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L. Andrew Koman, MD

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L. Andrew Koman, MD

L. Andrew Koman, MD

Chair, Orthopaedics Executive Director, Orthopedics Clinic

Professor, Orthopaedics

Institute for Regenerative Medicine

Surgery Vascular


Physician Rating

4.7 out of 5

50 Ratings

Contact Information

  • New Patient Appointments:


  • Returning Patient Appointments:


  • Fax: 336-716-6286


  • American Academy for Cerebral Palsy and Developmental Medicine

  • American Academy of Orthopaedic Surgeons

  • American Orthopedic Foot and Ankle Society

  • American Orthopaedic Association

  • American Society of Reconstructive Microsurgery

  • American Society of Surgery of the Hand

  • Clinical Orthopaedic Society

  • Duke Hand Club

  • Eastern Orthopaedic Association

  • Hand Forum (Research Society)

  • International Society for Reconstructive Microsurgery

  • International Society of Orthopedic Surgeons

  • La Societe International De Chirurgie Orthopediqu

  • NC Society for Surgery of the Hand

  • North Carolina Medical Society

  • North Carolina Orthopedic Association

  • Orthopaedic Research Society

  • Piedmont Orthopedic Society

  • Southeastern Hand Club

  • Southern Medical Association

  • Southern Orthopedic Association

  • NPI: 1821072208

Clinical Interests

  • Upper Extremity Vascular Disorders, Peripheral Nerve Repair, Pediatric Orthopaedics, Cerebral Palsy, Spasticity Management, Orthopaedics, Hand Surgery, Pediatric Orthopaedic Surgery, Rehabilitation, Microsurgery

Education & Training

  • AB

    1970 - Duke University

  • MD

    1974 - Duke University School of Medicine

  • Internship

    1974 - Pediatrics: Duke University School of Medicine

  • Residency

    1975 - General Surgery: Duke University School of Medicine

  • Residency

    1979 - Orthopaedic Surgery: Duke University School of Medicine

  • Fellowship

    1979 - Orthopaedic Surgery: Duke University School of Medicine

Board Certifications

  • American Board of Orthopaedic Surgery Orthopaedic Surgery


Research Contact Information

  • Fax: 336-716-6286

Research Interests

  • Cerebral Palsy, Neuromuscular Agents, Fingers, Muscle Spasticity, Hand

Recent Publications

  • An Analysis of Orthopaedic Job Trends in the United States Over the Past 30 years.
    Mannava S, Jinnah AH, Cinque ME, Plate JF, Jinnah RH, LaPrade RF, Martin DF, Koman LA. J Am Acad Orthop Surg Glob Res Rev. 2018 Aug; 2(8):e056.
  • Technique of Dynamic Flexor Digitorum Superficialis Transfer to Lateral Bands for Proximal Interphalangeal Joint Deformity Correction in Severe Dupuytren Disease.
    Schreck MJ, Holbrook HS, Koman LA. J Hand Surg Am. 2018 02; 43(2):192.e1-192.e6.
  • The risk of pain syndrome affecting a previously non-painful limb following trauma or surgery in patients with a history of complex regional pain syndrome.
    Satteson ES, Harbour PW, Koman LA, Smith BP, Li Z. Scand J Pain. 2017 01; 14:84-88.
  • Glomus tumor and the contribution of nerve ultrasound, an additional case.
    Walker FO, Koman LA, Apel PJ. Muscle Nerve. 2016 09; 54(3):514-5.
  • Surgical Algorithm and Results of Isolated Traumatic Axillary Nerve Injuries.
    Chen WA, Schippert DW, Daws SB, Koman LA, Li Z. J Reconstr Microsurg. 2016 Mar; 32(3):208-14.
  • A randomized trial of diagnostic ultrasound to improve outcomes in focal neuropathies.
    Cartwright MS, Griffin LP, Dowlen H, Bargoil JM, Caress JB, Li ZJ, Defranzo AJ, Wiesler ER, Tuohy CJ, Balakrishnan N, Molnar JA, Baute V, Koman LA, Poehling GG, Walker FO. Muscle Nerve. 2015 Nov; 52(5):746-53.
  • Randomized comparison of volar locking plates and intramedullary nails for unstable distal radius fractures.
    Plate JF, Gaffney DL, Emory CL, Mannava S, Smith BP, Koman LA, Wiesler ER, Li Z. J Hand Surg Am. 2015 Jun; 40(6):1095-101.
  • Five-year mortality for patients with end-stage renal disease who undergo upper extremity amputation.
    Stone AV, Xu NM, Patterson RW, Koman LA, Smith BP, Li Z. J Hand Surg Am. 2015 Apr; 40(4):666-72.
  • Surgical management of the wrist in children with cerebral palsy and traumatic brain injury.
    Koman LA, Smith BP. Hand (N Y). 2014 Dec; 9(4):471-7.
  • A human hair keratin hydrogel scaffold enhances median nerve regeneration in nonhuman primates: an electrophysiological and histological study.
    Pace LA, Plate JF, Mannava S, Barnwell JC, Koman LA, Li Z, Smith TL, Van Dyke M. Tissue Eng Part A. 2014 Feb; 20(3-4):507-17.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.


Doctor Ratings

The overall Patient Rating score is the average of responses to the nine questions listed below. The questions are from the Press Ganey Patient Satisfaction Survey. Responses are measured on a 1 to 5 scale, where 1 represents "very poor" and 5 represents "very good."
Press Ganey Patient Satisfaction Survey

CP concern for questions/worries
CP efforts to include in decisions
CP explanations of prob/condition
CP spoke using clear language
Friendliness/courtesy of CP
Likelihood of recommending CP
Patients' confidence in CP
Time CP spent with patient
Wait time at clinic

Patient Comments

Comments are taken from the Care Provider section of the Press Ganey Patient Satisfaction Survey. Comments are posted exactly as they are written. Comments are added weekly. To protect patient privacy and confidentiality, patient names are not included.

  • 4/6/2018

    *Dr. Koman is professional, knowledgeable, & a fine expert. I would not see anyone else.

  • 12/19/2017

    The doctor seemed very knowledgeable, but explained things very quickly and used some medical terms that he did not explain. He seemed like he was in a hurry and needed to get on to the next patient. He did soend some time with us, but not as much as I felt we needed. He, of course, is very familiar with our daughters diagnosis, but we aren't. He honestly did seem to care, but at the same time was slightly dismissive because I think to him her diagnosis wasn't too serious. However, as I said before, he seems very knowledgeable and did seem to care and we will be coming back to see him for our daughters check ups. Im sure we will learn more as we go along.

  • 11/8/2017

    *Dr. Koman & intern & nurse PA asst. were their at this appointment, all very courteous & friendly. Having surgery on right pinky finger on 10/31/17 - I have a lot of confidence in *Dr. Koman - enough to drink 2 1/2 hrs. for this hand surgery -

  • 10/25/2017

    My only is worry is if *Dr. Koman ever retires or leaves. He has helped both of my son's so much.

  • 10/12/2017

    I recommend *Dr. Koman to everyone! He is the best!


We're sorry, Dr. Koman is not currently accepting new patients. If you are an existing patient, you may contact the office directly at 336-716-8094.

  • Find a Pediatric Specialist
  • New Patient Appointments





  • Additional Information

    For returning patient appointments, contact the clinic directly.