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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


Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability?

Journal Article Clin Podiatr Med Surg · July 2026 Lesser metatarsophalangeal joint (MTPJ) instability is a common cause of metatarsalgia and is associated with plantar plate pathology. The instability is often due to chronic attenuation and attritional changes of the plantar plate and collateral ligaments ... Full text Link to item Cite

Radiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison.

Journal Article HSS J · February 2026 Background: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optima ... Full text Open Access Link to item Cite

Assessing Lisfranc Instability With Triplanar Weightbearing CT Alignment: Standardized Second Metatarsal Dorsal Offset.

Journal Article Foot Ankle Orthop · January 2026 BACKGROUND: Subtle Lisfranc injuries may escape detection on conventional imaging. Weightbearing computed tomography (WBCT) offers 3-dimensional assessment under loadbearing conditions and may improve detection of instability. The interval between the medi ... 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 Extremity Medical · 2026 - 2026

Fresh Tissue Lab Agreement

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by Advita Ortho LLC · 2025 - 2025

View All Grants

Education


Tulane University · 1973 M.D.