Joseph Thomas Patterson, MD

Associate Professor of Orthopaedic Surgery (Clinical Scholar)

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Overview

SpecialtiesOrthopedic Surgery, Orthopedic Trauma Surgery, Limb Lengthening, Deformity CorrectionJoseph Patterson, MD, FACS, FAAOS believes in delivering personalized, evidence-based care to help patients recover after as fully as possible after an injury. As a fellowship-trained, board-certified orthopaedic trauma surgeon, Dr. Patterson is an expert in the treatment of fractures and dislocations of the pelvis, acetabulum, scapula, and upper and lower limbs. Dr. Patterson has extensive experience repairing difficult “problem” fractures that are challenging to repair or are not healing properly. He performs limb lengthening, deformity correction, and limb salvage for congenital and traumatic limb differences. Dr. Patterson is an award-winning clinical investigator with interests in patient-centered comparative effectiveness research in musculoskeletal care. He serves as a co-primary investigator on multiple large, multicenter, randomized clinical trials comparing treatments for patients with fractures of the hip and pelvis as well as a site investigator with the METRC and COIRI research consortia. He manages an active clinical research group leveraging insights from registry and administrative claims data to guide clinical care. He has received grant funding from the National Science Foundation, Orthopaedic Trauma Association, AO North America, Orthopaedic Research and Education Foundation, and James O. Johnston Foundation. His research contributions to orthopaedic care have been recognized with an Early Career Development Award from AO North America as well as Young Investigator Awards from the American Association of Hip and Knee Surgeons and AO North America.

Awards

  • WOA 2024 Annual Meeting, Laguna Beach, CA: Western Orthopaedic Association Young Investigator Award, 2024
  • Los Angeles Magazine: Southern California Top Doctors Rising Star, 2022-2024
  • AO Trauma North America: Early Career Development Award, 2022-2024
  • AO Trauma North America: Young Investigator Research Development Award, 2020-2022
  • American Academy Orthopaedic Surgeons/Orthopaedic Research and Education Foundation/Orthopaedic Rese: Clinical Scholar Career Development Program, 2017
  • American Association of Hip and Knee Surgeons: James A. Rand Young Investigator Award, 2016

Publications

  • Neutrophil-Lymphocyte Ratios and Optimal Surgical Timing for Hemiarthroplasty for Femoral Neck Fracture. J Am Acad Orthop Surg. 2026 Feb 01; 34(3):e447-e456.. View in PubMed
  • The Obturator Foramen “Safe Zone” for Anterior Pelvis Internal Fixation by Transobturator Cerclage. J Orthop Trauma. 2025 Dec 01; 39(12):661-666.. View in PubMed
  • Percutaneous Anterior Pelvic Ring Fixation in Addition to Percutaneous Posterior Pelvic Ring Fixation Decreases Postoperative Pain and Narcotic Usage in Hospital for Lateral Compression Types 1 and Lateral Compression Type 2 Injuries. J Orthop Trauma. 2025 Nov 01; 39(11):615-620.. View in PubMed
  • When would orthopaedic surgeons perform arthroplasty for a femoral neck fracture in an older adult? Eur J Orthop Surg Traumatol. 2025 Jul 11; 35(1):301.. View in PubMed
  • Autogenous bone graft collection by acetabular reamers at the ilium yielded comparable volume with less blood loss and lower costs compared to the Reamer-Irrigator-Aspirator 2 system at the femur. Eur J Orthop Surg Traumatol. 2025 Jun 13; 35(1):243.. View in PubMed
  • Internal Versus External Fixation of the Anterior Ring in Unstable Pelvic Fractures Was Associated With Discharge to Home. J Orthop Trauma. 2025 06 01; 39(6):296-301.. View in PubMed
  • Identifying a Reliable Intra-articular Landmark to Avoid Vascular Injury During Transacetabular Screw Fixation: A 3D Computed Tomography Study. J Am Acad Orthop Surg. 2025 Feb 01; 33(3):e172-e180.. View in PubMed
  • Displaced Femoral Neck Fracture in a Young Patient: Should I Perform an Open Reduction? J Orthop Trauma. 2025 Jan 01; 39(1):28-30.. View in PubMed
  • Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature. Eur J Orthop Surg Traumatol. 2024 Dec; 34(8):4133-4138.. View in PubMed
  • Lateral Compression Fragility Fractures of the Pelvis: Diagnosis, Classifications, and Modern Management. Curr Osteoporos Rep. 2024 Dec; 22(6):621-631.. View in PubMed
  • Pelvic Binder Radiography Is Safe and Feasible for Quantifying Fracture Instability in LC1 Pelvis Fractures: A Clinical Trial. J Orthop Trauma. 2024 Nov 01; 38(11S):S15-S22.. View in PubMed
  • Early external fixation of tibial plateau fractures is associated with an increased risk of compartment syndrome. Injury. 2024 Nov; 55(11):111879.. View in PubMed
  • Obesity classification predicts early complications and mortality after acetabular fracture. Eur J Orthop Surg Traumatol. 2024 Oct; 34(7):3473-3481.. View in PubMed
  • Underweight patients experience higher inpatient complication and mortality rates following acetabular fracture. Eur J Orthop Surg Traumatol. 2024 Oct; 34(7):3543-3551.. View in PubMed
  • Disparities in Access to and Utilization of Surgical Care for Patients with Closed Unstable AO/OTA 44B2 Ankle Fractures and Medicaid. JB JS Open Access. 2024 Oct-Dec; 9(4).. View in PubMed
  • Sacral U-type Fractures in Patients Older Than 65 years. J Am Acad Orthop Surg Glob Res Rev. 2024 10 01; 8(10).. View in PubMed
  • Rising incidence of acute total hip arthroplasty for primary and adjunctive treatment of acetabular fracture in older and middle-aged adults. Eur J Orthop Surg Traumatol. 2024 Oct; 34(7):3509-3521.. View in PubMed
  • Stability before and after percutaneous anterior medullary fixation of lateral compression 1 and 2 pelvic ring disruptions: Should surgeons prioritize the anterior ring? Eur J Orthop Surg Traumatol. 2024 Aug; 34(6):3103-3108.. View in PubMed
  • What outcomes do patients value after orthopaedic trauma: A best-worst scaling choice experiment. Injury. 2024 Aug; 55(8):111639.. View in PubMed
  • Outcomes of isolated medial tibial plateau fractures by fracture morphology. Injury. 2024 Aug; 55(8):111662.. View in PubMed
  • Anterior internal versus external fixation of unstable pelvis fractures was not associated with discharge destination, critical care, length of stay, or hospital charges. Eur J Orthop Surg Traumatol. 2024 Jul; 34(5):2773-2778.. View in PubMed
  • Subchondral rafting wires reduce tibial plateau fracture subsidence. Eur J Orthop Surg Traumatol. 2024 Jul; 34(5):2613-2619.. View in PubMed
  • Patient Preferences for Operative Versus Nonoperative Treatment of LC1 Pelvis Fracture: A Discrete Choice Experiment. J Orthop Trauma. 2024 06 01; 38(6):291-298.. View in PubMed
  • Incidence of Suboptimal Fluoroscopic Outlet Imaging of the Sacrum and Pelvic Retroversion Necessary for Optimal Views. J Orthop Trauma. 2024 06 01; 38(6):299-305.. View in PubMed
  • Titanium versus stainless steel alloy bridge plates for distal femur fractures: Does callus form earlier with titanium? Eur J Orthop Surg Traumatol. 2024 May; 34(4):2147-2153.. View in PubMed
  • Does Topical Vancomycin Powder Use in Fracture Surgery Change Bacteriology and Antibiotic Susceptibilities? An Analysis of the VANCO Trial. J Orthop Trauma. 2024 04 01; 38(4):183-189.. View in PubMed
  • Skin Antisepsis before Surgical Fixation of Extremity Fractures. N Engl J Med. 2024 02 01; 390(5):409-420.. View in PubMed
  • The VANCO Trial Findings Are Generalizable to a North American Trauma Registry. J Orthop Trauma. 2024 01 01; 38(1):10-17.. View in PubMed
  • Pelvic binder radiography detects occult instability in cadaveric simulated lateral compression type I (LC1) pelvic fractures. Injury. 2023 Dec; 54(12):111067.. View in PubMed
  • Management of Femoral Neck Fractures in Patients 50 Years or Older by American Board of Orthopaedic Surgery Part II Examination Candidates. J Orthop Trauma. 2023 Dec 01; 37(12):614-620.. View in PubMed
  • Do superficial infections increase the risk of deep infections in tibial plateau and plafond fractures? Eur J Orthop Surg Traumatol. 2023 Oct; 33(7):2805-2811.. View in PubMed
  • Technical Tip: “Toe Rodeo” for Closed Reduction and Percutaneous Fixation of Forefoot and Midfoot Fractures and Dislocations. Foot Ankle Orthop. 2023 Jul; 8(3):24730114231198850.. View in PubMed
  • Erectile dysfunction after acetabular fracture. OTA Int. 2023 Jun; 6(2):e276.. View in PubMed
  • Early hip survival after open reduction internal fixation of acetabular fracture. Eur J Orthop Surg Traumatol. 2023 May; 33(4):1209-1216.. View in PubMed
  • Letter to the editor on: Treatment Failure in Femoral Neck Fractures in Adults Younger than 50 Years: Analysis of 492 Patients Treated at 26 North American Trauma Centers. J Orthop Trauma. 2023 03 01; 37(3):e139-e140.. View in PubMed
  • Cirrhosis is independently associated with complications and mortality following operative treatment of acetabular fractures. Injury. 2023 Feb 22.. View in PubMed
  • Feasibility of Capturing Orthopaedic Trauma Research Outcomes Using Personal Mobile Devices. J Am Acad Orthop Surg. 2023 Feb 15; 31(4):212-217.. View in PubMed
  • Antibiotic bead pouch versus negative pressure wound therapy at initial management of AO/OTA 42 type IIIB open tibia fracture may reduce fracture related infection: A retrospective analysis of 113 patients. Injury. 2023 Feb; 54(2):744-750.. View in PubMed
  • Application of Bayesian Methods to Help Interpret the VANCO Trial Results. J Orthop Trauma. 2023 01 01; 37(1):1-7.. View in PubMed
  • Drill Bone with Both Hands: Plunge Depth and Accuracy with 4 Bracing Positions. JB JS Open Access. 2023 Jan-Mar; 8(1).. View in PubMed
  • Iatrogenic risk of genital injury with retrograde anterior column screws: CT analysis. Injury. 2022 11; 53(11):3759-3763.. View in PubMed
  • Association of Patient-Level and Hospital-Level Factors With Timely Fracture Care by Race. JAMA Netw Open. 2022 11 01; 5(11):e2244357.. View in PubMed
  • Preperitoneal Pelvic Packing for Hypotension Has a Greater Risk of Venous Thromboembolism Than Angioembolization: Management of Refractory Hypotension in Closed Pelvic Ring Injury. J Bone Joint Surg Am. 2022 10 19; 104(20):1821-1829.. View in PubMed
  • Aqueous skin antisepsis before surgical fixation of open fractures (Aqueous-PREP): a multiple-period, cluster-randomised, crossover trial. Lancet. 2022 10 15; 400(10360):1334-1344.. View in PubMed
  • Mathematically Directed Single-Cut Osteotomy. Medicina (Kaunas). 2022 Jul 21; 58(7).. View in PubMed
  • Triceps Surae Lengthening in Foot and Ankle Trauma: A Survey of OTA and AOFAS Members. Foot Ankle Orthop. 2022 Jul; 7(3):24730114221126719.. View in PubMed
  • Traumatic soft tissue defects: a perspective review on reconstruction and communication priorities from the orthopaedic trauma surgeon as a partner. Plastic and Aesthetic Research. 2022; 23(9).
  • AP pelvis radiograph is insufficient for diagnosis of U-type sacral fractures. Emerg Radiol. 2021 Dec; 28(6):1119-1126.. View in PubMed
  • Plate-Tensioned-Nail for Salvage of Failed Subtrochanteric Intramedullary Motorized Limb Lengthening: A Case Report. JBJS Case Connect. 2021 Nov 11; 11(4).. View in PubMed
  • Smith-Petersen Versus Watson-Jones Approach Does Not Affect Quality of Open Reduction of Femoral Neck Fracture. J Orthop Trauma. 2021 Oct 01; 35(10):517-522.. View in PubMed
  • Validation of Relative Motion Measurement Method of Lateral Compression Pelvic Fractures During Examination Under Anesthesia. J Orthop Trauma. 2021 08 01; 35(8):e289-e292.. View in PubMed
  • Evidence‐Based Orthopedics, Second Edition. Systematic Reviews and Meta‐Analyses. 2021; 11-18.
  • Management of Metadiaphyseal Proximal Radius Fractures. Tech Hand Up Extrem Surg. 2020 Nov 20; 25(3):156-164.. View in PubMed
  • Letters to the Editor. J Orthop Trauma. 2020 11; 34(11):e434-e436.. View in PubMed
  • Technique for Removal of Entrapped Screw and Washer Fixation of the Posterior Pelvic Ring. J Orthop Trauma. 2020 09; 34(9):e309-e311.. View in PubMed
  • Delay of Antibiotic Administration Greater than 2 Hours Predicts Surgical Site Infection in Open Fractures. Injury. 2020 Sep; 51(9):1999-2003.. View in PubMed
  • Open Reduction Is Associated With Greater Hazard of Early Reoperation After Internal Fixation of Displaced Femoral Neck Fractures in Adults 18-65 Years. J Orthop Trauma. 2020 Jun; 34(6):294-301.. View in PubMed
  • A Review of Inpatient Opioid Consumption and Discharge Prescription Patterns After Orthopaedic Procedures. J Am Acad Orthop Surg. 2020 Apr 01; 28(7):279-286.. View in PubMed
  • Wearable activity sensors and early pain after total joint arthroplasty. Arthroplast Today. 2020 Mar; 6(1):68-70.. View in PubMed
  • Travel barriers, unemployment, and external fixation predict loss to follow-up after surgical management of lower extremity fractures in Dar es Salaam, Tanzania. OTA Int. 2020 Mar; 3(1):e061.. View in PubMed
  • Does Implant Choice Affect the Episode Cost of Pertrochanteric Hip Fracture for US Veterans? J Orthop Trauma. 2019 Dec; 33(12):635-641.. View in PubMed
  • Machine Learning Algorithms Can Use Wearable Sensor Data to Accurately Predict Six-Week Patient-Reported Outcome Scores Following Joint Replacement in a Prospective Trial. J Arthroplasty. 2019 10; 34(10):2242-2247.. View in PubMed
  • Optimal Sampling Frequency for Wearable Sensor Data in Arthroplasty Outcomes Research. A Prospective Observational Cohort Trial. J Arthroplasty. 2019 10; 34(10):2248-2252.. View in PubMed
  • Preoperative Treatment of Hepatitis C Is Associated With Lower Prosthetic Joint Infection Rates in US Veterans. J Arthroplasty. 2019 Jul; 34(7S):S319-S326.e1.. View in PubMed
  • Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study. Arthroplast Today. 2019 Mar; 5(1):61-63.. View in PubMed
  • Dialysis Dependence Predicts Complications, Intensive Care Unit Care, Length of Stay, and Skilled Nursing Needs in Elective Primary Total Knee and Hip Arthroplasty. J Arthroplasty. 2018 07; 33(7):2263-2267.. View in PubMed
  • Management of Pediatric Femoral Neck Fracture. J Am Acad Orthop Surg. 2018 Jun 15; 26(12):411-419.. View in PubMed
  • Hip Fractures and the Bundle: A Cost Analysis of Patients Undergoing Hip Arthroplasty for Femoral Neck Fracture vs Degenerative Joint Disease. J Arthroplasty. 2018 06; 33(6):1681-1685.. View in PubMed
  • Anterior Versus Posterior Approaches for Odontoid Fracture Stabilization in Patients Older Than 65 Years: 30-day Morbidity and Mortality in a National Database. Clin Spine Surg. 2017 Oct; 30(8):E1033-E1038.. View in PubMed
  • Chemoprophylaxis for Venous Thromboembolism in Operative Treatment of Fractures of the Tibia and Distal Bones: A Systematic Review and Meta-analysis. J Orthop Trauma. 2017 Sep; 31(9):453-460.. View in PubMed
  • The James A. Rand Young Investigator’s Award: Administrative Claims vs Surgical Registry: Capturing Outcomes in Total Joint Arthroplasty. J Arthroplasty. 2017 09; 32(9S):S11-S17.. View in PubMed
  • Does Preoperative Pneumonia Affect Complications of Geriatric Hip Fracture Surgery? Am J Orthop (Belle Mead NJ). 2017 May/Jun; 46(3):E177-E185.. View in PubMed
  • Prior Lumbar Spinal Arthrodesis Increases Risk of Prosthetic-Related Complication in Total Hip Arthroplasty. J Arthroplasty. 2016 09; 31(9 Suppl):227-232.e1.. View in PubMed
  • TGFβR1 inhibition blocks the formation of stenosis in tissue-engineered vascular grafts. J Am Coll Cardiol. 2015 Feb 10; 65(5):512-4.. View in PubMed
  • Predicting radiographic changes at the first visit following operative repair of distal radius fractures. J Hand Surg Am. 2015 Jan; 40(1):49-56.. View in PubMed
  • Routine imaging after operatively repaired distal radius and scaphoid fractures: a survey of hand surgeons. J Wrist Surg. 2014 Nov; 3(4):239-44.. View in PubMed
  • Isolated avulsion fracture at the medial head of the gastrocnemius muscle. Skeletal Radiol. 2014 Oct; 43(10):1491-4.. View in PubMed
  • Volar plate fixation of recalcitrant scaphoid nonunions with volar carpal artery vascularized bone graft. Tech Hand Up Extrem Surg. 2014 Mar; 18(1):2-7.. View in PubMed
  • Analysis of coronary artery dosimetry in the 3-dimensional era: Implications for organ-at-risk segmentation and dose tolerances in left-sided tangential breast radiation. Pract Radiat Oncol. 2013 Apr-Jun; 3(2):e55-60.. View in PubMed
  • Tissue-engineered vascular grafts for use in the treatment of congenital heart disease: from the bench to the clinic and back again. Regen Med. 2012 May; 7(3):409-19.. View in PubMed
  • Photodegradation as a mechanism for controlled drug delivery. Biotechnol Bioeng. 2010 Dec 15; 107(6):1012-9.. View in PubMed