P. Andrew Puckett, MD

  • P. Andrew Puckett, MD
    P. Andrew Puckett, MD
    Hand & Microvascular Surgeon

    Dr. Andy Puckett (P. Andrew Puckett, MD) is a board certified, fellowship trained orthopedic surgeon. He attended medical school and completed his internship and residency at Indiana University School of Medicine, and then went on to pursue a fellowship in hand and microvascular surgery from the University of Utah. He also has a Certificate of Added Qualification in Hand Surgery, and specializes in all conditions of the upper extremity (elbow, wrist and hand) including microvascular surgery.

    As any artist knows—whether you’re woodworking, sewing, knitting or painting—fine motor skills in your hands and wrists are vital to your craft. And for anyone else who needs comfort and function in their arms and hands for sports, cooking, working, typing, and playing with the kids or grandkids—which is most of us—conditions affecting your upper extremities can be particularly debilitating as well. Dr. Puckett’s specialization brings top expertise to this important area of the body, working with you to find a solution for your condition.

    Upper extremity musculoskeletal disorders (UEMDs) affect many, and they have a negative impact on quality of life, so specialized treatment is especially vital. The most common conditions treated are carpal tunnel, tendonitis, arthritis, DeQuervain’s, Dupuytren’s contracture, and fractures. Many of these disorders not only cause pain, but they can also lead to loss of muscle and mobility.

    Dr. Puckett performs carpal tunnel and some other microvascular surgeries in the clinic setting, using sterile set up. This is a cost saving to his patients and minimizes surgical waste. When needed, he will utilize our ambulatory surgical center, on the same campus at 2360 Mullan Road in Missoula, Montana.

    Dr. Puckett first came to Missoula as an independent physician at Missoula Orthopedic Associates, and in 1999 joined together with his colleagues to form Missoula Bone & Joint. He and his wife, raised their two boys in Missoula and fell in love with the great outdoors of Montana, especially skiing, mountain biking and hiking.

    Medical School: Indiana University School of Medicine, Indianapolis, IN, 1991

    Internship: General Surgery, Indiana University School of Medicine, 1991-1992

    Residency: Orthopedic Surgery, Indiana University School of Medicine, 1992-1996

    Fellowship: Hand and Microvascular Surgery, University of Utah, 1996-1997

    Board Certified: American Board of Orthopaedic Surgeons; Certificate of Added Qualification in Hand Surgery

    State Licensed: Montana

    Joined Practice: 1999

    Professional Memberships:

    • American Academy of Orthopaedic Surgeons
    • American Society Surgery of the Hand
    • Montana Medical Association


    Andrea is the dedicated orthopedic assistant for Dr. Puckett’s patients. Andrea works closely with Dr. Puckett to make sure that each patient’s needs are met. If you have questions or concerns you can phone Andrea directly at (406)829-5580.

    Lou Westenfelder is a Physician Assistant, PA-C, who works closely with Dr. Puckett in both surgery and the clinic. Lou also evaluates and treats patients who come to our Orthopedic Urgent Care.



    Dr. Puckett has volunteered his time and medical expertise on many trips with Missoula Medical Aid to Honduras, Central America. On this most recent trip there were 230 people in line to receive medical care.


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