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L. Andrew Koman, M.D.Wake Forest Baptist Health

Doctor Rating

4.6 out of 5

51 Ratings
4 Comments

L. Andrew Koman, M.D.

Chair,
Executive Director, Orthopedics Clinic
Professor,


Clinical Interests

Peripheral Nerve Repair, Pediatric Orthopaedics, Cerebral Palsy, Spasticity Management, Orthopaedics, Hand Surgery, Pediatric Orthopaedic Surgery, Rehabilitation, Microsurgery, Upper Extremity Vascular Disorders

Contact Information

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New Patient Appointments: 336-716-WAKE
Returning Patient Appointments: 336-716-8094
Department: 336-716-8200

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Education & Training

  • A.B., Duke University , 1970
  • M.D., Duke University School of Medicine , 1974
  • Internship, Pediatrics, Duke University School of Medi, 1974
  • Residency, Surgery, Duke University School of Medi, 1975
  • Residency, Orthopaedic Surgery, Duke University School of Medi, 1979
  • Fellowship, Duke University School of Medi, 1980

Board Certifications

  • American Board of Orthopaedic Surgery, Orthopaedic Surgery, Orthopaedic Surgery - Orthopaedic Surgery

Memberships

  • Int'L Society Of Orthopedic Su
  • Am Academy Of Orthopaedic Surg
  • La Societe Intl De Chirurgie O
  • NC Soc for Surg of the Hand
  • North Carolina Medical Society
  • North Carolina Orthopedic Assn
  • Orthopaedic Research Society
  • Piedmont Orthopedic Society
  • Southeastern Hand Club
  • Southern Medical Association
  • Southern Orthopedic Assn
  • Am Ortho Foot & Ankle Society
  • Am Orthopaedic Assn
  • Am Soc Of Reconstructive Micro
  • Am Soc Of Surgery Of The Hand
  • Clinical Orthopaedic Society
  • Duke Hand Club
  • Eastern Orthopaedic Assn
  • Am Acad Of Cer Palsy & Dev Med
  • Hand Forum (Research Society)
  • Int'L Soc For Reconstructive M

NPI Number

  • 1821072208
L. Andrew Koman, M.D.

Doctor Rating

4.6 out of 5

51 Ratings
4 Comments

L. Andrew Koman, M.D.

Chair, Orthopaedics
Executive Director, Orthopedics Clinic
Professor, Orthopaedics
Pediatrics
Vascular & Endovascular Surgery

Research Interests

education/training (all f, t,, health services, research/outc

Contact Information

Request An Appointment

Academic: 336-716-2878 | Department: 336-716-8200

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Recent Publications

Pace LA, Plate JF, Mannava S, Barnwell JC, Koman LA, Li Z, Smith TL, Van Dyke M. A human hair keratin hydrogel scaffold enhances median nerve regeneration in nonhuman primates: an electrophysiological and histological study. Tissue Eng Part A. 2014;20(3-4):507-517.

Islam A, Edgerton C, Stafford JM, Koman A, Li Z, Smith BP, Edwards MS, Corriere MA. Anatomic findings and outcomes associated with upper extremity arteriography and selective thrombolysis for acute finger ischemia. J Vasc Surg. 2014;60(2):410-417.

Mannava S, Mannava KA, Nazir OF, Plate JF, Smith BP, Koman LA, Tuohy CJ. Treatment of palmar hyperhidrosis with botulinum neurotoxin A. J Hand Surg [Am]. 2013;38(2):398-400.

Koman LA, Smith BP, Williams R, Richardson R, Naughton M, Griffin L, Evans P. Upper extremity spasticity in children with cerebral palsy: a randomized, double-blind, placebo-controlled study of the short-term outcomes of treatment with botulinum A toxin. J Hand Surg [Am]. 2013;38(3):435-446.

Bhandari M, Tornetta P III, Rampersad SA, Sprague S, Heels-Ansdell D, Sanders DW, Schemitsch EH, Swiontkowski M, Walter S, Webb LX, Teasdall RD, Birkedal JP, Martin DF, Ruch DS, Kilgus DJ, Pollock DC, Harris MB,. (Sample) size matters! An examination of sample size from the SPRINT trial study to prospectively evaluate reamed intramedullary nails in patients with tibial fractures. J Orthop Trauma. 2013;27(4):183-189.

Islam A, Edgerton C, Andrews JS, Edwards MS, Koman A, Li ZY, Corriere MA. Anatomic findings and outcomes associated with arteriography and thrombolysis for acute finger ischemia [abstract]. J Vasc Surg. 2013;57(5 Suppl):100S.

Chung KC, Kim HM, Haase SC, Lawton J, Ozer K, Waljee JF, Nellans K, Malay S, Shauver MJ, Rozental TD, Appleton P, Rodriguez E, Herder L, Wagner K, Blazar P, Earn B, Li ZY, Koman A, Smith B, Bullard D, et al. Reflections 1 year into the 21-Center National Institutes of Health--funded WRIST study: a primer on conducting a multicenter clinical trial. J Hand Surg [Am]. 2013;38(6):1194-1201.

Whitlock PW, Seyler TM, Northam CN, Smith TL, Poehling GG, Koman LA, Van Dyke ME. Effect of cyclic strain on tensile properties of a naturally derived, decellularized tendon scaffold seeded with allogeneic tenocytes and associated messenger RNA expression. J Surg Orthop Adv. 2013;22(3):224-232.


Stone AV, Koman LA, Callahan MF, Eckman DM, Smith BP, Plate JF, Smith TL. The effect of botulinum neurotoxin-A on blood flow in rats: a potential mechanism for treatment of Raynaud phenomenon. J Hand Surg [Am]. 2012;37(4):795-802.

Kesar TM, Sawaki L, Burdette JH, Cabrera MN, Kolaski K, Smith BP, O'Shea TM, Koman LA, Wittenberg GF. Motor cortical functional geometry in cerebral palsy and its relationship to disability. Clin Neurophysiol. 2012;123(7):1383-1390.

Kolaski K, Frino J, Koman LA. Surgical management of spasticity in the child with cerebral palsy In: Brashear A, Elovic E, eds. Spasticity: diagnosis and management. New York: Demos Medical Publishing;2011: 397-416.

Mannava S, Callahan MF, Trach SM, Wiggins WF, Smith BP, Koman LA, Smith TL, Tuohy CJ. Chemical denervation with botulinum neurotoxin a improves the surgical manipulation of the muscle-tendon unit: an experimental study in an animal model. J Hand Surg [Am]. 2011;36(2):222-231.

Carroll EA, Koman LA. External fixation and temporary stabilization of femoral and tibial trauma. J Surg Orthop Adv. 2011;20(1):74-81.

Hill PS, Apel PJ, Barnwell J, Smith T, Koman LA, Atala A, Van Dyke M. Repair of peripheral nerve defects in rabbits using keratin hydrogel scaffolds. Tissue Eng Part A. 2011;17(11-12):1499-1505.

Mannava S, Wiggins WF, Saul KR, Stitzel JD, Smith BP, Koman LA, Smith TL, Tuohy CJ. Contributions of neural tone to in vivo passive muscle-tendon unit biomechanical properties in a rat rotator cuff animal model. Ann Biomed Eng. 2011;39(7):1914-1924.

Koman LA, Poehling GG, Smith BP, Smith TL, Chloros G. Complex regional pain syndrome In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, eds. Green's operative hand surgery, vol 2. 6th ed. Philadelphia: Elsevier/Churchill Livingstone;2011: 1959-1988.

Koman LA, Smith BP, Smith TL, Ruch DS, Li Z. Vascular disorders In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, eds. Green's operative hand surgery, vol 2. 6th ed. Philadelphia: Elsevier/Churchill Livingstone;2011: 2197-2240.

Patterson RW, Li Z, Smith BP, Smith TL, Koman LA. Complex regional pain syndrome of the upper extremity. J Hand Surg [Am]. 2011;36(9):1553-1562.

Stone AV, Ma J, Callahan MF, Smith BP, Garrett JP, Smith TL, Koman LA. Dose- and volume dependent-response to intramuscular injection of botulinum neurotoxin-A optimizes muscle force decrement in mice. J Orthop Res. 2011;29(11):1764-1770.

Mannava S, Plate JF, Whitlock PW, Callahan MF, Seyler TM, Koman LA, Smith TL, Tuohy CJ. Evaluation of in vivo rotator cuff muscle function after acute and chronic detachment of the supraspinatus tendon: an experimental study in an animal model. J Bone Joint Surg Am. 2011;93(18):1702-1711.

Mannava S, Plate JF, Stone AV, Smith TL, Smith BP, Koman LA, Tuohy CJ. Recent advances for the management of Raynaud phenomenon using botulinum neurotoxin A. J Hand Surg [Am]. 2011;36(10):1708-1710.

Chen WA, Koman LA, Li Z. Arthroscopic treatment of an osteochondral lesion in a child with chronic wrist pain: case report. J Hand Surg [Am]. 2011;36(11):1822-1825.

Koman LA, Li Z, Smith BP, Smith TL. Complex regional pain syndrome: types I and II In: Skirven TM, Osterman AL, Fedorczyk J, Amadio PC, eds. Rehabilitation of the hand and upper extremity. 6th ed. Philadelphia: Elsevier Mosby;2011: 1470-1478.

Simunovic N, Walter S, Devereaux PJ, Sprague S, Guyatt GH, Schemitsch E, Tornetta P III, Sanders D, Swiontkowski M, Bhandari M, Webb LX, Teasdall RD, Birkedal JP, Martin DF, Ruch DS, Kilgus DJ, Pollock DC, Harris MB, Wiesler ER,. Outcomes assessment in the SPRINT multicenter tibial fracture trial: adjudication committee size has trivial effect on trial results. J Clin Epidemiol. 2011;64(9):1023-1033.

Koman LA. Bridges to our future [editorial]. J Hand Surg [Am]. 2010;35(4):529-533.

Li Z, Chloros GD, Smith BP, Smith TL, Koman LA. Management of upper extremity pain and vascular disorders In: Trumble TE, Rayan GM, Budoff JE, Baratz ME, eds. Principles of hand surgery and therapy. 2nd ed. Philadelphia: Saunders Elsevier;2010: 270-285.

Li Z, Smith BP, Tuohy C, Smith TL, Koman LA. Complex regional pain syndrome after hand surgery. Hand Clin. 2010;26(2):281-289.

Dorf E, Blue C, Smith BP, Koman LA. Therapy after injury to the hand. J Am Acad Orthop Surg. 2010;18(8):464-473.

Nunez F, Trach S, Kislukin V, Van Dyke M, Callahan M, Smith T, Koman LA. Comparison of hemodynamic changes after hemorrhage and treatment with hyperviscous fluids [abstract]. Shock. 2010;33(Suppl 1):16.

Koman LA, Sarlikiotis T, Smith BP. Surgery of the upper extremity in cerebral palsy. Orthop Clin North Am. 2010;41(4):519-529.

Li Z, Barnwell J, Tan J, Koman LA, Smith BP. Microcomputed tomography characterization of shoulder osseous deformity after brachial plexus birth palsy: a rat model study. J Bone Joint Surg Am. 2010;92(15):2583-2588.

Anz AW, Schweppe M, Halvorson J, Bushnell B, Sternberg M, Koman LA. Management of venomous snakebite injury to the extremities. J Am Acad Orthop Surg. 2010;18(12):749-759.

Levy PJ, Koman AL [sic] [Koman LA], Plonk G, Geary R, Hansen KJ. Diversity of severe peripheral (noncoronary) arterial disease in young adults: a 12-Year academic vascular center experience [abstract]. Arterioscler Thromb Vasc Biol. 2010;30(11):e316.

Li Z, Smith BP, Holden M, Koman LA. Periarterial sympathectomy of the foot for the treatment of necrotizing Raynaud's phenomena. J Reconstr Microsurg. 2009;25(2):133-137.

Clapp J, Shen J, Crosby NE, Smith BP, Koman LA. Treatment of equinocavovarus deformity in a severely hemophilic child: the role of a monolateral multiplanar-geared fixation device. Foot Ankle Surg. 2009;15(2):109-113.

Chloros GD, Wiesler ER, Papadonikolakis A, Li Z, Smith BP, Koman LA. Complex regional pain syndrome after distal radius fractures In: Slutsky DJ, Osterman AL, eds. Fractures and injuries of the distal radius and carpus: the cutting edge. Philadelphia: Saunders/Elsevier;2009: 247-257.

Harreld KL, Apel P, Koman LA, Li ZY. Lunate-lunate facet ratio and variance to predict articular gap after distal radius fracture. J Hand Surg [Am]. 2009;34(9):1625-1632.

Li Z, Wiesler ER, Smith BP, Koman LA. Surgical treatment of pediatric trigger thumb with metacarpophalangeal hyperextension laxity. Hand (N Y). 2009;4(4):380-384.

Busse JW, Bhandari M, Guyatt GH, Heels-Ansdell D, Mandel S, Sanders D, Schemitsch E, Swiontkowski M, Tornetta P III, Wai E, Walter SD, Webb LX, Teasdall RD, Birkedal JP, Martin DF, Ruch DS, Kilgus DJ, Pollock DC, Harris MB,. Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant. J Clin Epidemiol. 2009;62(11):1210-1217.

Sierpinski P, Garrett J, Ma J, Apel P, Klorig D, Smith T, Koman LA, Atala A, Van Dyke M. The use of keratin biomaterials derived from human hair for the promotion of rapid regeneration of peripheral nerves. Biomaterials. 2008;29(1):118-128.

Li Z, Ma J, Apel P, Carlson CS, Smith TL, Koman LA. Brachial plexus birth palsy-associated shoulder deformity: a rat model study. J Hand Surg [Am]. 2008;33(3):308-312.

Chloros GD, Smerlis NN, Li Z, Smith TL, Smith BP, Koman LA. Noninvasive evaluation of upper-extremity vascular perfusion. J Hand Surg [Am]. 2008;33(4):591-600.

Kolaski K, Ajizian SJ, Passmore L, Pasutharnchat N, Koman LA, Smith BP. Safety profile of multilevel chemical denervation procedures using phenol or botulinum toxin or both in a pediatric population. Am J Phys Med Rehabil. 2008;87(7):556-566.

Sierpinski P, Garrett J, Ma J, Apel P, Smith T, Atala A. Koman A [sic] [Koman L], Van Dyke M. Human hair derived keratins mediate Schwann cell behavior in vitro and facilitate rapid regeneration of peripheral nerves in vivo [abstract]. Tissue Eng Part A. 2008;14(5):859.



Apel PJ, Garrett JP, Sierpinski P, Ma J, Atala A, Smith TL, Koman LA, Van Dyke ME. Peripheral nerve regeneration using a keratin-based scaffold: long-term functional and histological outcomes in a mouse model. J Hand Surg [Am]. 2008;33(9):1541-1547.

Seyler TM, Smith BP, Marker DR, Ma J, Shen J, Smith TL, Mont MA, Kolaski K, Koman LA. Botulinum neurotoxin as a therapeutic modality in orthopaedic surgery: more than twenty years of experience. J Bone Joint Surg Am. 2008;90(Suppl 4):133-145.

Seyler TM, Jinnah RH, Koman LA, Marker DR, Mont MA, Ulrich SD, Bhave A. Botulinum toxin type a injections for the management of flexion contractures following total knee arthroplasty. J Surg Orthop Adv. 2008;17(4):231-238.

Koman LA, Li Z, Smith BP. Orthopaedic intervention in the management of cerebral palsy: botulinum toxins In: Eliasson A-C, Burtner PA, eds. Improving hand function in children with cerebral palsy: theory, evidence and intervention. London (UK): Mac Keith Press;2008: 213-229.

Brand R, Buckwalter JA, Wright TM, Canale ST, Cooney WP III, D'Ambrosia R, Frassica FJ, Grana WA, Koman LA, Poehling GG, et al. Patient care, professionalism, and relations with industry [editorial]. Orthopedics. 2008;31(1):11-12.

Brand R, Buckwalter JA, Wright TM, Canale ST, Cooney WP III, D'Ambrosia R, Frassica FJ, Grana WA, Koman LA, Poehling GG, et al. Patient care, professionalism, and relations with industry [editorial]. J Surg Orthop Adv. 2008;17(2):67-68.

Sanders R, Brand R, Buckwalter JA, Wright TM, Canale ST, Cooney WP III, D'Ambrosia R, Frassica FJ, Koman LA, Poehling GG, et al. Patient care, professionalism and relations with industry [editorial]. J Orthop Trauma. 2008;22(2):79-80.

Brand R, Buckwalter JA, Wright TM, Canale ST, Cooney WP III, D'Ambrosia R, Grana WA, Heckman JD, Koman LA, Poehling GG, et al. Patient care, professionalism, and relations with industry [editorial]. J Orthop Res. 2008;26(3):279-280.

Whitlock P, Seyler T, Smith T, Poehling G, Koman LA. Effect of strain on a novel cell-seeded scaffold for tendon and ligament reconstruction [abstract]. In: Program Book of the 54th Annual Meeting of the Orthopaedic Research Society; 2008 Mar 2-5; San Francisco (CA). 2008;():1476.

Brand R, Buckwalter JA, Wright TM, Canale ST, Cooney WP III, D'Ambrosia R, Frassica FJ, Koman LA, Poehling GG, et al. Patient care, professionalism, and relations with industry [editorial]. J Am Acad Orthop Surg. 2008;16(1):1-3.

Bhandari M, Guyatt G, Tornetta P III, Schemitsch EH, Swiontkowski M, Sanders D, Walter SD, Webb LX, Teasdall RD, Birkedal JP, Martin DF, Ruch DS, Kilgus DJ, Pollock DC, Harris MB, Wiesler ER, Ward WG, Shilt JS,. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg Am. 2008;90(12):2567-2578.

Norris JA, Cabrera MN, Smith TL, Reeves SH, Koman LA. Quantifying spasticity in a clinical setting. Biomed Sci Instrum. 2007;43():284-289.

Sierpinski P, Garrett J, Ma J, Apel P, Smith T, Atala A, Koman LA, Van Dyke M. Human hair derived keratins mediate Schwann cell behavior in vitro and facilitate rapid peripheral nerve regeneration in vivo [abstract]. FASEB J. 2007;21(6):A1273.

Papadonikolakis A, Chloros GD, Smith BP, Koman LA. Digital ischemia due to essential thrombocythemia: a case report. J Hand Surg [Am]. 2007;32(7):1053-1057.

Sierpinski P, Garrett J, Ma J, Apel P, Smith T, Atala A, Koman LA, Van Dyke M. Human hair derived keratins facilitate regeneration of peripheral nerves in vivo [abstract]. Tissue Eng. 2007;13(7):1706-1707.

Ma J, Shen J, Smith BP, Ritting A, Smith TL, Koman LA. Bioprotection of tendon repair: adjunctive use of botulinum toxin A in Achilles tendon repair in the rat. J Bone Joint Surg Am. 2007;89(10):2241-2249.

Ma J, Shen J, Garrett JP, Lee CA, Li Z, Elsaidi GA, Tan KH, Smith TL, Smith BP, Koman LA, et al. Gene expression of myogenic regulatory factors, nicotinic acetylcholine receptor subunits, and GAP-43 in skeletal muscle following denervation in a rat model. J Orthop Res. 2007;25(11):1498-1505.

Stone AV, Ma J, Whitlock PW, Koman LA, Smith TL, Smith BP, Callahan MF. Effects of Botox and Neuronox on muscle force generation in mice. J Orthop Res. 2007;25(12):1658-1664.

Whitlock PW, Knutson J, Smith TL, Van Dyke ME, Shilt JS, Koman LA, Poehling GG. Effects of mechanical stimulation on a cell-seeded scaffold developed for tendon and ligament regeneration [abstract]. In: Transactions Online of the 6th Combined Meeting of the Orthopaedic Research Societies; 2007 Oct 20-24; Honolulu (HI). 2007;():391.

Apel PJ, Garrett J, Sierpinski P, Ma J, Hick J, Smith TL, Koman LA, Van Dyke ME. Peripheral nerve regeneration using a keratin gel-based scaffold: long-term functional and histological outcomes in a mouse model [abstract]. In: Transactions Online of the 6th Combined Meeting of the Orthopaedic Research Societies; 2007 Oct 20-24; Honolulu (HI). 2007;():364.

Sierpinski PL, Garrett J, Ma J, Apel PJ, Smith T, Koman LA, Atala A, Van Dyke M. A biomaterial derived from human hair keratins can serve as a scaffold for tissue engineering in orthopaedic applications [abstract]. In: Transactions Online of the 6th Combined Meeting of the Orthopaedic Research Societies; 2007 Oct 20-24; Honolulu (HI). 2007;():61.

Sierpinski PL, Apel PJ, Burnell JM, Klorig D, Smith T, Koman LA, Atala A, Van Dyke M. Keratin biomaterials made from human hair mediate Schwann and endothelial cell activity in vitro [abstract]. In: Transactions Online of the 6th Combined Meeting of the Orthopaedic Research Societies; 2007 Oct 20-24; Honolulu (HI). 2007;():417.

Koman LA. Does botulinum toxin A reduce adductor muscle spasticity in children with cerebral palsy? [editorial]. Nat Clin Pract Neurol. 2006;2(8):414-415.

Lee CA, Ma J, Deal N, Smith BP, Koman LA, Smith TL, Shilt JS. Neuromuscular recovery after distraction osteogenesis at different frequencies in a rabbit model. J Pediatr Orthop. 2006;26(5):628-633.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.

Professor, Orthopaedics

Clinical Interests

Peripheral Nerve Repair, Pediatric Orthopaedics, Cerebral Palsy, Spasticity Management, Orthopaedics, Hand Surgery, Pediatric Orthopaedic Surgery, Rehabilitation, Microsurgery, Upper Extremity Vascular Disorders
L. Andrew Koman, M.D.

L. Andrew Koman, M.D.

Chair, Orthopaedics
Executive Director, Orthopedics Clinic
Professor, Orthopaedics
Pediatrics
Vascular & Endovascular Surgery

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Doctor Rating

4.6 out of 5

L. Andrew Koman, M.D.51 Ratings
4 Comments

Doctor Ratings

The overall Patient Rating score is the average of responses to the nine questions listed below. The questions are from the Press Ganey Patient Satisfaction Survey. Responses are measured on a 1 to 5 scale, where 1 represents "very poor" and 5 represents "very good."
Press Ganey Patient Satisfaction Survey

CP concern for questions/worries
4.7
CP efforts to include in decisions
4.6
CP explanations of prob/condition
4.7
CP spoke using clear language
4.7
Friendliness/courtesy of CP
4.8
Likelihood of recommending CP
4.8
Patients' confidence in CP
4.9
Time CP spent with patient
4.6
Wait time at clinic
4.2



Patient Comments

Comments are taken from the Care Provider section of the Press Ganey Patient Satisfaction Survey. Comments are posted exactly as they are written. Comments are added weekly. To protect patient privacy and confidentiality, patient names are not included.

8/22/2014

I felt like we were rushed through the visit b/c dr. was behind and everyone else shift was over we were last in office.

8/19/2014

The knowledge and care _____ made me and my wife feel special. Great customer svc.

7/29/2014

Thank you Dr. Koman

4/1/2014

I have been seeing Dr. Koman since I was 15, so for 22 years now and he is one of the few physicians who will sit down and actually talk with patients and truly show compassion, care and concern! The world needs more physicians like Dr. Koman!

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