Dr. Austin Fragomen attended medical school at the State University of New York Downstate College of Medicine. He excelled through a very hands-on surgical internship at Montefiore and Jacobi medical centers in the Bronx. He launched into his orthopaedic residency training program, under John R. Denton, MD, at the Saint Vincent Catholic Medical Center. As chief resident he took a strong interest in fracture care, limb reconstruction, and joint preservation surgery. He then relocated to San Francisco, California to dedicate himself to learning advanced techniques in surgery of the shoulder and knee with pioneer and innovator Eugene M. Wolf, MD.
He returned to New York's Hospital for Special Surgery to help start the fellowship in Limb Lengthening & Reconstruction Surgery. Dedicated to skeletal reconstruction, Dr. Fragomen and Dr. Rozbruch created the Limb Lengthening and Complex Reconstruction Service (LLRCS) at HSS. He serves as Fellowship Director, Director of Education, and Director of the LLRCS Clinic. He is dedicated to clinical and biomechanical research and enjoys his busy clinical practice.
Dr. Fragomen has presented his clinical and biomechanical research at medical meetings and has authored articles for various Orthopaedic journals and textbooks. He has lectured extensively on related topics to residency training programs and in the community setting. He maintains a position as a reviewer on the editorial staff for Clinical Orthopaedics and Related Research and the Journal of Orthopaedic Research. He also serves as Treasurer for the AAOS Limb Lengthening and Reconstruction Society.
Skilled in the art of less invasive surgery, Dr. Fragomen performs a sophisticated and comprehensive analysis of each patient to determine an optimal treatment plan. Whether performing an all-arthroscopic rotator cuff repair or re-aligning a deformed limb through mini-incisions, the goal remains the same: to minimize the trauma of surgery and maximize a rapid and functional recovery.
Associate Attending of Orthopedic Surgery, Hospital for Special Surgery
Director, Limb Lengthening Clinic, Hospital for Special Surgery
Fellowship Director, Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery
Associate Professor of Clinical Orthopedic Surgery, Weill Cornell Medical College
Skeletal Reconstruction: Adult & Pediatric
Limb Deformity Correction & Bone Lengthening Surgery
Ilizarov External Fixation
Fracture care & Problem Fractures: Nonunions & Malunions
Bone infection (Osteomyelitis)
Limb Salvage, Bone Loss
Ankle, Knee, & Hip Distraction
Shoulder & Knee Arthroscopy & Replacement Surgery
Joint Preservation, Limb Realignment & Minimally Invasive Surgery
Cosmetic Limb Surgery
Castle Connolly America's Top Doctors, 2015-2019
Castle Connolly New York Metro Area Top Doctors, 2013-2019
Castle Connolly Regional Top Doctor, 2012-2019
New York Magazine Top Doctors, 2012-2019
Patient's Choice Award 2008-2013
AOA Alumni Membership, 2012
Alumni AOA Award from Downstate Medical School, 2012
Best Poster, AAOS, Foot and Ankle Session, 2012
Meritorious Service Award and Bronze Medallion, Marine Society of New York, 2008
Wounded Warriors Project Commendation, 2007
Treasurer, Limb Lengthening & Reconstruction Society-ASAMI North America, American Board of Orthopaedic Surgery
American Academy Orthopaedic Surgery
Arthroscopy Association of North America
New York State Medical Society
Eastern Orthopaedic Society
Volunteer Surgeon, Wounded Warriors Project
Asociación Argentina de Ortopedia y Traumatología (Miembro Correspondiente Extranjero)
Member NYC Medical Reserve Corps
One of the goals of HSS is to advance the science of orthopedic surgery, rheumatology, and related disciplines for the benefit of patients. Physicians at HSS may collaborate with outside companies for education, research and medical advances. HSS supports this collaboration in order to foster medical breakthroughs; however HSS also believes that these collaborations must be disclosed.
As part of the disclosure process, this website lists physician collaborations with outside companies. The disclosures are provided by information provided by the physician and other sources and are updated regularly. Further information may be available on individual company websites.
Below are the healthcare industry relationships reported by Dr. Fragomen as of May 17, 2019.
By disclosing the collaborations of HSS physicians with industry on this website, HSS and its physicians make this information available to their patients and the public, thus creating a transparent environment for those who are interested in this information. Further, the HSS Conflicts of Interest Policy does not permit physicians to collect royalties on products developed by him/her that are used on patients at HSS.
Patients should feel free to ask their HSS physicians questions about these relationships.
MD, SUNY Downstate Medical Center, Brooklyn, New York, 1997
Montefiore Medical Center, General Surgery, Bronx, New York, 1998
St. Vincent Catholic Medical Centers, Orthopedic Surgery, Jamaica, New York, 2003
Hospital for Special Surgery, Limb Lengthening and Reconstruction, New York, 2005
Eugene M. Wolf, MD, California Pacific Medical Center, Fellowship in Surgery of the Shoulder & Knee, San Francisco, California, 2004
American Board of Orthopedic Surgery 2007
Reviewer for Clinical Orthopaedics and Related Research (CORR) & the Journal of Orthopaedic Research (JOR)
Fragomen, A.T., McCoy, T.H. & Fragomen, F.R. A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femoral Osteotomy. HSS Journal October 2018, Volume 14, Issue 3, pp 258–265. DOI: 10.1007/s11420-017-9587-z
Fragomen AT and Fragomen FR. Distal Femoral Flexion Deformity From Growth Disturbance Treated With a Two-Level Osteotomy and Internal Lengthening Nail. Strat Traum Limb Recon. DOI 10.1007/s11751-017-0298-2
Hamdy RC; Bernstein M; Fragomen AT; Rozbruch SR. What's New in Limb Lengthening and Deformity Correction. The Journal of Bone and Joint Surgery. 99(16):1408–1414, Aug 2017. DOI: 10.2106/JBJS.17.00464.
Austin T. Fragomen MD, Matthew Meade OMS, Eugene Borst BS, Joseph Nguyen MPH, S. Robert Rozbruch MD. Does the Surgical Correction of Tibial Torsion with Genu Varum Produce Outcomes Similar to Those in Varus Correction Alone? J Knee Surg, June 2017. DOI: 10.1055/s-0037-1603797.
Smith AM, Haleem AM, Fragomen AT, Ellis SJ. Correction of tibial malunion in a patient with ipsilateral total knee and ankle prostheses using external ring fixation and the ilizarov method. J Limb Lengthen Reconstr 2017;3:65-9.
Fragomen AT. Transitioning to an Intramedullary Lengthening and Compression Nail. J Orthop Trauma Vol 31, Number 6 Supplement, June 2017.
Seah KT, Shafi R, Fragomen AT, Rozbruch SR. Distal Femoral Osteotomy: Is Internal Fixation Better than External? Clin Orthop Relat Res. 2011 Jan 6. [Epub ahead of print]
Khakharia S, Bigman D, Fragomen AT, Pavlov H, Rozbruch SR. Comparison of PACS and hard-copy 51-inch radiographs for measuring leg length and deformity. Clin Orthop Relat Res. 2011 Jan;469(1):244-50. Epub 2010 Jul 13.
Gantsoudes GD, Fragomen AT, Rozbruch SR. Intraoperative measurement of mounting parameters for the Taylor Spatial Frame. J Orthop Trauma. 2010 Apr;24(4):258-62.
Rozbruch SR, Segal K, Ilizarov S, Fragomen AT, Ilizarov G. Does the Taylor Spatial Frame accurately correct tibial deformities? Clin Orthop Relat Res. 2010 May;468(5):1352-61. Epub 2009 Nov 13.
Babatunde OM, Fragomen AT, Rozbruch SR. Noninvasive Quantitative Assessment of Bone Healing After Distraction Osteogenesis. HSS J. 2009 Aug 18. [Epub ahead of print]
Khakharia S, Fragomen AT, Rozbruch SR. Limited quadricepsplasty for contracture during femoral lengthening. Clin Orthop Relat Res. 2009 Nov;467(11):2911-7. Epub 2009 Jun 25.
Tellisi N, Fragomen A, Kleinman D, O’Malley MJ, Rozbruch SR. "Joint Preservation of the Osteoarthritic Ankle using Distraction Arthroplasty." Foot Ankle Int 2009; 30(4):318-25.
Kendoff DO, Fragomen A, Pearle AD, Citak M, Rozbruch SR. "Computer Navigation and Fixator-Assisted Femoral Osteotomy for Correction of Malunion After Periprosthetic Femur Fracture." J Arthroplasty 2009 Jan 14. [Epub ahead of print] PMID: 19150213 [PubMed - as supplied by publisher].
Rozbruch SR, Kleinman D, Fragomen A, Ilizarov S. "Limb Lengthening and Then Insertion of an Intramedullary Nail: A Case Matched Comparison." Clin Orthop Sept 2008.
Fragomen A, Meyers K, Davis N, Shu H, Wright T, Rozbruch SR. “A Biomechanical Analysis of Two Methods of Ankle Arthrodesis, Ilizarov Fixation and Intramedullary Nailing.” Foot & Ankle International 2008, 29(3):334-341.
Rozbruch SR, Pugsley J, Fragomen A, Ilizarov S. “Repair of Tibial Nonunions and Bone Defects with the Taylor Spatial Frame.” J Orthop Trauma 2008, 22(2):88-95.
Tellisi N, Fragomen A, Ilizarov S, Rozbruch SR. “Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening using the Ilizarov/Taylor Spatial Frame.” Hospital for Special Surgery Journal 2008, 4:32-42.
Biomechanics of External Fixation, Computer Navigation Surgery
Cartilage Repair & Regeneration
Bone Healing Mechanisms
"In July 2009 I was hit by a motorcycle as I crossed the street. I remember waking up in the hospital with lots of pain. The doctor told my mom that I fractured my tibia and fibula. I had surgery, and my leg was in a cast for a few months, but I was still experiencing symptoms of pain and swelling."
Three months after the surgery, x-rays showed the tibia was not healing.
"This experience changed my life. I walked with a limp. It took me more time than usual to get around. My self esteem was down. People would make fun of me and call me names like 'Limpy.' I was afraid to wear shorts because of the leg bump."
She stopped attending school because of the leg pain but also because the constant humiliation she felt from many of her peers was too much to bear.
"My mom and I saw another doctor who said the fracture was not healing and I would need another surgery. I felt angry and depressed. My mom spoke to me and told me that she would make everything okay.
"We were referred to many doctors before we found the right one. My Mom's friend, Dr. Kleinman, examined my fracture and told us he knew a doctor that had the experience to fix my leg. He sent us to the office of Dr. Fragomen."
"Dr Fragomen confirmed that he was able to repair my leg. I had the surgery May 2009."
"After the surgery I was pain free. I could walk better. Within three months I was able to run without a limp. I was back to normal. I have a great appreciation for Dr. Fragomen.
"He made me feel happy. I can now move on with my life. I am now in school. I can enjoy life, and I’m no longer called Limpy."
"Dr. Fragomen, I just wanted to say thank you. The time, care and attention that you and your staff pay to your patients is visible from the very first consultation which is refreshing. My entire life, I have been treated like a 'freak' when seen by doctors outside of HSS who don't have a clue of what Spinabifida is. It took my other doctors 2 weeks to come up with the osteomyelitis diagnosis. When they finally did come up with the diagnosis, the first thing they mentioned was amputation. When I first came to see you, you knew exactly what needed to be done and did it. You and your team have made this whole experience, for lack of a better term, worth it - from Norma & the front office folks to Lisa and the rest of the medical team. Thank You!! Thank YOU, Dr. Fragomen for being who you are and doing what you do."
I have been bowlegged since going through a growth spurt during my middle school years. It never really negatively impacted my life. I wasn't self conscious about my legs and I suffered no ill effects physically. I was able to run and play sports with the best. However, in 2007 I turned 30 years old and while playing a soccer match suffered a torn meniscus in my right knee. It was the first ever injury I had suffered to my knees. I underwent a meniscectomy and went back to normal activities. In 2008, I began noticing significant pain on the inside of my knees while running. I still had plenty left in life that I wanted to do that required me to be in peak physical condition and I wasn't willing to give up on those dreams because of knee pain. I began to look for solutions. Read more.