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Nicholas A. Pulos, M.D.

  1. Hand Surgeon
  2. Orthopedic Surgeon

Nicholas Pulos, M.D., is an orthopedic hand and microvascular surgeon with special interest in pediatric upper extremity injuries and congenital differences. His clinical focus includes:

  • Providing comprehensive evaluation and surgical management of congenital hand and upper extremity differences.
  • Upper extremity reconstruction in patients with brachial plexus injuries.
  • Expertise in the management of complex upper extremity bone, soft tissue and nerve injuries.
  • Promoting wide awake hand surgery including incisionless ultrasound guided carpal tunnel release.
  • Using multimodal pain strategies to maximize comfort and minimize opioid use following surgery.

As a hand surgeon in United States Navy Reserves, Dr. Pulos previously served at Naval Medical Center San Diego and deployed to Afghanistan as part of NATO's Resolute Support Mission.

Dr. Pulos is an Assistant Professor in the Department of Orthopedics has authored dozens of journal articles and book chapters on the treatment of adult and pediatric upper extremity conditions. His basic science interests include understanding the effect of nerve injuries on limb growth.

Dr. Pulos is a fellow of the American Academy of Orthopaedic Surgeons (AAOS), a member of the American Society for Surgery of the Hand (ASSH), the American Association for Hand Surgery (AAHS), and a candidate member of the Pediatric Orthopaedic Society of North America (POSNA). He is passionate about resident education, mentoring, and training the next generation of orthopedic and hand surgeons.

  1. Arthroscopy
  2. Bone graft surgery
  3. Brachial plexus exploration
  4. Brachial plexus reconstruction
  5. Brachial plexus surgery
  6. Carpal tunnel surgery
  7. Clubhand reconstruction
  8. Fibula free flap
  9. Finger reattachment
  10. Free muscle transfer
  11. Hand fracture treatment
  12. Hypoplastic thumb reconstruction
  13. Joint replacement surgery
  14. Limb deformity correction
  15. Microvascular surgery
  16. Nerve decompression
  17. Nerve graft
  18. Nerve reconstruction
  19. Nerve transfer
  20. Nonunion surgery
  21. Physeal bar resection
  22. Polydactyly reconstruction
  23. Syndactyly reconstruction
  24. Tendon transfer
  25. Toe-to-thumb transfer
  26. Vascularized bone grafting
  27. Wrist fracture treatment
  28. Wrist reconstruction
  • Treatment of brachial plexus birth injuries and traumatic brachial plexus injuries
  • Management of fracture nonunions with vascularized bone grafts
  • Peripheral nerve surgery
  • Wide awake hand surgery
  • Multimodal pain strategies
  1. 2018
    Fellow - A.C. and Eleanor M. Garison Fellowship in Hand and Upper Limb TreatmentTexas Scottish Rite Hospital for Children
  2. 2017
    FellowHand Surgery, Programs in Rochester, Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine
  3. 2016
    Resident - Orthopedic SurgeryHospital of the University of Pennsylvania
  4. 2012
    Internship - General SurgeryHospital of the University of Pennsylvania
  5. 2011
    MDUniversity of Pennsylvania
  6. 2006
    BA - Urban Studies, EconomicsUniversity of Pennsylvania


  1. 2023
    Hand SurgeryAmerican Board of Orthopaedic Surgery
  2. 2022
    Orthopedic SurgeryAmerican Board of Orthopaedic Surgery

Awards and honors

  1. 2024
    Top Poster AwardMid-America Orthopaedic Association Annual Meeting
  2. 2022
    Best Oral Poster AwardAmerican Society for Peripheral Nerve (ASPN) Annual Meeting
  3. 2021
    Young Leaders 2021American Society for Surgery of the Hand
  4. 2021
    Navy Achievement MedalUnited States Navy
  5. 2020
    Navy Commendation MedalUnited States Navy
  6. 2020
    Navy Achievement MedalUnited States Navy
  7. 2018
    Navy Achievement MedalUnited States Navy
  8. 2017
    Alice D. Jensen Fellowship in Hand Surgery Honoring Dr. Julian BrunerMayo Clinic
  9. 2016
    DeForest P. Willard Award for Outstanding Senior Orthopaedic ResidentUniversity of Pennsylvania
  10. 2006
    Departmental Honors, Urban StudiesUniversity of Pennsylvania
  11. 2006
    Magna Cum LaudeUniversity of Pennsylvania
  12. 2005
    Tutor of the YearUniversity of Pennsylvania
  13. 2005
    Dean's ListUniversity of Pennsylvania

Professional memberships

  1. 2024 - present
    FellowAmerican Academy of Orthopaedic Surgeons
  2. 2023 - present
    Active MemberAmerican Association for Hand Surgery
  3. 2021 - present
    MemberMinnesota Orthopedic Society
  4. 2021 - present
    Advisory Board MemberMayo Clinic Center for Military Medicine
  5. 2020 - present
    Program Evaluation Committee MemberDepartment of Orthopedic Surgery, Mayo Clinic in Rochester
  6. 2020 - present
    MemberAMSUS, the Society of Federal Health Professionals
  7. 2020 - present
    Steering CommitteeMayo Foundation, Beyond the Yellow Ribbon (BTYR) Physician Champion
  8. 2019 - present
    Candidate MemberPediatric Orthopaedic Society of North America
  9. 2019 - present
    Clinical Competency Committee MemberDepartment of Orthopedic Surgery, Mayo Clinic in Rochester
  10. 2017 - 2022
    Candidate MemberAmerican Association for Hand Surgery
  11. 2015 - 2022
    Emerging Leader MemberAmerican Orthopaedic Association
  12. 2014 - present
    Candidate MemberAmerican Society for Surgery of the Hand
  13. 2013 - present
    MemberAO Trauma
  14. 2013 - present
    MemberSociety of Military Orthopaedic Surgeons
  15. 2011 - 2023
    Candidate MemberAmerican Academy of Orthopaedic Surgeons


Research activities

See a description of research activities.