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James Albert Nunley II

Goldner Jones Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
DUMC Box 104002, Durham, NC 27710
311 Trent Drive, Durham, NC 27710

Overview


My current research interests are both clinical and basic science. Currently, in the Orthopaedic Research Laboratory, we are investigating the biomechanical properties of the deltoid ligament in the ankle. This is a clinically relevant problem and we will hopefully identify ways to improve the correction of the adult relaxed flat foot. We are also performing a preliminary investigation into the blood supply of the distal tibia to look for a vascularized bone transfer.

We have recently completed a biomechanical study looking at the strength of fixation for proximal metatarsal osteotomies in the correction of hallux valgus and that information has been submitted for publication.

Clinical projects have looked into nerve palsies after total elbow replacement and to reconstructive upper and lower extremity surgery.

Current Appointments & Affiliations


Goldner Jones Distinguished Professor of Orthopaedic Surgery · 2006 - Present Orthopaedic Surgery, Clinical Science Departments
Professor of Orthopaedic Surgery · 1992 - Present Orthopaedic Surgery, Clinical Science Departments

Recent Publications


Younger age correlates with increased gutter impingement rates after total ankle arthroplasty.

Journal Article Foot Ankle Surg · February 2025 BACKGROUND: While total ankle arthroplasty (TAA) has evolved over the years with improved designs and enhanced bony fixation methods, it remains a technically demanding procedure with a risk of early postoperative complications. One of the most common comp ... Full text Link to item Cite

Radiographic soft tissue thickness is not a risk factor for infection after primary total ankle arthroplasty.

Journal Article J Foot Ankle Surg · January 25, 2025 As the incidence of total ankle arthroplasty (TAA) for the management of end-stage arthritis is on the rise, identification of risk factors for periprosthetic joint infection (PJI) is essential. There has been limited research exploring the use of radiogra ... Full text Link to item Cite

Higher BMI Is Associated With Wound Breakdown Following Resection of Haglund Deformity.

Journal Article Foot Ankle Int · January 2025 BACKGROUND: Haglund deformity is characterized by an enlarged posterosuperior calcaneus, often with inflammation of the retrocalcaneal bursa and Achilles tendon. This study aims to determine if obesity is associated with an increased rate of complications ... Full text Link to item Cite
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Recent Grants


Hintermann Series H3 Total Ankle Replacement System

Clinical TrialPrincipal Investigator · Awarded by DT MedTech LLC · 2021 - 2028

Fresh Tissue Lab Agreement

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by Exactech, Inc · 2022 - 2022

Fresh Tissue Lab Agreement

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by Treace Medical Concepts, Inc · 2016 - 2016

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Education, Training & Certifications


Tulane University · 1973 M.D.