> Skip repeated content
photo of Austin T. Fragomen, MD

Austin T. Fragomen, MD

Limb Lengthening

About Dr. Fragomen


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 is a Professor of Orthopedic Surgery, and he has presented his clinical and biomechanical research at medical meetings and has authored articles for numerous 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 served as the president of the LLRS-ASAMI North America from 2019-2021 and remains on the Board. He is a member of the AAOS Board of Subspeciality Societies.

Dr Fragomen is skilled in limb lengthening surgery as well as limb salvage projects. He is a founding member of the novel field of Limb Deformity which includes knock knees, bow legs, femoral anteversion & retroversion and other rotational deformities. Dr. Fragomen takes pride in resolving the previously “unsolvable” problems from which his patients suffer, and he welcomes collaboration with other HSS surgeons who have complimentary skill sets in an effort to guarantee that all of his patients have been treated by the best of the best

Profile Video


Specialized Centers

Limb Salvage and Amputation Reconstruction Center (LSARC)

Special Expertise

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
Joint Fusion
Ankle, Knee, & Hip Distraction
Knee Arthroscopy
Joint Preservation, Limb Realignment & Minimally Invasive Surgery
Cosmetic Limb Surgery

Patient Stories

Patient ratings for Dr. Fragomen


Learn more about our patient ratings.


Please call our office if you have questions regarding your insurance coverage. If you have out of network benefits, then your insurance may reimburse you for a portion of your office visit. We will work with you and your insurance to minimize your out-of-pocket costs. Financial assistance may be available for patients in need.



Attending Orthopedic Surgeon, Hospital for Special Surgery
Director, Limb Salvage and Amputation Reconstruction Center, Hospital for Special Surgery
Director, Limb Lengthening Clinic, Hospital for Special Surgery
Fellowship Director, Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery
Professor of Clinical Orthopedic Surgery, Weill Cornell Medical College
Attending Orthopedic Surgeon, NewYork-Presbyterian Hospital


President Emeritus, Limb Lengthening & Reconstruction Society-ASAMI North America, American Board of Orthopaedic Surgery 2019-2021
Treasurer, Limb Lengthening & Reconstruction Society-ASAMI North America, American Board of Orthopaedic Surgery
American Academy Orthopaedic Surgery
New York State Medical Society
Volunteer Surgeon, Wounded Warriors Project
Member NYC Medical Reserve Corps





American Board of Orthopedic Surgery 2007


Castle Connolly America's Top Doctors, 2015-2020
Castle Connolly New York Metro Area Top Doctors, 2013-2022
Castle Connolly Regional Top Doctor, 2012-2020
New York Magazine Top Doctors, 2012-2022
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


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

State Licensure


English, Español

For My Patients

Publications by Dr. Fragomen

Patient Education

Professional Education

Blog Posts

Editorial Appointments

Reviewer for Clinical Orthopaedics and Related Research (CORR) & the Journal of Orthopaedic Research (JOR)

Selected Journal Articles

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.


Research Interests

Biomechanics of External Fixation, Computer Navigation Surgery
Cartilage Repair & Regeneration
Bone Healing Mechanisms

Clinical Trials

Industry Relationships

Industry Relationships

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 December 02, 2019.

  • DePuy Synthes, Inc. - Consultant
  • Limb Lengthening & Reconstruction Society - Treasurer
  • NuVasive, Inc. - Consultant
  • Smith & Nephew - Consultant

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.

Dr. Fragomen in the News

Call for an appointment