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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


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 Link to item Cite

Clinical Characteristics, Complications, and Implant Survivorship Following Revision Total Ankle Arthroplasty: A Large Single-Center Study.

Journal Article Foot Ankle Int · August 2025 BACKGROUND: As total ankle arthroplasty (TAA) rises in popularity nationwide, the incidence of revision TAA continues to increase. This study evaluates patient demographics, surgical techniques, complications, and implant survivorship following revision TA ... Full text Link to item Cite

Haglund’s Deformity with Preoperative Achilles Tendon Rupture: A Retrospective Comparative Study

Journal Article Complications · August 1, 2025 Introduction: Haglund’s deformity, characterized by bony enlargement at the back of the heel, often coincides with Achilles tendon pathology due to impingement on the retrocalcaneal bursa and tendon insertion. Surgical management of Haglund’s defor ... Full text 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 Advita Ortho LLC · 2025 - 2025

Fresh Tissue Lab Agreement

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by Trimed, Inc. · 2025 - 2025

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Education, Training & Certifications


Tulane University · 1973 M.D.