Draft:L. Andrew Koman
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L. Andrew Koman is an American orthopaedic surgeon specializing in hand surgery and pediatric orthopedics. He serves as a tenured professor at Wake Forest University School of Medicine and is chair emeritus of the Department of Orthopedic Surgery and Rehabilitation.[citation needed] Koman is known for his pioneering research in microvascular physiology and the application of botulinum toxins in orthopedic conditions.[1]
Early life and education
[edit]Koman was born in Winchester, Virginia.[2] He attended elementary and middle school in Winchester and Clarke county and graduated highschool from Gilman in Baltimore, Maryland. He graduated from Duke University in 1970 and then attended and received his medical degree from Duke University School of Medicine in 1974.[3] He completed extensive postdoctoral training at Duke, including an internship in pediatrics, residencies in both general and orthopaedic surgery, and a fellowship in hand and microsurgery which he completed in 1979.[3][2]
Career
[edit]Koman began his academic career as an assistant professor at Duke University until 1981, when he was recruited as the fifth orthopedic surgeon at the Bowman Gray School of Medicine (now Wake Forest University School of Medicine).[2][4] Koman is board certified in Orthopaedic Surgery with subspecialty certification in Hand Surgery.[2] He currently a tenured professor of Orthopaedic surgery and Rehabilitation at Wake Forest University School of Medicine .[1] He also serves as a member of the graduate faculty and is past-president of the Musculoskeletal Service Institute of Atrium Health.[2] During his tenure as Chair of the Department of Orthopaedic Surgery and Rehabilitation, Koman oversaw significant expansion, with the department tripling in size to include 97 clinical faculty, 5 PhD faculty, two residency programs (Orthopaedic Surgery and Podiatric Surgery), and five fellowship programs.[2] He, in conjunction with Thomas L. Smith PhD and Gary G Poehling, established a physician-scientist postdoctoral program that has trained more MD/PhDs than any other clinical department at Wake Forest University School of Medicine.[2] Under his leadership, 41% of orthopedic residents trained in the past decade have entered academic orthopedic surgery.[2]
Research and innovations
[edit]Botulinum toxin applications
[edit]Koman is internationally recognized for pioneering the musculoskeletal uses of botulinum toxins.[5] He was the first surgeon in the world to use botulinum toxins in the treatment of cerebral palsy, which revolutionized treatment approaches globally.[5] Through multiple multicenter clinical trials, Koman demonstrated that botulinum toxin injections are a safe and effective treatment strategy for spasticity associated with cerebral palsy.[2] His research in this area culminated in a patent for the dose and localization of botulinum toxins in skin and muscle.[4] This work earned him and his research team the prestigious Kappa Delta/Clinical Research Award from the Orthopedic Research and Education Foundation in 2019, recognizing their 30 years of seminal work in the basic and clinical applications of botulinum toxins.[2][6]
Microvascular physiology
[edit]Koman's other primary research focus has been on microvascular physiology, particularly upper extremity vascular disorders and the control mechanisms involved in microcirculation and pain .[4] This work earned him his first Kappa Delta/Clinical Research Award in 1999.[2] He developed the sympathectomy technique for refractory Raynaud's that has become the standard procedure for peripheral and periarterial sympathectomy used today.[4] His unique approach encompasses the entire hand rather than single digits.[4]
Other innovations
[edit]Koman developed an external fixator to correct deformities in upper and lower patient extremities.[4] More recently, he created a suture needle holder protective device for surgical procedures.[4] Throughout his career, Koman has collaborated with pharmaceutical companies, orthopedic manufacturers, and other industry partners to create protocols, advance surgical techniques, and further drug development.[4]
Professional activities
[edit]Koman is a member of 20 professional societies and has served as president of numerous organizations including:[2] After Frank Stelling MD, Koman was the second surgeon to become a member of the Pediatric orthopaedic Society and the American Society of Surgery of the Hand. He is past president of:
- American Society for Surgery of the Hand
- Eastern Orthopedic Association
- North Carolina Orthopedic Society
- North Carolina Society for Surgery of the Hand (which he founded)
- Southern Orthopedic Association
- Clinical Orthopedic Society
- Southeastern Hand Association
- Hand forum
He serves as Editor-in-Chief of the Journal of Surgical Orthopedic Advances and has reviewed manuscripts for more than 10 national and international journals.[2] The Southern Orthopedic Association's Distinguished Southern Orthopedist Award was renamed the "L. Andrew Koman, MD Distinguished Southern Orthopedist Award" in recognition of his contributions to the field.[7] This award acknowledges career achievements in clinical care, education, community commitment, and research.[7]
Publications and grants
[edit]Koman's research has received over $5 million in support, including a National Institute of Health RO1 grant in microvascular physiology.[5][2] He has authored more than 250 scientific articles and book chapters, four books, and holds three patents.[5] Throughout his career, he has presented over 1,500 didactic and Socratic lectures, chaired or participated in over a hundred scientific panels, and lectured at orthopedic meetings and medical centers in 30 states and 10 countries.[2]
Awards and recognition
[edit]Koman has received numerous awards and honors throughout his career, including:
- Orthopedic Research and Education Foundation Clinical Research Award (1999 and 2019)[2][6]
- American Academy of Orthopedic Surgery's Kappa Delta Award[4]
- Pediatric Orthopedic Society of North America's Arthur H. Huene Memorial Award (2004)[2][1]
- Wake Forest University School of Medicine Established Investigator in Clinical Sciences Award (2006)[2]
- Honorary Doctorate from the University of Athens (2009)[2]
- Distinguished Southern Orthopedist Award from the Southern Orthopedic Association (2011)[2]
- American Academy of Orthopedic Surgeons Achievement Award (2012)[2]
- Honored Surgeon in the State of North Carolina from the North Carolina Orthopedic Association (2013)[2]
- Nix Award in Medical Ethics from the Clinical Orthopedic Society (2019)[2]
- Honored Professor Award from Orthopedic Summit (2019)[2]
- A. Lee Osterman Award from the American Society for Surgery of the Hand (2022)[2]
- Wake Forest University School of Medicine Byrum Mentorship Award (2021)[2]
He has been recognized on "Best Doctor" and "Top Doctor" lists by organizations such as Castle Connolly and Business North Carolina since their inception.[1]
References
[edit]- ^ a b c d Atrium Health Wake Forest Baptist.
- ^ a b c d e f g h i j k l m n o p q r s t u v w x y z UNC Orthopaedics 2023.
- ^ a b Doximity.
- ^ a b c d e f g h i Clinical Orthopaedic Society 2019.
- ^ a b c d Giving Atrium Health Wake Forest Baptist.
- ^ a b Becker's Spine Review 2019.
- ^ a b Wake Forest University School of Medicine & a.
"L. Andrew Koman, MD". Atrium Health Wake Forest Baptist. Retrieved May 4, 2025. "Dr. Louis Andrew Koman, MD – Winston-Salem, NC". Doximity. Retrieved May 4, 2025. "L. Andrew Koman, MD". Wake Forest University School of Medicine. Retrieved May 4, 2025. "Orthopaedics Grand Rounds 5/17/2023". UNC Orthopaedics. May 15, 2023. Retrieved May 4, 2025. "30 of the most notable orthopedic surgeon achievements in 2019". Becker's Spine Review. 16 July 2019. Retrieved May 4, 2025. "Inaugural L. Andrew Koman, MD Distinguished Southern Orthopaedist Award Presented". Wake Forest University School of Medicine. Retrieved May 4, 2025. "L. Andrew Koman, MD, Endowed Chair in Orthopaedic Surgery and Rehabilitation". Giving Atrium Health Wake Forest Baptist. Retrieved May 4, 2025. "2019 Guest Speakers". Clinical Orthopaedic Society. Retrieved May 4, 2025.