Expert Orthopaedic Care Tailored to You

Welcome to Madison County Orthopaedics and Surgery, where we specialize in restoring your mobility and comfort. Our expert team led by Dr. Teri Formanek, an acclaimed orthopaedic surgeon, offers comprehensive care from evaluation to therapy, ensuring you can enjoy your favorite activities and live your life pain-free.

Teri Formanek, MD

With a background from the prestigious Harvard Hand Fellowship and extensive experience in orthopaedic surgery, Dr. Teri Formanek brings a wealth of expertise to Madison County Orthopaedics and Surgery. Specializing in upper extremity procedures, including arthroscopy of the wrist, elbow, shoulder, knee, and ankle, Dr. Formanek is committed to providing exceptional care to every patient.

At Madison County Health Care System, patients receive comprehensive orthopaedic care from initial evaluations to post-operative therapy. Dr. Formanek’s approach is patient-centered, emphasizing open communication and shared decision-making. Whether you require fracture care, arthroscopic surgery, or other orthopaedic interventions, Dr. Formanek will work closely with you to develop a personalized treatment plan tailored to your unique needs and goals. With a focus on restoring function and improving quality of life, our team is dedicated to helping you regain mobility and enjoy life to the fullest.

Orthopaedics Office Hours
Monday, Wednesday, Thursday
7:30 am – 6:00 pm
Contact Us
Health Trust Physicians Clinic
300 W Hutchings St., Ste 100
Winterset, IA 50273
Ph: (515) 462-2950, ext. 679
Patient Testimonials
Total Shoulder Replacement

Orthopaedic Conditions, Treatments & Services


Fractures, commonly known as broken bones, occur when there is a crack or break in the bone. This can happen due to falls, accidents, or trauma. Fractures can vary in severity from hairline fractures to complete breaks, and they may require different treatment approaches depending on the extent of the injury.


Arthritis is a condition that causes inflammation and stiffness in the joints, leading to pain and decreased mobility. There are different types of arthritis, including osteoarthritis and rheumatoid arthritis, each with its own causes and treatment options. While there is no cure for arthritis, various treatments can help manage symptoms and improve joint function.


Tendonitis is inflammation or irritation of a tendon, which is the tissue that connects muscle to bone. It often occurs due to overuse or repetitive motions and can cause pain, swelling, and limited movement in the affected area. Rest, ice, physical therapy, and anti-inflammatory medications are commonly used to treat tendonitis and promote healing.

Ligament Injuries

Ligaments are tough bands of tissue that connect bones to each other and provide stability to the joints. Ligament injuries, such as sprains or tears, can occur from sudden twists or impacts that stretch or tear the ligament. Depending on the severity of the injury, treatment may involve rest, physical therapy, bracing, or in some cases, surgical repair.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition that causes numbness, tingling, and weakness in the hand and arm. It occurs when the median nerve, which runs through the wrist, becomes compressed or irritated. Treatment options for carpal tunnel syndrome may include wrist splinting, corticosteroid injections, or surgery to relieve pressure on the nerve.

Total Shoulder Repairs

Total shoulder repairs involve surgical procedures to address various shoulder conditions, such as severe arthritis, rotator cuff tears, or shoulder instability. These procedures aim to restore function and alleviate pain by replacing damaged joint surfaces or repairing injured soft tissues. Rehabilitation following total shoulder repair is essential for optimizing outcomes and restoring range of motion and strength.

Recovery & Therapy Services

Our facility offers a range of treatments and services to address orthopaedic conditions effectively. These include fracture care, arthroscopic surgery, joint replacement surgery, orthotics and bracing, physical therapy, and rehabilitation services. Whether you require surgical intervention or non-surgical management, we utilize the latest techniques and technologies to ensure optimal outcomes for our patients.

Madison County Health Care System offers a robust Health and Rehab Services department to meet any post-procedure physical therapy needs you may have.

David BalchDavid Balch
01:23 09 Nov 21
Sarah and the whole team were absolutely amazing! Got me back on my feet and back to work sooner than expected. Could not be more happy and satisfied with the treatment I received!!!
Jennifer JacksonJennifer Jackson
00:32 30 Jul 20
If you are looking for a place with 5 star treatment - look no further! From the first visit with Dr. Formanek and his team, to the x-ray and MRI with the Radiology team, a thorough explanation about what needed to be fixed and how it would happen, an absolutely fantastic surgical experience which left me feeling like a VIP customer, to the excellent follow-up appointment, and finally physical therapy to help with the final healing process. All of this, and I never left home. Why go anywhere else - when you can have all of this in one location and some of the best customer service I have ever experienced!