Joshua Gary, MD

Associate Professor of Orthopaedic Surgery (Clinical Scholar)

Chief of Orthopaedic Surgery Trauma Service

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Dr. Joshua Gary’s philosophy of care is to deliver individualized, evidence-based care to each of his patients in the same way he would want his own family member to be treated. Dr. Gary’s specialization into orthopaedic trauma surgery and the treatment of thousands of fractures and dislocations in the pelvis, upper and lower extremities has provided a wealth of experience. He strives to continually improve and refine his treatments based upon those experiences, the best published evidence, and new technologies. Sharing his knowledge and various treatment options with the patient, from nonoperative to invasive surgery, allows for joint decision-making as the patient is part of the “team” with their surgeon. Walking alongside patients through their recovery and doing everything possible to return them to the highest functional level is a priviledge he does not take lightly and nothing gives him greater joy than watching a patient return to their former life after injury.


  • Effect of Aspirin Versus Low-Molecular-Weight Heparin Thromboprophylaxis on Medication Satisfaction and Out-of-Pocket Costs: A Secondary Analysis of a Randomized Clinical Trial J Bone Joint Surg Am. 2024 Feb 21. . View in PubMed
  • Hip Fracture Repair by the Post-Call Surgeon: A Multicenter Retrospective Review J Am Acad Orthop Surg Glob Res Rev. 2024 Feb 01; 8(2). . View in PubMed
  • Bladder Repair With Irrigation and Debridement and Open Reduction Internal Fixation of the Anterior Pelvic Ring Is Safe and Decreases Risk of Infection in Pelvic Ring Injuries With Extraperitoneal Bladder Ruptures J Orthop Trauma. 2024 Feb 01; 38(2):72-77. . View in PubMed
  • Evidence for the Higgs Boson Decay to a Z Boson and a Photon at the LHC Phys Rev Lett. 2024 Jan 12; 132(2):021803. . View in PubMed
  • J Orthop Trauma. 2024 Jan 09. . View in PubMed
  • The VANCO Trial Findings Are Generalizable to a North American Trauma Registry J Orthop Trauma. 2024 Jan 01; 38(1):10-17. . View in PubMed
  • Intraoperative Imaging Challenges During Pelvic Ring Disruptions and Acetabular Fracture Surgery Orthop Clin North Am. 2024 Jan; 55(1):73-87. . 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
  • Percutaneous sacral screw fixation alone sufficient for mildly displaced U-type sacral fractures with preserved osseous fixation pathways Eur J Orthop Surg Traumatol. 2023 Oct 24. . View in PubMed
  • Local administration of vancomycin powder in orthopaedic fracture surgery: current practice and trends OTA Int. 2023 Mar; 6(1):e223. . 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
  • Are Pelvic Binders an Effective Prehospital Intervention? Prehosp Emerg Care. 2023; 27(1):24-30.. View in PubMed
  • Percutaneous Reduction and Provisional Pinning of the Distal Fibula: A Novel Way to Maintain Fibular Length in Temporary Stabilization J Orthop Trauma. 2023 02 01; 37(2):e95-e98. . View in PubMed
  • Injury. 2022 Nov; 53(11):3814-3819. . View in PubMed
  • Bicondylar Tibial Plateau Fractures: What Predicts Infection? J Am Acad Orthop Surg. 2022 Oct 15; 30(20):e1311-e1318.. View in PubMed
  • The 1-Year Economic Impact of Work Productivity Loss Following Severe Lower Extremity Trauma J Bone Joint Surg Am. 2022 Apr 06; 104(7):586-593. . View in PubMed
  • The injury characteristics of open pilon fractures predictive of complications Injury. 2022 Apr; 53(4):1510-1516. . View in PubMed
  • The Impact of Magnetic Resonance Imaging on the Diagnosis of High-Energy Ipsilateral Femoral Neck and Shaft Fractures J Orthop Trauma. 2022 Feb 01; 36(2):93-97. . View in PubMed
  • Is retrograde nailing superior to lateral locked plating for complete articular distal femur fractures? Injury. 2022 Feb; 53(2):640-644.. View in PubMed
  • Radiographic Assessment of Ankle Fracture Displacement: A Validation Study Foot Ankle Int. 2022 10; 43(10):1269-1276. . View in PubMed
  • Posterior Exposure in Kocher-Langenbeck With Gluteus Minimus Debridement vsthe Gibson Approach: A Cadaveric Study. J Orthop Trauma. 2022 11 01; 36(11):569-572. . View in PubMed
  • Early Advanced Weight-Bearing After Periarticular Fractures: A Randomized Trial Comparing Antigravity Treadmill Therapy Versus Standard of Care J Orthop Trauma. 2022 Jan 01; 36(Suppl 1):S8-S13. . View in PubMed
  • Commentary on: “Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamically Unstable Patients With Pelvic Ring Injuries” J Orthop Trauma. 2022 02 01; 36(2):74. . View in PubMed
  • Patient-Specific Precision Injury Signatures to Optimize Orthopaedic Interventions in Multiply Injured Patients (PRECISE STUDY) J Orthop Trauma. 2022 Jan 01; 36(Suppl 1):S14-S20. . View in PubMed
  • The Utility of the Hyperinlet View in Posterior Fixation of Pelvic Ring Injuries J Orthop Trauma. 2022 05 01; 36(5):e195-e200. . 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
  • Reformatting of Computed Tomography Scans Parallel to the S1 End Plate Increases Visualization of Trans Sacral Pathway in the First Sacral Segment, Especially With Dysmorphism J Orthop Trauma. 2022 11 01; 36(11):564-568. . View in PubMed
  • Implementation of a novel MRI protocol for diagnosing femoral neck fractures in high energy femoral shaft fractures: One year results Injury. 2021 Aug; 52(8):2390-2394. . View in PubMed
  • The polytrauma patient: Current concepts and evolving care OTA Int. 2021 Apr; 4(2 Suppl). . View in PubMed
  • Effect of Intraoperative Multidimensional Fluoroscopy Versus Conventional Fluoroscopy on Syndesmotic Reduction Foot Ankle Int. 2021 Feb; 42(2):132-136. . View in PubMed
  • Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures: A Randomized Clinical Trial JAMA Surg. 2021 05 01; 156(5):e207259. . View in PubMed
  • PREVENTion of CLots in Orthopaedic Trauma (PREVENT CLOT): a randomised pragmatic trial protocol comparing aspirin versus low-molecular-weight heparin for blood clot prevention in orthopaedic trauma patients BMJ Open. 2021 03 24; 11(3):e041845. . View in PubMed
  • Effects of Sterilization Techniques on Bioactivity of Polymethyl Methacrylate Antibiotic Beads Containing Vancomycin and Tobramycin J Orthop Trauma. 2020 Apr; 34(4):e109-e113. . View in PubMed
  • Improving the Diagnosis of Ipsilateral Femoral Neck and Shaft Fractures: A New Imaging Protocol J Bone Joint Surg Am. 2020 Feb 19; 102(4):309-314. . View in PubMed
  • Multidimensional Pelvic Fluoroscopy: A New and Novel Technique for Assessing Safety and Accuracy of Percutaneous Iliosacral Screw Fixation J Orthop Trauma. 2020 11; 34(11):572-577. . View in PubMed
  • Does Operative Intervention Provide Early Pain Relief for Patients With Unilateral Sacral Fractures and Minimal or No Displacement? J Orthop Trauma. 2019 Dec; 33(12):614-618.. View in PubMed
  • What Orthopaedic Surgeons Need to Know: The Basic Science Behind Opioids J Am Acad Orthop Surg. 2019 Sep 15; 27(18):e831-e837. . View in PubMed
  • Is the Cranial and Posterior Screw of the “Inverted Triangle” Configuration for Femoral Neck Fractures Safe? J Orthop Trauma. 2019 Jul; 33(7):331-334.. View in PubMed
  • Improved Intraoperative Fluoroscopy for Pelvic and Acetabular Surgery J Orthop Trauma. 2019 Feb; 33 Suppl 2:S37-S42. . View in PubMed
  • A Potential Step Forward in Classifying Acetabular Fractures If Surgeons Are Open to Change: Commentary on an article by Ruipeng Zhang, MD, et al: “Three-Column Classification for Acetabular Fractures. Introduction and Reproducibility Assessment”. J Bone Joint Surg Am. 2019 11 20; 101(22):e124. . View in PubMed
  • Association Between 6-Week Postdischarge Risk Classification and 12-Month Outcomes After Orthopedic Trauma JAMA Surg. 2019 02 01; 154(2):e184824. . View in PubMed
  • The 2018 American Orthopaedic Association-Japanese Orthopaedic Association (AOA-JOA) Traveling Fellowship J Bone Joint Surg Am. 2018 Oct 03; 100(19):e126. . View in PubMed
  • Symptomatic Implant Removal Following Dual Mini-Fragment Plating for Clavicular Shaft Fractures J Orthop Trauma. 2017 Apr; 31(4):236-240. . View in PubMed
  • Intra-operative multi-dimensional fluoroscopy of guidepin placement prior to iliosacral screw fixation for posterior pelvic ring injuries and sacroiliac dislocation: an early case series Int Orthop. 2017 10; 41(10):2171-2177. . View in PubMed
  • Trauma Collaborative Care Intervention: Effect on Surgeon Confidence in Managing Psychosocial Complications After Orthopaedic Trauma J Orthop Trauma. 2017 08; 31(8):427-433. . View in PubMed
  • Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET) J Orthop Trauma. 2017 04; 31 Suppl 1:S48-S55. . View in PubMed
  • A Prospective Randomized Trial to Assess Fixation Strategies for Severe Open Tibia Fractures: Modern Ring External Fixators Versus Internal Fixation (FIXIT Study) J Orthop Trauma. 2017 04; 31 Suppl 1:S10-S17. . View in PubMed
  • Local Antibiotic Therapy to Reduce Infection After Operative Treatment of Fractures at High Risk of Infection: A Multicenter, Randomized, Controlled Trial (VANCO Study) J Orthop Trauma. 2017 04; 31 Suppl 1:S18-S24. . View in PubMed
  • Tibial Plateau Fractures in Elderly Patients Geriatr Orthop Surg Rehabil. 2016 Sep; 7(3):126-34. . View in PubMed
  • Variation in Treatment of Displaced Geriatric Acetabular Fractures Among 15 Level-I Trauma Centers J Orthop Trauma. 2016 Sep; 30(9):457-62. . View in PubMed
  • Does Postoperative Radiation Decrease Heterotopic Ossification After the Kocher-Langenbeck Approach for Acetabular Fracture? Clin Orthop Relat Res. 2016 Jun; 474(6):1430-5.. View in PubMed
  • Do Transsacral-transiliac Screws Across Uninjured Sacroiliac Joints Affect Pain and Functional Outcomes in Trauma Patients? Clin Orthop Relat Res. 2016 Jun; 474(6):1417-21.. View in PubMed
  • Can Thrombelastography Predict Venous Thromboembolic Events in Patients With Severe Extremity Trauma? J Orthop Trauma. 2016 Jun; 30(6):294-8.. View in PubMed
  • In response J Orthop Trauma. 2016 May; 30(5):e186-7. . View in PubMed
  • Comparison of skin pressure measurements with the use of pelvic circumferential compression devices on pelvic ring injuries Injury. 2016 Mar; 47(3):717-20. . View in PubMed
  • Do Safe Radiographic Sacral Screw Pathways Exist in a Pediatric Patient Population and Do They Change With Age? J Orthop Trauma. 2016 Jan; 30(1):41-7.. View in PubMed
  • Early Mechanical Failures of the Synthes Variable Angle Locking Distal Femur Plate J Orthop Trauma. 2016 Jan; 30(1):e7-e11. . View in PubMed
  • Social Media: How to Use It Effectively J Orthop Trauma. 2015 Nov; 29 Suppl 11:S5-8. . View in PubMed
  • Combined Measurement of the Higgs Boson Mass in pp Collisions at sqrt[s]=7 and 8 TeV with the ATLAS and CMS Experiments Phys Rev Lett. 2015 May 15; 114(19):191803. . View in PubMed
  • Management of distal femur fractures with modern plates and nails: state of the art J Orthop Trauma. 2015 Apr; 29(4):165-72. . View in PubMed
  • Effect of surgical treatment on mortality after acetabular fracture in the elderly: a multicenter study of 454 patients J Orthop Trauma. 2015 Apr; 29(4):202-8. . View in PubMed
  • Internal anterior fixators for pelvic ring injuries: Do monaxial pedicle screws provide more stiffness than polyaxial pedicle screws? Injury. 2015; 46(6):996-1000.. View in PubMed
  • Imaging comparison of pelvic ring disruption and injury reduction with use of the junctional emergency treatment tool for preinjury and postinjury pelvic dimensions: a cadaveric study with computed tomography J Spec Oper Med. 2014; 14(4):30-34. . View in PubMed
  • Magnetic resonance imaging for the evaluation of ligamentous injury in the pelvis: a prospective case-controlled study J Orthop Trauma. 2014 Jan; 28(1):41-7. . View in PubMed
  • Injury to the anterior tibial system during percutaneous plating of a proximal tibial fracture Orthopedics. 2012 Jul 01; 35(7):e1125-8. . View in PubMed
  • Functional outcomes in elderly patients with acetabular fractures treated with minimally invasive reduction and percutaneous fixation J Orthop Trauma. 2012 May; 26(5):278-83. . View in PubMed
  • Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly Injury. 2011 Oct; 42(10):1144-51. . View in PubMed
  • Percutaneous treatment of pelvic and acetabular fractures in obese patients Orthop Clin North Am. 2011 Jan; 42(1):55-67vi. . View in PubMed
  • Ipsilateral femoral shaft and neck fractures: are cephalomedullary nails appropriate? J Surg Orthop Adv. 2011; 20(2):122-5.. View in PubMed
  • Infantile tibia vara: correction of recurrent varus deformity following epiphyseolysis Orthopedics. 2008 05; 31(5):503. . View in PubMed