Brian P. Cunningham, MD
TRIA Research and Education Center Investigator
About

Residency

  • Orthopaedic Surgery, Banner University Medical Center, Phoenix, AZ

Fellowship

  • Orthopaedic Trauma, University of California Medical Center, San Francisco, CA

Medical degree

  • University of Washington School of Medicine, Seattle, WA

Education

  • Bachelor of Science in Biology, University of Puget Sound, Tacoma, WA

Position

  • Assistant Professor, Department of Orthopaedic Surgery, Minneapolis, MN

Membership

  • American Academy of Orthopaedic Surgeons
  • Orthopaedic Trauma Association - Associate member
  • AO Trauma
Affiliation
positions
  • Institute Research Investigator, TRIA Research and Education Center
    • Publications While At HealthPartners
    selected publications
    Journal Article
  • Audio distraction for traction pin insertion: a prospective randomized controlled study. 
    Journal of Bone and Joint Surgery (American Volume). 2024
  • Autograft and allograft anterior cruciate ligament reconstruction in patients older than 40 years have similar short-term patient-reported outcomes with greater rates of anterior cruciate ligament graft failure in patients who receive allograft. 
    Arthroscopy. 2024
  • Can reducing implant costs increase revenue for surgically treated ankle fractures: time-driven activity-based costing for 1-year episode of care. 
    Foot & ankle specialist. 2024
  • Early versus delayed definitive fixation relative to fasciotomy closure in high-energy tibial plateau fractures with compartment syndrome. 
    Journal of Orthopaedic Trauma. 2024
  • Effect of post-operative NSAID use on rotator cuff repair outcomes. 
    Journal of orthopaedics. 2024
  • Generic volar locking plate use in distal radius fractures: a prospective randomized study to evaluate clinical outcomes and cost reduction. 
    Hand (New York, N.Y.). 2024
  • Hip fracture patterns, hospital course, and mortality differ between males and females. 
    Geriatric orthopaedic surgery & rehabilitation. 2024
  • Iatrogenic open humeral shaft fractures following functional bracing. 
    Archives of Orthopaedic and Trauma Surgery. 2024
  • Improved patient-reported outcomes in patients aged 16 and younger at two years after anterior cruciate ligament reconstruction despite relatively high rates of reinjury and repeat surgery. 
    Journal of Pediatric Orthopedics. 2024
  • Intrawound vancomycin powder in primary total hip arthroplasty: a prospective quality control study. 
    Journal of Arthroplasty. 2024
  • Intrawound vancomycin powder in primary total knee arthroplasty: does it reduce early postoperative infection?. 
    The Knee. 2024
  • Outcomes of name-brand versus generic cephalomedullary nail fixation for intertrochanteric and subtrochanteric fractures: a matched cohort study. 
    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2024
  • Patient-reported outcome measure collection and utilization: a survey of American Academy of Orthopaedic Surgeons members. 
    Journal of the American Academy of Orthopaedic Surgeons. 2024
  • Preoperative function affects ability to achieve one-year minimum clinically important difference for patients undergoing total knee arthroplasty. 
    Arthroplasty today. 2024
  • Similar two-year improvement in patient-reported outcomes in patients 40 years and older with outerbridge grade III and IV lesions following ACL reconstruction. 
    Knee Surgery, Sports Traumatology, Arthroscopy. 2024
  • A case series of surgically treated distal radius fractures: implant costs and their effect on patient outcomes. 
    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2023
  • Ankle fractures: high implant cost is not associated with better patient reported outcomes. 
    Injury. 2023
  • Are Canadian orthopaedic surgeons and American orthopaedic surgeons on par? A Canadian practice survey of orthopaedic traumatologists. 
    OTA Int. 2023
  • Autograft patellar bone-tendon-bone use does not increase operative time in anterior cruciate ligament reconstruction. 
    Journal of orthopaedics. 2023
  • Implant cost variation in surgically treated distal radius fractures. 
    Journal of orthopaedics. 2023
  • The minimum clinically important difference for the patient-rated wrist evaluation in surgical fixation of distal radius fractures: does hand dominance make a difference?. 
    Injury. 2023
  • Adjusting for variation in patient-reported outcome measures is needed to improve care after total knee arthroplasty. 
    Journal of the American Academy of Orthopaedic Surgeons. 2022
  • Capturing patient-reported outcomes: paper versus electronic survey administration. 
    OTA Int. 2022
  • Cost and cost driver analysis of anterior cruciate ligament reconstruction using time-driven activity-based costing: bone-tendon-bone autograft versus hamstring autograft. 
    JB & JS open access. 2022
  • Cost reduction for knee-spanning external fixation in the staged treatment of tibial plateau fractures: a practical intervention. 
    Journal of Orthopaedic Trauma. 2022
  • Cost variation in temporizing external fixation of tibial plateau and pilon fractures: is there room to improve?. 
    Injury. 2022
  • Evolving perceptions regarding receiving orthopaedic care during the Coronavirus 2019 (COVID-19) pandemic: a follow-up survey. 
    Current Orthopaedic Practice. 2022
  • External fixation characteristics drive cost of care for high-energy tibial plateau fractures. 
    Journal of Orthopaedic Trauma. 2022
  • Measurement of value in rotator cuff repair: patient-level value analysis for the 1-year episode of care. 
    Journal of Shoulder and Elbow Surgery. 2022
  • Outcomes after revision fixation with cement augmentation for failed intertrochanteric fracture fixation in older adult patients. 
    Geriatric orthopaedic surgery & rehabilitation. 2022
  • Standardizing screw head orthopaedic trauma implants. Is there an interest? An OTA member survey. 
    Journal of Orthopaedic Trauma. 2022
  • Corridor-diameter-dependent angular tolerance for safe transiliosacral screw placement: an anatomic study of 433 pelves. 
    European Journal of Orthopaedic Surgery & Traumatology. 2021
  • Cost savings of carpal tunnel release performed in-clinic compared to an ambulatory surgery center: time-driven activity-based-costing. 
    Hand (New York, N.Y.). 2021
  • Factors influencing management of bilateral femur fractures: a multicenter retrospective cohort of early versus delayed definitive fixation. 
    Injury. 2021
  • Immediate weight bearing as tolerated (WBAT) correlates with a decreased length of stay post intramedullary fixation for subtrochanteric fractures: a multicenter retrospective cohort study. 
    European Journal of Orthopaedic Surgery & Traumatology. 2021
  • Immediate weightbearing after operative treatment of bimalleolar and trimalleolar ankle fractures: faster return to work for patients with nonsedentary occupations. 
    Journal of Foot and Ankle Surgery. 2021
  • Minimum clinically important difference in short musculoskeletal function assessment: what change matters in ankle fractures. 
    Foot & ankle specialist. 2021
  • Single-stage versus 2-stage bilateral intramedullary nail fixation in patients with bilateral femur fractures: a multicenter retrospective review. 
    Journal of Orthopaedic Trauma. 2021
  • Unplanned emergency and urgent care visits after outpatient orthopaedic surgery. 
    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2021
  • Does implant selection affect the inpatient cost of care for geriatric intertrochanteric femur fractures?. 
    Geriatric orthopaedic surgery & rehabilitation. 2020
  • Factors associated with a second opioid prescription fill in total knee arthroplasty. 
    Journal of Arthroplasty. 2020
  • Financial implications for the treatment of medicare patients with isolated intertrochanteric femur fractures: disproportionate losses among healthier patients. 
    Geriatric orthopaedic surgery & rehabilitation. 2020
  • Geriatric femoral neck fractures: hemiarthroplasty implant trends across a health system from 2006 to 2018. 
    Geriatric orthopaedic surgery & rehabilitation. 2020
  • Improvement in functional outcomes after elective symptomatic orthopaedic implant removal. 
    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2020
  • Interpreting patient-reported outcome results: is one minimum clinically important difference really enough?. 
    Hand (New York, N.Y.). 2020
  • Orthopaedic implant cost perceptions: a survey of surgeons and healthcare administrators. 
    Current Orthopaedic Practice. 2020
  • The influence of arthroscopy on the classification and treatment of tibial plateau fractures. 
    Journal of orthopaedics. 2020
  • Variation of the inpatient cost of care in the treatment of isolated geriatric intertrochanteric hip fractures. 
    Geriatric orthopaedic surgery & rehabilitation. 2020
  • Acute treatment of open foot and ankle fractures using a bioartificial dermal regeneration template and split-thickness skin grafting: a report of 2 cases. 
    JBJS case connector. 2019
  • Cost variation in temporizing external fixation of tibial plateau fractures. 
    Journal of Orthopaedic Trauma. 2019
  • Does value matter in orthopaedic trauma: a survey of Orthopaedic Trauma Association members. 
    Journal of Orthopaedic Trauma. 2019
  • Introduction: value in orthopaedic trauma: understanding, measuring & optimizing value in care delivery. 
    Journal of Orthopaedic Trauma. 2019
  • Patient-level value analysis: an innovative approach to optimize care delivery. 
    Journal of Orthopaedic Trauma. 2019
  • Valuing the recovery priorities of orthopaedic trauma patients after injury: evidence from a discrete choice experiment within 6 weeks of injury. 
    Journal of Orthopaedic Trauma. 2019
  • Variation in implant selection for ankle fractures: identifying cost drivers. 
    Journal of Orthopaedic Trauma. 2019
  • Functional outcomes of symptomatic implant removal following ankle fracture open reduction and internal fixation. 
    Foot and Ankle International. 2018
  • Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients
    2018
  • Publication of podium presentations at the Orthopaedic Trauma Association Annual Meetings: 2008-2012. 
    Journal of Orthopaedic Trauma. 2018
  • Time-driven activity-based costing in fracture care: is this a more accurate way to prepare for alternative payment models?. 
    Journal of Orthopaedic Trauma. 2018
  • Oblique terminal screw placement: does it improve fixation in plate osteosynthesis?. 
    Journal of Orthopaedic Trauma. 2016
    • Chapter
  • Telemedicine and smartphones: is there a role for technology in the austere environment. 
    Orthopaedic trauma in the austere environment: a practical guide to humanitarian care. 2016
    • Conference Paper
  • Disproportionate financial losses observed for inpatient hospitalizations in Medicare patients with intertrochanteric hip fractures at an urban, academic, Level 1 trauma center
    2019
    • Conference Poster
  • Can decreasing implant costs increase net reimbursement for surgically treated ankle fractures [poster]?
    2019
  • Cost savings of carpel tunnel release performed in-clinic compared to an ambulatory surgery center: time-driven activity-based-costing [poster]
    2019
  • Does implant selection affect the inpatient cost of care for geriatric intertrochanteric femur fractures [poster]?
    2019
  • Factors associated with emergency or urgent care visits following outpatient orthopaedic trauma surgery [poster]
    2019
  • Orthopaedic implant cost perceptions among surgeons and healthcare administrators [poster]
    2019
  • Time driven activity based costing (TD-ABC) to identify cost drivers in the 30-day episode of care for bicondylar tibial plateau fractures [poster]
    2019
  • Trend and economic implications of implant selection in the treatment of intertrochanteric hip fractures: a review of the American Board of Orthopaedic Surgery database 1999–2017 [poster]
    2019
  • Trend and economic implications of implant selection in the treatment of intertrochanteric hip fractures: a review of the American Board of Orthopaedic Surgery database 1999–2017 [poster]
    2019
  • Value-based care in orthopaedic trauma: are traumatologists ready to ride the wave of changing economics [poster]?
    2019
  • Cost variation in temporizing external fixation of tibial plateau fractures [poster]
    2018
  • Factors associated with emergency or urgent care visits following outpatient orthopaedic surgeries [poster]
    2018
  • Orthopaedic implant cost perceptions amongst surgeons and healthcare administrators [poster]
    2018
  • Subtrochanteric femur fractures treated with reconstruction nails have a lower reoperation rate compared to cephalomedullary nail fixation: matched cohort study of 232 patients [poster]
    2018
  • Time-driven activity based costing in trauma: is this a more accurate way to prepare for bundled payment [poster]?
    2018
  • Time-driven activity based costing in trauma: is this a more accurate way to prepare for bundled payment [poster]?
    2018
  • Trend and economic implications of implant selection in the treatment of intertrochanteric hip fractures: a review of the American Board of Orthopaedic Surgery database 1999-2017 [poster]
    2018
  • Variation in temporizing external fixation of tibial plateau fractures [poster]
    2018
    • Review
  • Trend and economic implications of implant selection in the treatment of intertrochanteric hip fractures: a review of the American Board of Orthopaedic Surgery database from 2007 to 2017 [review]. 
    Journal of the American Academy of Orthopaedic Surgeons. 2021
  • Time-driven activity-based costing: a better way to understand the cost of caring for hip fractures [review]. 
    Geriatric orthopaedic surgery & rehabilitation. 2020
  • Physician behavior change: a systematic review [systematic review]. 
    Journal of Orthopaedic Trauma. 2019
  • Value denominator: the fundamentals of costing for orthopaedic surgeons [review]. 
    Journal of Orthopaedic Trauma. 2019
  • Orthopaedic trauma in the developing world: where are the gaps in research and what can be done [review]?. 
    Journal of Orthopaedic Trauma. 2018
  • Fracture healing: a review of clinical, imaging and laboratory diagnostic options [review]. 
    Injury. 2017
    • presentations
    Presentation
  • Better fracture reduction in patients undergoing early definitive fixation for tibial plateau fractures with acute compartment syndrome [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Cost reduction for knee spanning external fixation in the staged treatment of tibial plateau fractures: a practical intervention [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Cost savings of carpel tunnel release performed in-clinic compared to an ambulatory surgery center: time-driven activity-based-costing [presentation], American Society for Surgery of the Hand (ASSH) 73rd Annual Meeting
  • Cost variation in temporizing external fixation of pilon fractures: is there room to improve [presentation]?, Minnesota Orthopaedic Society Annual Meeting
  • Disproportionate losses observed in the treatment of medicare patients with intertrochanteric femur fractures [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Does implant selection affect the inpatient cost of care for geriatric intertrochanteric femur fractures [presentation]?, Orthopaedic Research Society 2019 Annual Meeting
  • Evaluating implant cost variation for surgically treated ankle fractures [presentation], Orthopaedic Research Society 2019 Annual Meeting
  • Factors influencing management of bilateral femur fractures: a multicenter retrospective cohort of early vs delayed definitive fixation [presentation], Minneaota Orthopaedic Society Annual Meeting
  • Geriatric femoral neck fractures: hemiarthroplasty implant cost and selection trends from 2006-2018 [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Geriatric femoral neck fractures: hemiarthroplasty implant cost and selection trends from 2006-2018 [presentation], International Geriatric Fracture Society (IGFS) Annual Meeting
  • Immediate weight bearing after operative treatment of bimalleolar and trimalleolar ankle fractures: does it get patients back to work [presentation]?, American Academy of Orthopaedic Surgeons (AAOS) 2018 Annual Meeting
  • Immediate weight bearing as tolerated has improved outcomes without an increased risk of reoperation after intramedullary fixation for subtrochanteric fractures compared to modified weight bearing [presentation], Orthopaedic Trauma Association Annual Meeting
  • Interpreting patient reported outcome results: is one MCID (minimal clinically important difference) value really enough [presentation]?, American Association for Hand Surgery (AAHS) 2018 Annual Meeting
  • Multicenter survey of resident professional development and understanding of the business of orthopaedics [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Orthopaedic trauma in the developing world: where are the gaps in research and what can be done [presentation]?, Orthopaedic Trauma Association Annual Meeting
  • Outcomes of single stage vs two stage bilateral intramedullary nail fixation in patients with bilateral femur fractures [presentation], Minneaota Orthopaedic Society Annual Meeting
  • Patient level value analysis in orthopaedics: a model using operative ankle fractures [presentation], Orthopaedic Research Society (ORS) 2018 Annual Meeting
  • Subtrochanteric femur fractures treated with reconstruction nails have a lower reoperation rate compared to cephalomedullary nail fixation: matched cohort study of 232 patients [presentation], Minnesota Orthopaedic Society Annual Meeting
  • Subtrochanteric femur fractures treated with reconstruction nails have a lower reoperation rate compared to cephalomedullary nail fixation: matched cohort study of 232 patients [presentation], American Academy of Orthopaedic Surgeons (AAOS) 2019 Annual Meeting
  • Time-driven activity-based costing for rotator cuff repair [presentation], International Congress of Shoulder and Elbow Surgery
  • Value-based healthcare in Orthopaedic Trauma Symposium [presentation], Orthopaedic Trauma Association Annual Meeting
  • Variation of inpatient cost of care in the treatment of isolated geriatric hip fractures [presentation], International Geriatric Fracture Society Annual Meeting
  • Variation of inpatient cost of care in the treatment of isolated geriatric hip fractures [presentation], Orthopaedic Research Society 2019 Annual Meeting
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