Douglas E. Padgett, MD

Dr. Douglas Padgett was born and raised in Seaford, New York. He received his undergraduate education at St. Michael's College (B.A. 1978) in Vermont where he was a starting member of the varsity soccer team. A recipient of a Naval Health Professions Scholarship, he completed his medical school education at New York Medical College (M.D. 1982). Following graduation from medical school, Dr. Padgett began his surgical training at The Roosevelt Hospital (1982-83, 1984-1985). From 1983-1984, Dr. Padgett was the Battalion Surgeon for the 2nd Battalion, 8th Marine Regiment during combat operations in Grenada, West Indies and in Beirut, Lebanon, where he was awarded the Naval Achievement Medal for meritorious service.

From 1985-1989, Dr. Padgett was a resident in orthopedic surgery at Hospital for Special Surgery and subsequently performed a one-year postdoctoral fellowship at The Rush Presbyterian Medical Center in Chicago in Adult Reconstructive Surgery of the hip and knee (1989-90). From 1990-1993, Dr. Padgett was the Director of the Adult Reconstructive Service at the Naval Hospital, San Diego and developed the Adult Reconstructive Education Program. In 1991, Dr. Padgett was deployed to the Persian Gulf with Fleet Hospital #6 in support of military operation during Operations Desert Shield and Desert Storm.

In 1993, Dr. Padgett joined Hospital for Special Surgery as an attending surgeon on the Hip and Knee Service. In 2006, Dr. Padgett became the chief of the Hip Service, and in 2008 chief of the Adult Reconstruction and Joint Replacement Service. Dr. Padgett continues to hold both positions. In addition to his duties at Hospital for Special Surgery, Dr. Padgett is also a consulting physician for the Bronx V.A. Medical Center. 

Dr. Padgett has served as a board member of the American Association of Hip and Knee Surgeons as well as The Hip Society. He has served on the program committee of the American Academy of Orthopaedic Surgeons as well as the program chair of the Orthopaedic Learning Center in Chicago.

Dr. Padgett enjoys his role as surgeon, educator, and researcher, and is dedicated to exploring the cutting edge of medicine for his patients. While clinical outcomes and biomaterials research have been his main focus, two fields of current interest are robotic surgery and deep vein thrombosis prevention.

Robotic assisted surgery combines surgical navigation with mechanical guidance. In this procedure, a robotic arm guides the surgeon in positioning the implant. The hope is that this will lead to improved implant position which results in better function and durability of the implant.

Historically, the risk of deep vein thrombosis was reduced through the use of medications such as aspirin or Coumadin. Now there is another method being explored, an active compression device. The Active Care SFT device works by applying intermittent pressure to the lower legs, to encourage circulation and reduce the development of blood clots without medications. It is hoped that using less medications after surgery will reduce the risk of possible side effects and escalating drug interactions for patients.

Appointments

Associate Attending Orthopaedic Surgeon, Hospital for Special Surgery
Chief of the Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery
Chief of the Hip Service, Hospital for Special Surgery
Associate Professor of Orthopedic Surgery, Weill Cornell Medical College

Specialty

Orthopedic Surgery

Subspecialty

Hip, Knee

Special Expertise

Total Hip and Total Knee Replacement
Revision Total Joint Surgery
Arthroscopic Surgery of the Hip and Knee
Hip Disorders related to Dance

Awards

American Association of Hip and Knee Surgeons Poster Award Winner
Adult Reconstruction Fellows of HSS: Educator of the Year Award
Philip D. Wilson Research Award
Outstanding Teacher Award: Naval Hospital, San Diego, CA

Affiliations

Journal of Arthroplasty, Editorial Board
American Journal of Bone and Joint Surgery, Consultant Reviewer
American Board of Orthopaedic Surgeons, Field Test Examiner
American Academy of Orthopaedic Surgeons, Program Committee

Specialized Centers

• Center for Hip Preservation
  

Education

MD, New York Medical College, New York, 1982

Residency

Hospital for Special Surgery, Orthopedic Surgery, New York

Fellowship

Rush Presbyterian Medical Center, Adult Reconstructive Surgery of the Hip and Knee, Chicago, Illinois

Certification

American Board of Orthopaedic Surgery, 1992

State Licensure

New York  

Douglas E. Padgett, MD has contributed to the following articles on HSS.edu:

Selected Publications

Sedrakyan A, Paxton EW, Phillips C, Namba R, Funahashi T, Barber T, Sculco T, Padgett D, Wright T, Marinac-Dabic D. The international consortium of orthopaedic registries: overview and summary. J Bone Joint Surg Am. 2011 Dec 21;93 Suppl 3:1-12.

Klein GR, Hartzband MA, Najibi S, Matta J and Padgett DE. Minimally Invasive Total Hip Arthroplasty in Orthopaedic Knowledge Update 4: Hip and Knee Reconstruction Glassman AH, Lachiewicz PF, Tanzer M, Eds; American Academy Orthopaedic Surgeons, Rosemont Illinois, 2011, Chapter 19.

Gulotta LV, Padgett DE, Sculco TP, Urban M, Lyman S, and Nestor, BJ. Fast Track THR:  One Hospital’s Experience with a 2-Day Length of Stay Protocol for Total Hip Replacement. HSSJ 2011 7:223-228.

Dorr LD, Jones RE, Padgett DE, Pagnano M, Ranawat AS, and Trousdale RT. Robotic guidance in total hip arthroplsty:  the shape of things to come. Orthopedics 2011 Sep 9:34(9):e652-5.

Padgett DE and Kinkel S. Cancellous impaction grafting in femoral revision THA. Orthopedics 2011 Sep 9:34(9):e482-4.

Kelly NH, Fu RH, Wright TM, and Padgett DE. Wear Damage in mobile-bearing TKA is as severe as that in fixed-bearing TKA. Clin Orthop Relat Res. 2011 Jan:469(1):123-30. 

Schroder D, Bornstein L, Bostrom MP, Nestor BJ, Padgett DE, and Westrich GH. Ceramic-on-Ceramic Total Hip Arthroplasty: Incidence of Instability and Noise. Clin Orthop Relat Res. 2011 Feb;469(2):123-30.

Colwell CW Jr, Froimson MI, Mont MA, Ritter MA, Trousdale RT, Buehler KC, Spitzer A, Donaldson TK, Padgett DE. Thrombosis prevention after total hip arthroplasty: a prospective, randomized trial comparing a mobile compression device with low-molecular-weight heparin. J Bone Joint Surg Am. 2010 Mar;92(3):527-35.

D. Chen, S. Lin, Cutera N, Padgett DE, and Wright TM. Ceramic bearings in total hip replacement. A Retrieval Analysis. Minera Orthopedica E Traumatologica. 2010 Feb: 61(1): 41-49.

Della Valle, Padgett DE, and Salvati EA.  Preoperative Planning for Total Hip Arthroplasty in Total Hip Arthroplasty Yaziciolglu O, Salvati EA, Goksan SB, and Kilcoglu O. Ekin Tibbi Yayincilik, Istanbul, 2010. 

Lonner JH, Fehring TK, Hanssen AD, Pellegrini VD Jr, Padgett DE, Wright TM, Potter HG. Revision total knee arthroplasty: the preoperative evaluation. J Bone Joint Surg Am. 2009 Aug;91 Suppl 5:64-8.

Padgett DE, Lewallen DG, Penenberg BL, Hanssen AD, Garvin KL, Mahoney OM, Kinsey TL. Surgical technique for revision total hip replacement. Bone Joint Surg Am. 2009 Aug;91 Suppl 5:23-8.

Shah SN, Kaye RJ, Kelly NH, Su EP, Padgett DE, Wright TM. Retrieval analysis of failed constrained acetabular liners.J Arthroplasty. 2009 Sep;24(6 Suppl):54-7. Epub 2009 Jul 4.

Miller AN, Su EP, Bostrom MP, Nestor BJ, Padgett DE. Incidence of ceramic liner malseating in Trident acetabular shell. Clin Orthop Relat Res. 2009 Jun;467(6):1552-6. Epub 2009 Mar 12.

For more publications, please see the PubMed listing.  

Research Description

Current Research Includes:

• Labral Tears of the Hip in the Dance Population
• Anatomic Hip Stem Design
• Effect of Hip Stem Properties on Dislocation
• Impaction Grafting of the Femur in Revision Total Hip Surgery
• Surgical Navigation Aids in Surgery of the Hip and Knee
• Patellofemoral Arthroplasty Design

Clinical Trials

• Analgesia after Total Knee Arthroplasty: Peri-Articular Injection vs. Epidural + Femoral Nerve Blockade
• Effects of Pregabalin on Pain after Total Knee Arthroplasty: A Dose-Response Study
• A Prospective Study of the Restoration Anatomic Dual Mobility (ADM) X3 Acetabular System
• The Center for Hip Preservation Outcomes Registry
• Deep Vein Thrombosis (DVT) Prevention in Total Hip Replacement: Continuous Enhanced Circulation Therapy (CECT) Versus Low Molecular Weight Heparin (LMWH)

 

Animations of Surgical Procedures

Step-by-step animation of total knee replacement

Step-by-step animation of total hip replacement