S, Oottamasathien S, Brant WO, Presson AP, Fleck J, West J, Myers JB. (2014). Urologic Problems in Spina Bifida Patients Transitioning to Adult Care. Urology. 84(2):440-4.
  • Kalyanaraman B, Nguyen A, Fleck J, Hover P, Katorski J, Elliott SP. (2014). PD11-06 Urodynamic Characterization of Urinary Dysfunction in Adults with Cerebral Palsy. The Journal of Urology. 191(4): 288.
Research
  • Fleck JR, Harrington MP, Butto DN, Balloch R, Litchfield A, Gonzalez R. Open versus Endoscopic Gastrocnemius Recession: A Retrospective Comparative Study.
    Podium presentation at ACFAS Scientific Conference. Las Vegas, NV May 2021.
  • Fleck JR, Balloch R, Butto DN. Recurrent Non-Syndromic Metatarsal Synostosis in an Adult.
    Poster presentation at ACFAS Scientific Conference. Las Vegas, NV May 2021..
  • Fleck JR. ACFAS Scientific Literature Review, published online February 2020. Korompilias A, Gkiatas I, Korompilia M, Kosmas D, Kostas-Agnantis I. Reverse Sural Artery Flap: A Reliable Alternative for Foot and Ankle Soft Tissue Reconstruction. European Journal of Orthopaedic Surgery & Traumatology. 2018 Oct 29;29(2):367-372.
  • Osher L, Ehredt D, Kawalec J, Bakhaj K, Fleck J, Nutter K. Inaccuracy of Forefoot Axial Radiographs in Determining the Coronal Plane Angle of Sesamoid Rotation in Patients with Adult Hallux Valgus Deformity. A Study using Weight-Bearing CT Scanning.
    Poster presentation at Kent State University Graduate Symposium. Kent, OH, April 2018.
    Poster presentation at APMA 2019 Annual Scientific Meeting. Salt Lake City, UT, July 2019.
  • Liberman D, Goldfarb RA, Pisanksy A, Fleck J, Hoversten P, Cotter KJ, Katorski J, Elliott SP. Neurogenic Lower Urinary Tract Dysfunction in Adults with Cerebral Palsy: Outcomes following a Conservative Management Approach.
    Podium presentation at the Annual Winter Meeting of Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. New Orleans, LA, Feb 2016.
  • Fleck JR. Article summary published in Compendium of Podiatric Medicine and Surgery 2015 (pp 79-80). Mohseni-Bandpei MA, Nakhaee M, Mousavi ME, Shakourirad A, Safaria MR, Vahab Kashani R. Application of Ultrasound in the Assessment of Plantar Fascia in Patients with Plantar Fasciitis: A Systemic Review. Ultrasound Med Biol. 2014 Oct; 40(8): 1737-54.
  • Fleck JR. Article summary published in Compendium of Podiatric Medicine and Surgery 2015 (pp 148). Morimoto N, Ito T, Takemoto S, Katakami M, Kanda N, Tada H, Tanaka S, Teramukai S, Kawai K, Nakamura Y, Kasai Y Masayuki Y, Maekawa T, Shimizu A, Suzuki S. An Exploratory Clinical Study on the Safety and Efficacy of an Autologous Fibroblast-Seeded Artificial Skin Cultured with Animal Produce-Free Medium in Patients with Diabetic Foot Ulcers. International Wound Journal. Apr 2014; 11(2): 183-9.
  • Fleck JR. Article summary published in Compendium of Podiatric Medicine and Surgery 2015 (pp 150-151). Moura LI, Dias AM, Leal EC, Carvalho L, de Sousa HC, Carvalho E. Chitosan-Based Dressings Loaded with Neurotensin ⎯ An Efficient Strategy to Improve Early Diabetic Wound Healing. Acta Biomaterialia. 2014; 10(2): 843-57.
  • Kalyanaraman B, Nguyen A, Fleck J, Hoversten P, Katorski J, Elliott SP. Urodynamic Characterization of Urinary Dysfunction in Adults with Cerebral Palsy.
    Podium presentation at the Annual Meeting of American Urologic Association. Orlando, FL, May 2014.
  • Summers S, Hardee M, Elliott SP, McAdams S, Oottamasathien S, Brant W, Fleck J, West J, Myers J. Urologic Problems in Spina Bifida Patients Transitioning to Adult Care. Podium presentation at the Annual Meeting of American Urological Association. San Diego, CA, May 2013.
  • Fleck JR, Sewell JM, Oluwakeyode OA, Wolfson JR, Konety BR. Improving the Journal Impact Factor Among Nephrology and Urology Journals.
    Poster presentation at University of Minnesota Undergraduate Symposium. Minneapolis, MN, April 2013.
Surgical Courses
  • Enovis Evolve34 (Dallas, TX) 2024
  • Paragon 28 Apex Total Ankle (Colorado Springs, CO) 2023
  • Fusion Orthopedics Lapilock (Mesa, AZ)
  • Wright Medical Prophecy Total Ankle System (Alamogordo, NM) 2022
  • External Fixator Principles and Advanced Surgical Techniques (Las Cruces, NM)
  • Vilex Hintermann Total Ankle Replacement (Park City, UT)
  • Treace Adductoplasty (Austin, TX)
  • Treace Lapiplasty (Colorado Springs, NM)
  • Ankle Arthroscopy Techniques (Hartford, CT) 2021
  • Stryker T2 Ankle Arthrodesis Nail (Hartford, CT)
  • Integra Cadence Total Ankle System (Alamogordo, NM)
  • Integra Panta 2 TTC Arthrodesis Nail System (Alamogordo, NM)
  • Vilex Hintermann Series H2 & H3 Total Ankle Replacement (Las Cruces, NM)
  • Wright Medical InBone Total Ankle Replacement (Alamogordo, NM)
  • Wright Medical Infinity Total Ankle Replacement (Alamogordo, NM)
  • Low Energy Rotational Ankle Fractures (Bloomfield, CT) 2020
  • Lapidus Bunionectomy Fixation Techniques (Bloomfield, CT)
  • Integra Panta 2 TTC Arthrodesis Nail System (Hartford, CT)
  • Wright Medical Lapifuse (Hartford, CT)
  • Minimally Invasive Bunion Plate System Trilliant Surgical (Hartford, CT)
  • Circular Frame External Fixation System (Hartford, CT)
  • Stryker Lower Extremity Reconstruction Course (Dallas, TX) 2019
  • Stryker Hoffman 3 External Fixation System (Hartford, CT)
  • Stryker Sonic Anchor and Sonic Pin (Bloomfield, CT)
  • Stryker Asnis JFX Jones Fracture Fixation (Hartford, CT) 2018
Lectures
  • Use of Human Placental Tissue in Total Ankle Replacements (Colorado Springs, CO) – 02/2024
  • Total Ankle Replacement with Varus Correction (Colorado Springs, CO) – 11/2023
  • Internal Fixation of Rearfoot Procedures (Lakewood, CO) – 10/2023
  • Internal Fixation of Forefoot Procedures (Lakewood, CO) – 10/2023
  • IM Nail Principles and Technique (Englewood, CO) – 09/2023
  • Umbilical Tissue Utilization in Faster Surgical Recovery (Denver, CO) – 07/2023
  • Constructs for 1st Tarsometatarsal Joint Fusion (Mesa, AZ) – 05/2023
  • Ankle Sprains – Prevention and Treatment, Fox News, (Colorado Springs, CO) – 04/2023
  • Tendon Repairs and Amniotic Tissue, Faster Recovery (Colorado Springs, CO) – 08/2022
  • Deep Peroneal Nerve Excision for Midfoot Arthritic Pain (Bozeman, MT) – 06/2022
  • Total Ankle Joint Reconstruction and Revisions (Bozeman, MT) – 06/2022
  • Ankle Arthroscopy and Lateral Ankle Instability (Alamogordo, NM) – 06/2022
  • Constructs for 1st Tarsometatarsal Joint Fusion (Alamogordo, NM) – 05/2022
  • Tibialis Anterior Tendon Rupture and Tendon Allograft (Las Cruces, NM) – 05/2022
  • Lisfranc ORIF Fixation Techniques (Las Cruces, NM) – 04/2022
  • Minimally Invasive Bunion Complications (Alamogordo, NM) – 04/2022
  • Total Talus Procedure (Alamogordo, NM) – 04/2022
  • Talar Osteotomies for Rigid Cavovarus Foot Deformities (Alamogordo, NM) – 03/2022
  • Cryopreserved Umbilical Tissue in Lower Extremity Burns (Las Cruces, NM) – 03/2022
  • Fixation Techniques for Posterior Malleolar Fractures (Las Cruces, NM) – 03/2022
  • External Fixator Principles and Advanced Surgical Techniques (Mesilla, NM) – 02/2022
  • Staged Procedures for Total Ankle Replacement (Alamogordo, NM) – 02/2022
  • Tendon Transfers for Cavovarus Foot Deformities (Alamogordo, NM) – 01/2022
  • Proper Use and Application of Connective Tissue Allograft (Las Cruces, NM) – 01/2022
  • Methods for Proficient Pilon Fracture Repair (Alamogordo, NM) – 12/2022
  • Double Plating Technique for Revisional Arthrodesis (Alamogordo, NM) – 12/2022
  • Realignment of Calcaneal Deformities (Las Cruces, NM) – 12/2021
  • Use of Allograft for Bony Defects (Alamogordo, NM) – 11/2021
  • Suture Anchors: Proper Insertion and Suture Technique (Alamogordo, NM) – 11/2021
  • Ankle Syndesmotic Repair (Alamogordo, NM) – 10/2021
  • Proximal Tibial Autograft Harvest Technique (Alamogordo, NM) – 10/2021
  • Surgical Technique of Osteochondral Defects of the Talus (Las Cruces, NM) – 09/2021
  • Arthroscopy Techniques of the Ankle and Subtalar Joint (Alamogordo, NM) – 09/2021
  • Cavus Foot Reconstruction (Alamogordo, NM) – 09/2021
  • Revision Total Ankle Replacement Surgery (Alamogordo, NM) – 08/2021
  • Overview and Management of Nonunions (Las Cruces, NM) – 08/2021
  • Revisional Clubfoot Surgery (Las Cruces, NM) – 07/2021
  • Suture and Casting Techniques (Alamogordo, NM) – 07/2021
  • Total Ankle Replacement Techniques (Alamogordo, NM) – 07/2021
  • Rheumatoid Foot Reconstruction (Hartford, CT) – 04/2021
  • Operative Treatment of Rotational Ankle Fractures (Hartford, CT) – 03/2021
  • Peroneal Tendon Pathologies and Surgical Options (Hartford, CT) – 03/2021
  • Medial Malleolus Takedown and Fixation (Hartford, CT) – 01/2021
  • Ankle Arthrodesis: Open versus Arthroscopic (Hartford, CT) – 12/2020
  • External Fixation vs Superconstructs in Charcot Reconstruction (Bloomfield, CT) – 10/2020
  • Supramalleolar Osteotomies (Bloomfield, CT) – 09/2020
  • Total Contact Cast Overview (Hartford, CT) – 09/2020
  • Use of Umbilical Tissue in Surgical Dehiscence Cases (Hartford, CT) – 07/2020
  • Traumatic Nerve Injuries (Hartford, CT) – 05/2020
  • Surgical Management of Midfoot Arthrosis (Alamogordo, NM) – 03/2020
  • First Metatarsophalangeal Joint Arthrodesis Revision Techniques (Enfield, CT) – 03/2020
  • Full Thickness Skin Grafting (Hartford, CT) – 03/2020
  • Peroneal Tendon Dislocation (Bloomfield, CT) – 02/2020
  • Avascular Necrosis of the Talus (Hartford, CT) – 01/2020
  • Treatment Options for Brachymetatarsia (Hartford, CT) – 11/2019
  • Tongue Type Calcaneal Fracture Management (Providence, RI) – 10/2019
  • Umbilical Tissue and Wound Vac Utilization to Faster Healing (Hartford, CT) – 08/2019
  • Malignant Bone Tumors of the Foot & Ankle (Hartford, CT) – 08/2019
  • Conservative Treatment of Non-unions (Hartford, CT) – 06/2019
  • Peripheral Arterial Disease in the Lower Extremity (Hartford, CT) – 05/2019
  • Nonunions After 1st MTPJ Arthrodesis (Alamogordo, NM) – 05/2019
  • Diagnosis and Treatment of Stress Fractures (Hartford, CT) – 04/2019
  • Neurogenic Heel Pain (Hartford, CT) – 03/2019
  • Lateral Ankle Stabilization Procedures (Hartford, CT) – 03/2019
  • Treatment for PTTD Stages 1 and 2 (Hartford, CT) – 02/2019
  • Hallux Rigidus (Hartford, CT) – 01/2019
  • Human Placental Tissue in Diabetic Foot Ulcers (Hartford, CT) – 12/2028
  • Congenital Pedal Deformities (Hartford, CT) – 12/2018
  • Diagnosis and Treatment of Hallux Valgus (Hartford, CT) – 11/2018
  • MRSA & Pseudomonal Infections (Hartford, CT) – 10/2018
  • Management of Complications Following Digital Surgery (Hartford, CT) – 10/2018
  • Treatment of Lower Extremity Wounds (Hartford, CT) – 09/2018
  • Local Anesthetic Use and Toxicity (Hartford, CT) – 08/2018
  • Principles of Internal Fixation (Hartford, CT) – 07/2018
  • Distal Tibiofibular Syndesmotic Injuries (Wilmington, DE) – 11/2017
  • Midfoot Osteotomies in the Cavus Foot (Boston, MA) – 09/2017
  • Talar Fractures (Winston-Salem, NC) – 08/2017
  • Pediatric Ankle Fractures (Worcester, MA) – 06/2017
  • Surgical Management of Hammertoes (Cleveland, OH) – 05/2017
  • Plantar Plate Repair: Plantar verse Dorsal Approach (Phoenix, AZ) – 05/2017
  • Necrotizing Fasciitis in the Lower Extremity (Hartford, CT ) – 04/2017