Scholars@Duke
James Albert Nunley II

James Albert Nunley II

Goldner Jones Distinguished Professor of Orthopaedic Surgery
Orthopaedic Surgery
james.nunley@duke.edu
DUMC Box 104002, Durham, NC 27710
311 Trent Drive, Durham, NC 27710

Featured Works

Participation in sports after arthrodesis of the foot or ankle.

Journal article Foot Ankle Int · July 2002 Featured Publication Currently no data or guidelines exist for the surgeon on how to advise patients about returning to sports participation after arthrodesis within the foot or ankle. Sequelae of inappropriate activity after arthrodesis includes periarticular arthrosis, arthr ... Full text Link to item Cite

The transverse dorsal approach to the Lisfranc joint.

Journal article Foot Ankle Int · May 2002 Featured Publication While multiple longitudinal skin incisions can be utilized to visualize the joints of the midfoot, we feel that exposure can be difficult. Dorsal transverse and T incisions were undertaken to expose the tarsometatarsal joints (TMTJs) in 12 patients. Five o ... Full text Link to item Cite

Fractures of the elbow's lateral column radial head and capitellum.

Journal article Hand Clin · February 2002 Featured Publication Fractures of the lateral column of the elbow involve radial head fractures or capitellum fractures. As the biomechanics of the elbow have become better understood, the importance of the radiocapitellar joint in stabilizing the elbow has been emphasized. Pr ... Full text Link to item Cite

Total ankle arthroplasty.

Journal article J Am Acad Orthop Surg · 2002 Featured Publication First-generation total ankle arthroplaty designs had unacceptably high complication and failure rates compared with ankle arthrodesis. More recent prostheses have had encouraging intermediate results because of refined surgical techniques and improved desi ... Full text Link to item Cite

Measurement of the first/second intermetatarsal angle following proximal oblique metatarsal osteotomy.

Journal article Foot Ankle Int · January 2002 Featured Publication The radiographs of 21 consecutive patients who had undergone proximal oblique metatarsal osteotomy were reviewed. The first/second intermetatarsal and MP angles were measured before and after surgery using two different well-described methods. Values for e ... Full text Link to item Cite

Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete.

Journal article Am J Sports Med · 2002 Featured Publication BACKGROUND: Midfoot sprains in athletes represent a spectrum of injuries to the Lisfranc ligament complex, from partial sprains with no displacement to complete tears with frank diastasis. Treatment of these injuries varies from the treatment of high-veloc ... Full text Link to item Cite

Intramedullary screw fixation of Jones fractures.

Journal article Foot Ankle Int · July 2001 Featured Publication BACKGROUND: Jones fractures of the fifth metatarsal can be stabilized using intramedullary screw fixation techniques. A range of screw diameters from 4.5 mm to 6.5 mm can be used, but the optimal screw for this procedure has yet to be defined. In clinical ... Full text Link to item Cite

Treatment of stage 4 adult acquired flatfoot.

Journal article Foot Ankle Clin · March 2001 Featured Publication Stage 4 PTT dysfunction is a rare anatomic condition in which fixed hindfoot valgus is associated with valgus tilting of the talus within the ankle mortise. Success with nonoperative management is the exception rather than the rule. The surgical options ar ... Full text Link to item Cite

Fractures of the base of the fifth metatarsal: the Jones fracture.

Journal article Orthop Clin North Am · January 2001 Featured Publication The Jones fracture continues to be a problem fracture for the orthopedic surgeon and sports medicine physician. This injury seems to occur in athletes as well as nonathletes. The underlying inherent poor blood supply of the proximal metaphyseal diaphyseal ... Full text Link to item Cite

Outcome of subtalar arthrodesis after calcaneal fracture.

Journal article J South Orthop Assoc · 2001 Featured Publication Between 1983 and 1995, we used subtalar arthrodesis to treat 16 consecutive patients for continued pain after an intra-articular calcaneal fracture. Average time to union was 3 months (2 to 4 months). Complications were minor in 4 patients, and major in 4 ... Link to item Cite

Ulnar nerve function following total elbow arthroplasty: a prospective study comparing preoperative and postoperative clinical and electrophysiologic evaluation in patients with rheumatoid arthritis.

Journal article J Hand Surg Am · March 2000 Featured Publication A study was conducted to determine the incidence of ulnar and peripheral neuropathy in patients with rheumatoid arthritis undergoing total elbow arthroplasty and the effect it has on ulnar nerve function after surgery. Preoperative and postoperative clinic ... Full text Link to item Cite

Fixation of three-part proximal humeral fractures: a biomechanical evaluation.

Journal article J Orthop Trauma · January 2000 Featured Publication OBJECTIVES: To examine the biomechanical stability of three constructs currently used for the management of three-part proximal humerus fractures. Tension band wires (TBW) with supplemental Enders nails, modified cloverleaf plate and screws, and intramedul ... Full text Link to item Cite

Transesophageal echocardiography in quantification of emboli during femoral nailing: reamed versus unreamed techniques.

Journal article J South Orthop Assoc · 2000 Featured Publication We quantified the embolic load to the lungs created with two different techniques of femoral nailing. Eleven patients with 12 traumatic femur fractures were randomized to reamed (7 fractures) and unreamed (5 fractures) groups. Intramedullary nailing was wi ... Link to item Cite