Christian Pean | Scholars@Duke

Christian Pean
Assistant Professor of Orthopaedic Surgery

Dr. Christian Pean’s academic appointment is in the Department of Orthopedic Trauma surgery within the Duke University School of Medicine. Dr. Pean also has a secondary core faculty position at the Duke Margolis Center for Health Policy. Dr. Pean’s clinical interests include total hip replacement and conversion hip replacement for fracture and posttraumatic hip arthritis, direct anterior hip replacement, shoulder replacement and reconstruction, proximal humerus fractures, periarticular fractures, ankle fractures, fracture related infection, humerus nonunion repair, periprosthetic fracture fixation and pelvis and acetabulum reconstruction. His research focuses on utilizing large datasets, health policy, and clinical practice innovation to address racial health disparities in Orthopaedic surgery. He has published research on racial disparities in orthopaedic trauma surgery, health services research, social determinants of health, clinical ethics, and value-based care systems to address the cost burden of orthopedic trauma and total joint arthroplasty surgery.

Office Hours

Wednesdays, 7:30AM-4PM

Current Appointments & Affiliations

Assistant Professor of Orthopaedic Surgery, Orthopaedic Surgery, Clinical Science Departments 2022

Contact Information

christian.pean@duke.edu

Background
Education, Training, & Certifications
- M.D., Icahn School of Medicine at Mount Sinai 2016
Medical Licensure
- 2022-01756. North Carolina. 2022
Research
External Relationships
- Azra Care Inc.
- Guidepoint
- Kaizen Clinical Partners Inc.
- MMP Development Inc.
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Zhu, Andrew, Xiaohan Ying, Edward G. Carey, Christian A. Pean, Ajay Premkumar, Michael C. Fu, and Samuel A. Taylor. “Shoulder arthroplasty device clearance: an ancestral network analysis.” J Shoulder Elbow Surg 32, no. 3 (March 2023): 671–76. https://doi.org/10.1016/j.jse.2022.09.017.
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  - Pean, Christian A., Ian T. Watkins, Mitchel B. Harris, Michael J. Weaver, and Thuan V. Ly. “Interfacility Transfer Patients With Pelvic, Acetabular, and Lower Extremity Fractures Are at Higher Risk for Major Complications and Readmissions.” J Orthop Trauma 37, no. 2 (February 1, 2023): 51–56. https://doi.org/10.1097/BOT.0000000000002478.
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  - Pean, Christian A., Hannah M. Thomas, Upender M. Singh, Malcolm R. DeBaun, Michael J. Weaver, and Arvind G. von Keudell. “Use of a Six-Item Modified Frailty Index to Predict 30-day Adverse Events, Readmission, and Mortality in Older Patients Undergoing Surgical Fixation of Lower Extremity, Pelvic, and Acetabular Fractures.” J Am Acad Orthop Surg Glob Res Rev 7, no. 1 (January 1, 2023). https://doi.org/10.5435/JAAOSGlobal-D-22-00286.
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  - Pean, Christian A., Steven M. Rivero, Nishant Suneja, and Michael J. Weaver. “Severe Obesity Worsens 30-Day Surgical Outcomes and Projected Costs in Operative Femoral Shaft and Tibial Shaft Fractures.” J Orthop Trauma 37, no. 1 (January 1, 2023): 27–31. https://doi.org/10.1097/BOT.0000000000002456.
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  - Zhu, Andrew, Xiaohan Ying, Christian A. Pean, Neil P. Sheth, Michael B. Cross, Alejandro Gonzalez Della Valle, and Ajay Premkumar. “The Complex Process of Using the Interconnected Knee Arthroplasty Device Clearance Pathway.” Hss J 18, no. 4 (November 2022): 462–68. https://doi.org/10.1177/15563316221099014.
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  - Pean, Christian, Michael J. Weaver, Mitchel B. Harris, Thuan Ly, and Arvind G. von Keudell. “What Do Orthopedic Trauma Surgeons Want and Expect from Anesthesiologists?” Anesthesiology Clinics 40, no. 3 (September 2022): 547–56. https://doi.org/10.1016/j.anclin.2022.06.004.
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  - Stevens, Nicole M., Christian Pean, Zoe Norris, and Nirmal Tejwani. “Clinical and Radiographic Comparison of Splinting Constructs for Distal Radius Fractures: An Effort to Free the Elbow.” J Orthop Trauma 36, no. 9 (September 1, 2022): 465–68. https://doi.org/10.1097/BOT.0000000000002366.
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  - Konda, Sanjit R., Sara Jo Solasz, Christian Alexander Pean, Dylan T. Lowe, and Abhishek Ganta. “Repair of a Femoral Head Fracture Dislocation With an Associated Posterior Wall Acetabular Fracture (Pipkin 4) via a Kocher-Langenbeck Approach.” J Orthop Trauma 36, no. Suppl 3 (August 1, 2022): S19–20. https://doi.org/10.1097/BOT.0000000000002399.
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  - Pean, Christian A., Sanjit Konda, and Kenneth A. Egol. “Value-Based Care in Orthopedic Trauma.” Bull Hosp Jt Dis (2013) 80, no. 1 (March 2022): 102–6.
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  - Pean, Christian A., Mackenzie L. Bird, Daniel B. Buchalter, S Steven Yang, and Kenneth A. Egol. “Orthopaedic Urgent Care Versus the Emergency Department: Cost Implications for Low-energy Fracture Care.” J Am Acad Orthop Surg 30, no. 3 (February 1, 2022): e371–74. https://doi.org/10.5435/JAAOS-D-21-00638.
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  - Premkumar, Ajay, Andrew Zhu, Xiaohan Ying, Christian A. Pean, Neil P. Sheth, Michael B. Cross, and Alejandro Gonzalez Della Valle. “The Interconnected Ancestral Network of Hip Arthroplasty Device Approval.” J Am Acad Orthop Surg 29, no. 24 (December 15, 2021): e1362–69. https://doi.org/10.5435/JAAOS-D-21-00138.
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  - Schultz, Blake J., Dylan T. Lowe, Christian A. Pean, Michael J. Alaia, and Kenneth A. Egol. “Staged Reconstruction of a Moore Type 4 Fracture Dislocation, Parts 1 and 2.” J Orthop Trauma 35, no. Suppl 2 (August 1, 2021): S40–41. https://doi.org/10.1097/BOT.0000000000002175.
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  - Schultz, Blake J., Dylan T. Lowe, Christian A. Pean, and Kenneth A. Egol. “Treatment of a Chronic Elbow Dislocation With an Internal Fixator.” J Orthop Trauma 35, no. Suppl 2 (August 1, 2021): S13–14. https://doi.org/10.1097/BOT.0000000000002176.
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  - Israelski, Ronald, Ted Nnamno Obi, Christian Alexander Pean, Jean Wildric Hippolyte, John Durham, and Lee M. Zuckerman. “Unusual presentation in Haiti of a recurrent giant cell tumor of bone affecting the distal radius: A case report.” Int J Surg Case Rep 80 (March 2021): 105686. https://doi.org/10.1016/j.ijscr.2021.105686.
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  - Roberts, Heather J., Patrick D. Albright, David W. Shearer, Nae Won, Madeline C. MacKechnie, R. Richard Coughlin, Theodore Miclau, Saam Morshed, Sanjeev Sabharwal, and Sanjeev COACT Resident Rotation Study Group. “Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page?” Am J Surg 221, no. 2 (February 2021): 245–53. https://doi.org/10.1016/j.amjsurg.2020.08.046.
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  - Premkumar, Ajay, Bryan A. Almeida, Juan Lopez, Christian A. Pean, Benedict U. Nwachukwu, and Peter K. Sculco. “The Quality of Online Resources Available to Patients Regarding Cannabidiol for Symptomatic Relief of Hip or Knee Arthritis is Poor.” J Am Acad Orthop Surg Glob Res Rev 5, no. 1 (January 22, 2021): 1–7. https://doi.org/10.5435/JAAOSGlobal-D-20-00241.
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  - McKnight, R Randall, Christian A. Pean, J Stewart Buck, John S. Hwang, Joseph R. Hsu, and Sarah N. Pierrie. “Virtual Reality and Augmented Reality-Translating Surgical Training into Surgical Technique.” Curr Rev Musculoskelet Med 13, no. 6 (December 2020): 663–74. https://doi.org/10.1007/s12178-020-09667-3.
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  - Christiano, Anthony V., Christian A. Pean, Philipp Leucht, Sanjit R. Konda, and Kenneth A. Egol. “Scoring of radiographic cortical healing with the radiographic humerus union measurement predicts union in humeral shaft fractures.” Eur J Orthop Surg Traumatol 30, no. 5 (July 2020): 835–38. https://doi.org/10.1007/s00590-020-02635-0.
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  - Christiano, Anthony V., Christian A. Pean, David N. Kugelman, Sanjit R. Konda, and Kenneth A. Egol. “Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures.” J Knee Surg 33, no. 5 (May 2020): 481–85. https://doi.org/10.1055/s-0039-1678676.
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  - Pean, Christian A., Matthew T. Kingery, Eric Strauss, Joseph A. Bosco, and Joanne Halbrecht. “Direct-to-Consumer Advertising of Stem Cell Clinics: Ethical Considerations and Recommendations for the Health-Care Community.” J Bone Joint Surg Am 101, no. 19 (October 2, 2019): e103. https://doi.org/10.2106/JBJS.19.00266.
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  - Pean, Christian A., Ajay Premkumar, Marc-Alain Pean, Rivka Ihejirika-Lomedico, Pierre-Marie Woolley, Toni McLaurin, Ronald Israelski, Ran Schwarzkopf, Arthur Caplan, and Kenneth Egol. “Global Orthopaedic Surgery: An Ethical Framework to Prioritize Surgical Capacity Building in Low and Middle-Income Countries.” J Bone Joint Surg Am 101, no. 13 (July 3, 2019): e64. https://doi.org/10.2106/JBJS.18.01358.
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  - Pean, Christian A., Claudette Lajam, Joseph Zuckerman, and Joseph Bosco. “Policy and Ethical Considerations for Widespread Utilization of Generic Orthopedic Implants.” Arthroplast Today 5, no. 2 (June 2019): 256–59. https://doi.org/10.1016/j.artd.2019.02.007.
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  - Pean, Christian A., and Dionne Hart. “One Resident's Recommendations for Responding to Unjust Patient Bias.” Ama J Ethics 21, no. 6 (June 1, 2019): E530–35. https://doi.org/10.1001/amajethics.2019.530.
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  - Pean, Christian A., Anthony Christiano, William J. Rubenstein, Sanjit R. Konda, and Kenneth A. Egol. “Risk factors for complications after primary repair of Achilles tendon ruptures.” J Orthop 15, no. 1 (March 2018): 226–29. https://doi.org/10.1016/j.jor.2018.01.017.
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  - Driesman, Adam, Nina Fisher, Sanjit R. Konda, Christian A. Pean, Philipp Leucht, and Kenneth A. Egol. “Racial disparities in outcomes of operatively treated lower extremity fractures.” Arch Orthop Trauma Surg 137, no. 10 (October 2017): 1335–40. https://doi.org/10.1007/s00402-017-2766-z.
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  - Driesman, Adam, Siddharth A. Mahure, Albit Paoli, Christian A. Pean, Sanjit R. Konda, and Kenneth A. Egol. “Race and Ethnicity Have a Mixed Effect on the Treatment of Tibial Plateau Fractures.” J Orthop Trauma 31, no. 10 (October 2017): e309–14. https://doi.org/10.1097/BOT.0000000000000917.
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  - Sn, Lokesh Kumar, and Deepak Kumar. “Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.” J Am Acad Orthop Surg 25, no. 9 (September 2017): e214. https://doi.org/10.5435/JAAOS-D-17-00375.
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  - Pean, Christian A., Adam Driesman, Anthony Christiano, Sanjit R. Konda, Roy Davidovitch, and Kenneth A. Egol. “Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.” J Am Acad Orthop Surg 25, no. 5 (May 2017): 375–80. https://doi.org/10.5435/JAAOS-D-16-00217.
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  - Christiano, A., C. A. Pean, S. Konda, and K. A. Egol. “Functional outcome after proximal humerus fracture fixation : understanding the risk factors.” Acta Orthop Belg 83, no. 1 (March 2017): 1–7.
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  - Shukla, Dave R., Steven McAnany, Christian Pean, Samuel Overley, Andrew Lovy, and Bradford O. Parsons. “The results of tension band rotator cuff suture fixation of locked plating of displaced proximal humerus fractures.” Injury 48, no. 2 (February 2017): 474–80. https://doi.org/10.1016/j.injury.2016.12.022.
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  - Barthélemy, Ernest, Vanessa Mallol, Alisse Hannaford, Christian Pean, Rehema Kutua, Christopher de Haydu, Natasha Anandaraja, et al. “Exploration of Global Health Careers Across the Medical Fields.” Ann Glob Health 83, no. 3–4 (2017): 613–20. https://doi.org/10.1016/j.aogh.2017.10.008.
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  - Phillips, Donna, Christian A. Pean, Kathleen Allen, Joseph Zuckerman, and Kenneth Egol. “Using Objective Structured Clinical Examinations to Assess Intern Orthopaedic Physical Examination Skills: A Multimodal Didactic Comparison.” J Surg Educ 74, no. 3 (2017): 513–18. https://doi.org/10.1016/j.jsurg.2016.10.011.
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  - Rubenstein, William J., Christian A. Pean, and Alexis C. Colvin. “Shoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days.” Arthroscopy 33, no. 1 (January 2017): 49–54. https://doi.org/10.1016/j.arthro.2016.05.035.
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  - Haider, Steffen J., Christian A. Pean, Roy I. Davidovitch, and Kenneth A. Egol. “Functional Outcomes of Isolated Medial Tibial Plateau Fractures.” J Knee Surg 29, no. 5 (July 2016): 414–22. https://doi.org/10.1055/s-0035-1564593.
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  - DelSole, Edward M., Christian A. Pean, Nirmal C. Tejwani, and Kenneth A. Egol. “Outcome after olecranon fracture repair: Does construct type matter?” Eur J Orthop Surg Traumatol 26, no. 2 (February 2016): 153–59. https://doi.org/10.1007/s00590-015-1724-0.
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  - Christiano, Anthony V., Christian A. Pean, Sanjit R. Konda, and Kenneth A. Egol. “Predictors of Patient Reported Pain After Lower Extremity Nonunion Surgery: The Nicotine Effect.” Iowa Orthop J 36 (2016): 53–58.
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  - Konda, Sanjit R., Christian A. Pean, Abraham M. Goch, Adam C. Fields, and Kenneth A. Egol. “Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures: Results From the NSQIP Database.” Geriatr Orthop Surg Rehabil 6, no. 4 (December 2015): 311–15. https://doi.org/10.1177/2151458515608225.
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  - Pean, Christian A., Abraham Goch, Anthony Christiano, Sanjit Konda, and Kenneth Egol. “Current Practices Regarding Perioperative Management of Patients With Fracture on Antiplatelet Therapy: A Survey of Orthopedic Surgeons.” Geriatr Orthop Surg Rehabil 6, no. 4 (December 2015): 289–94. https://doi.org/10.1177/2151458515605156.
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  - Pean, Christian A., Sanjit R. Konda, Adam C. Fields, Anthony Christiano, and Kenneth A. Egol. “Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation.” J Orthop 12, no. Suppl 2 (December 2015): S195–99. https://doi.org/10.1016/j.jor.2015.10.009.
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  - Saxena, Amit, Stephen Honig, Sonja Rivera, Christian A. Pean, and Kenneth A. Egol. “The NYU Osteoporosis Model of Care Experience.” Geriatr Orthop Surg Rehabil 6, no. 4 (December 2015): 276–81. https://doi.org/10.1177/2151458515604358.
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  - Pean, Christian A., Keithara Davis, Robert Merrill, Brett Marinelli, Allison Lockwood, Zara Mathews, Reuben J. Strayer, Geneviéve Poitevien, and Jennifer Galjour. “Near-peer emergency medicine for medical students in Port-au-Prince, Haiti: an example of rethinking global health interventions in developing countries.” Ann Glob Health 81, no. 2 (2015): 276–82. https://doi.org/10.1016/j.aogh.2015.03.002.
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  - Dy, Christopher J., Christian A. Pean, Krystle A. Hearns, Morgan M. Swanstrom, Lorene C. Janowski, and Michelle Gerwin Carlson. “Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy.” J Hand Surg Am 38, no. 12 (December 2013): 2432–36. https://doi.org/10.1016/j.jhsa.2013.09.028.
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  - Dy, Christopher J., Morgan Swanstrom, Christian A. Pean, Krystle A. Hearns, Lorene C. Janowski, and Michelle G. Carlson. “Long-Term Results Following Surgical Treatment of Elbow Deformity in Patients With Cerebral Palsy.” The Journal of Hand Surgery 38, no. 10 (October 2013): e25–26. https://doi.org/10.1016/j.jhsa.2013.08.042.
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- Conference Papers
  - Davidovitch, Roy, Abraham Goch, Adam Driesman, Sanjit Konda, Christian Pean, and Kenneth Egol. “The Use of Liposomal Bupivacaine Administered With Standard Bupivacaine in Ankle Fractures Requiring Open Reduction Internal Fixation: A Single-Blinded Randomized Controlled Trial.” In J Orthop Trauma, 31:434–39, 2017. https://doi.org/10.1097/BOT.0000000000000862.
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Education, Training, & Certifications

Medical Licensure

External Relationships

Selected Publications

Academic Articles

Conference Papers