- Fellowship - UT Southwestern Medical Center (1997-1998), Orthopaedic Trauma
- Residency - UT Southwestern Medical Center (1993-1997), Orthopaedic Surgery
- Internship - UT Southwestern Medical Center (1992-1993), General Surgery
- Medical School - UT Southwestern Medical School (1988-1992)
Adam Starr, M.D.
- Hansjörg Wyss Distinguished Professorship in Orthopaedic Trauma
- Orthopaedic Surgery
- Fractures of the Extremities
- Fractures of the Pelvis and Acetabulum
Biography
Adam J. Starr, M.D., is the Hansjörg Wyss Distinguished Professor in Orthopaedic Trauma at UT Southwestern Medical Center and serves as Medical Director for Orthopaedic Surgery at Parkland Hospital. He specializes in treating trauma, fractures, and post-traumatic orthopaedic conditions.
Dr. Starr earned his medical degree at UT Southwestern Medical School, where he also completed a residency in orthopaedic surgery and a fellowship in orthopaedic trauma. A UT Southwestern faculty member since 1997, he is certified by the American Board of Orthopaedic Surgery.
Dr. Starr has spent much of his career pioneering minimally invasive percutaneous treatments for fractures of the pelvis, especially the acetabulum. He and Charles Reinert, M.D., invented the Starr Frame, a device that helps surgeons align the pieces of a broken pelvis using very small incisions.
An internationally invited lecturer, Dr. Starr serves as a reviewer or editor for several orthopaedic journals and has authored his own textbook, as well as more than a dozen textbook chapters. He is a member of the American Academy of Orthopaedic Surgeons and the Orthopaedic Trauma Association.
Dr. Starr has been named a Texas Monthly Super Doctor and a D Magazine Best Doctor.
Meet Dr. Starr
Orthopaedic Surgeon and Pelvic Fracture Expert
Adam Starr, M.D., is a true innovator among trauma surgeons. He’s spent much of his career pioneering minimally invasive treatments for fractures of the pelvis – especially the acetabulum, the bowl-shaped spot on each side of the pelvis where the leg bone fits.
For many patients with pelvic or acetabular fractures who need surgery, Dr. Starr can operate without making large incisions. Instead, he places metal screws through the skin into the bone using what’s called a percutaneous technique. Compared with traditional or “open” pelvic surgery, percutaneous surgery lets patients with pelvic fractures get out of bed and walk around much sooner – and with fewer complications. The incisions are so small the wounds don’t break open during healing (dehiscence), a common problem after traditional surgery.
Dr. Starr and his partner, Charles Reinert, M.D., also invented the Starr Frame, a device that helps surgeons align the pieces of a broken pelvis using very small incisions. Surgeons have found the Starr Frame so helpful they’re using it in medical facilities overseas.
His innovative techniques for pelvic acetabular fracture repair have placed Dr. Starr at the forefront of his field. A Professor of Orthopaedic Surgery at UTSW, he has delivered talks at Yale University, St. Bartholomew’s Hospital in London, and conferences of the American Academy of Orthopaedic Surgeons. He serves as a reviewer or editor for several orthopaedics journals and has authored his own textbook, as well as more than a dozen textbook chapters.
Though pelvic and acetabular fractures are rare, Dr. Starr and the orthopaedic trauma team at UTSW take care of hundreds of patients each year with these injuries, many of them transferred from other hospitals around the state. “There’s nobody better in the state of Texas at managing these than we are,” he says.
Education & Training
Professional Associations & Affiliations
- Orthopaedic Trauma Association
- American Academy of Orthopaedic Surgeons
Honors & Awards
- Best Doctors in America 2001-2021
- D Magazine Best Doctor, 2009-2019, 2022
- Texas Monthly Top Doctors 2019
Books & Publications
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Publications
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Letter to the Editor on: "Iatrogenic peroneal nerve palsy rates secondary to open reduction internal fixation for tibial plateau fractures using an intra-operative distractor".
Krause PC, Grant SA, Perez E, Starr AJ, Taitsman LA, Steen RG, Zura R, Journal of orthopaedic trauma 2020 Sep -
What's New in Percutaneous Pelvis Fracture Surgery?
Grewal IS, Starr AJ, The Orthopedic clinics of North America 2020 Jul 51 3 317-324 -
Technical Considerations and Fluoroscopy in Percutaneous Fixation of the Pelvis and Acetabulum.
Banaszek D, Starr AJ, Lefaivre KA, The Journal of the American Academy of Orthopaedic Surgeons 2019 Jun -
Significant Reduction of Pulmonary Embolism in Orthopaedic Trauma Patients.
Starr AJ, Shirley Z, Sutphin PD, Sanders D, Eastman A, Au B, Sathy A, Hu G, Gebrelul A, Minei J, Cripps MW Journal of orthopaedic trauma 2019 Feb 33 2 78-81 -
Complications After Pelvic Arteriography in Patients With Pelvic Ring Disruptions.
Wiley M, Black S, Martin C, Barnwell J, Starr A, Sathy A The Journal of the American Academy of Orthopaedic Surgeons 2018 Nov 26 21 765-772 -
Sleep Disturbance in Orthopaedic Trauma Patients.
Swann MC, Batty M, Hu G, Mitchell T, Box H, Starr A Journal of orthopaedic trauma 2018 Oct 32 10 500-504 -
A Prospective Study of the Effectiveness of Paroxetine on the Onset of Posttraumatic Stress Disorder, Depression, and Health and Functional Outcomes After Trauma.
Borrelli J, Starr A, Downs DL, North CS Journal of orthopaedic trauma 2018 Sep -
CT-guided Perineural Injections for Chronic Pelvic Pain.
Wadhwa V, Scott KM, Rozen S, Starr AJ, Chhabra A Radiographics : a review publication of the Radiological Society of North America, Inc 2016 Sep-Oct 36 5 1408-25 -
Transsacral-Transiliac Screw Stabilization: Effective for Recalcitrant Pain Due to Sacral Insufficiency Fracture.
Sanders D, Fox J, Starr A, Sathy A, Chao J Journal of orthopaedic trauma 2016 Sep 30 9 469-73 -
Computed Tomography-Based Software Safely Guides Anterograde Percutaneous Anterior and Posterior Column Acetabular Screws.
Banerjee S, Starr AJ, Banerjee R Journal of surgical orthopaedic advances 2016 25 2 80-5 -
Toward a More Robust Prediction of Pulmonary Embolism in Trauma Patients. A Risk Assessment Model Based Upon 38,000 Patients.
Black SR, Howard JT, Chin PC, Starr AJ Journal of orthopaedic trauma 2015 Nov -
Improved Survival After Pelvic Fracture: 13 Year Experience at a Single Trauma Center Using a Multi-disciplinary Institutional Protocol.
Black SR, Sathy AK, Jo C, Wiley MR, Minei JP, Starr AJ Journal of orthopaedic trauma 2015 Sep -
The Effect of Surgical Treatment on Mortality After Acetabular Fracture in the Elderly: A Multicenter Study of 454 Patients.
Gary JL, Paryavi E, Gibbons SD, Weaver MJ, Morgan JH, Ryan SP, Starr AJ, O'Toole RV Journal of orthopaedic trauma 2014 Sep -
A57: four prolonged cases of eosinophilic fasciitis in children.
Hui-Yuen JS, Lauren C, Garzon M, Starr AJ, Imundo LF Arthritis & rheumatology (Hoboken, N.J.) 2014 Mar 66 Suppl 11 S85 -
Radiographic Displacement in Pelvic Ring Disruption: Reliability of Three Previously Described Measurement Techniques.
Lefaivre KA, Blachut PA, Starr AJ, Slobogean GS, O'Brien PJ Journal of orthopaedic trauma 2013 Jun -
Use of Inherent Anteversion of an Intramedullary Nail to Avoid Malrotation in Femur Fractures.
Espinoza C, Sathy AK, Moore DS, Starr AJ, Reinert CM Journal of orthopaedic trauma 2013 May -
Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study.
Vaidya R, Kubiak EN, Bergin PF, Dombroski DG, Critchlow RJ, Sethi A, Starr AJ Clinical orthopaedics and related research 2012 Aug 470 8 2124-31 -
Methodology and interpretation of radiographic outcomes in surgically treated pelvic fractures: a systematic review.
Lefaivre KA, Slobogean G, Starr AJ, Guy P, O'brien PJ, Macadam SA Journal of orthopaedic trauma 2012 Aug 26 8 474-81 -
Functional outcomes in elderly patients with acetabular fractures treated with minimally invasive reduction and percutaneous fixation.
Gary JL, VanHal M, Gibbons SD, Reinert CM, Starr AJ Journal of orthopaedic trauma 2012 May 26 5 278-83 -
Open clavicle fractures: patterns of trauma and associated injuries.
Gottschalk HP, Dumont G, Khanani S, Browne RH, Starr AJ Journal of orthopaedic trauma 2012 Feb 26 2 107-9 -
A prospective study of thrombophilia in trauma patients with pulmonary embolism.
Gary JL, Barber RC, Reinert CM, Starr AJ The journal of trauma and acute care surgery 2012 Jan 72 1 247-50 -
Review: percutaneous management of pelvic fractures.
Starr AJ The Journal of bone and joint surgery. American volume 2011 Jul 93 13 -
Shoulder girdle: patterns of trauma and associated injuries.
Gottschalk HP, Browne RH, Starr AJ Journal of orthopaedic trauma 2011 May 25 5 266-71 -
Ipsilateral femoral shaft and neck fractures: are cephalomedullary nails appropriate?
Gary JL, Taksali S, Reinert CM, Starr AJ Journal of surgical orthopaedic advances 2011 20 2 122-5 -
Prediction of pulmonary morbidity and mortality in patients with femur fracture.
Lefaivre KA, Starr AJ, Stahel PF, Elliott AC, Smith WR The Journal of trauma 2010 Dec 69 6 1527-35; discussion 1535-6 -
Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly.
Gary JL, Lefaivre KA, Gerold F, Hay MT, Reinert CM, Starr AJ Injury 2010 Sep 1144-51 -
The effect of pelvic fracture on mortality after trauma: an analysis of 63,000 trauma patients.
Sathy AK, Starr AJ, Smith WR, Elliott A, Agudelo J, Reinert CM, Minei JP The Journal of bone and joint surgery. American volume 2009 Dec 91 12 2803-10 -
Expanding pediatric orthopaedic trauma volume at a pediatric level 1 trauma hospital.
Chan DS, Podeszwa DA, Brown D, Starr AJ Journal of pediatric orthopedics 2009 Sep 29 6 612-7 -
Early experience with reduction of displaced disruption of the pelvic ring using a pelvic reduction frame.
Lefaivre KA, Starr AJ, Barker BP, Overturf S, Reinert CM The Journal of bone and joint surgery. British volume 2009 Sep 91 9 1201-7 -
A modified anterior exposure to the acetabulum for treatment of difficult anterior acetabular fractures.
Lefaivre KA, Starr AJ, Reinert CM Journal of orthopaedic trauma 2009 May-Jun 23 5 370-8 -
Reduction of displaced pelvic ring disruptions using a pelvic reduction frame.
Lefaivre KA, Starr AJ, Reinert CM Journal of orthopaedic trauma 2009 Apr 23 4 299-308 -
Management of an unstable pelvic ring disruption in a 20-month-old patient.
Starr AJ, Ortega G, Reinert CM Journal of orthopaedic trauma 2009 Feb 23 2 159-62 -
Use of a midline anterior incision for isolated medial tibial plateau fractures.
Espinoza-Ervin CZ, Starr AJ, Reinert CM, Nakatani TQ, Jones AL Journal of orthopaedic trauma 2009 Feb 23 2 148-53 -
What constitutes a Young and Burgess lateral compression-I (OTA 61-B2) pelvic ring disruption? A description of computed tomography-based fracture anatomy and associated injuries.
Lefaivre KA, Padalecki JR, Starr AJ Journal of orthopaedic trauma 2009 Jan 23 1 16-21 -
Ethnic differences in posttraumatic stress disorder after musculoskeletal trauma.
Williams AE, Smith WR, Starr AJ, Webster DC, Martinez RJ, Vojir CP, Sakalys JA, Morgan SJ The Journal of trauma 2008 Nov 65 5 1054-65 -
Fracture repair: successful advances, persistent problems, and the psychological burden of trauma.
Starr AJ The Journal of bone and joint surgery. American volume 2008 Feb 90 Suppl 1 132-7 -
Superior pubic ramus fractures fixed with percutaneous screws: what predicts fixation failure?
Starr AJ, Nakatani T, Reinert CM, Cederberg K Journal of orthopaedic trauma 2008 Feb 22 2 81-7 -
Superior Pubic Ramus Fractures Fixed with Percutaneous Screws: What Predicts Fixation Failure?
Adam J. Starr, Tetsuya Nakatani, Charles M. Reinert, Kevin Cederberg Journal of Orthopaedic Trauma 2008 22 81-87 -
Health-care costs associated with amputation or reconstruction of a limb-threatening injury.
MacKenzie EJ, Jones AS, Bosse MJ, Castillo RC, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR The Journal of bone and joint surgery. American volume 2007 Aug 89 8 1685-92 -
Health-care costs associated with amputation or reconstruction of a limb-threatening injury
Mackenzie EJ, Castillo RC, Jones AS, Bosse MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR Journal of Bone and Joint Surgery August 2007 89(8) 1685-92 -
Early predictors of long-term work disability after major limb trauma.
MacKenzie EJ, Bosse MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR, Travison T, Castillo RC The Journal of trauma 2006 Sep 61 3 688-94 -
Early predictors of long-term work disability after major limb trauma
MacKenzie EJ, Bosse MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR Journal of Trauma September 2006 61(3) 688-94 -
Cephalomedullary nails in the treatment of high-energy proximal femur fractures in young patients: a prospective, randomized comparison of trochanteric versus piriformis fossa entry portal.
Starr AJ, Hay MT, Reinert CM, Borer DS, Christensen KC Journal of orthopaedic trauma 2006 Apr 20 4 240-6 -
Cephalomedullary Nails in the Treatment of High Energy Proximal Femur Fractures in Young Patients: A Prospective Randomized Trial
Starr AJ, Hay MT, Borer DS, Reinert CM, Christensen KP Journal of Orthopaedic Trauma April 2006 20(4) 240-6 -
Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?
Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S Journal of orthopaedic trauma 2006 Jan 20 1 Suppl S30-6; discussion S36 -
The use of a virtual three-dimensional model to evaluate the intraosseous space available for percutaneous screw fixation of acetabular fractures.
Attias N, Lindsey RW, Starr AJ, Borer D, Bridges K, Hipp JA The Journal of bone and joint surgery. British volume 2005 Nov 87 11 1520-3 -
Posttraumatic stress symptoms in children recovering from minor orthopaedic injury and treatment.
Sanders MB, Starr AJ, Frawley WH, McNulty MJ, Niacaris TR Journal of orthopaedic trauma 2005 Oct 19 9 623-8 -
Long-term persistence of disability following severe lower-limb trauma. Results of a seven-year follow-up.
MacKenzie EJ, Bosse MJ, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR, Castillo RC The Journal of bone and joint surgery. American volume 2005 Aug 87 8 1801-9 -
Long-term persistence of disability following severe lower-limb trauma. Results of a seven-year follow-up
MacKenzie EJ, Bosse MJ, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR, Castillo RC Journal of Bone and Joint Surgery August 2005 87(8) 1801-9 -
The effect of screening for deep vein thrombosis on the prevalence of pulmonary embolism in patients with fractures of the pelvis or acetabulum: a review of 973 patients.
Borer DS, Starr AJ, Reinert CM, Rao AV, Weatherall P, Thompson D, Champine J, Jones AL Journal of orthopaedic trauma 2005 Feb 19 2 92-5 -
Symptoms of posttraumatic stress disorder after orthopaedic trauma.
Starr AJ, Smith WR, Frawley WH, Borer DS, Morgan SJ, Reinert CM, Mendoza-Welch M The Journal of bone and joint surgery. American volume 2004 Jun 86-A 6 1115-21 -
Symptoms of Post-Traumatic Stress Disorder after Orthopaedic Trauma
Starr AJ, Smith WR, Frawley WH, Borer DS, Morgan SJ, Reinert CM, Mendoza-Welch M Journal of Bone and Joint Surgery June 2004 86-A(6) 1115-21 -
Male sexual function after pelvic fracture.
Ozumba D, Starr AJ, Benedetti GE, Whitlock SN, Frawley WH Orthopedics 2004 Mar 27 3 313-8 -
Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures.
Starr AJ The Journal of bone and joint surgery. American volume 2003 Oct 85-A 10 2049; author replies 2049-50 -
Re: Miller, PR et al. External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage.
Starr AJ The Journal of trauma 2003 Aug 55 2 389; author reply 389-90 -
Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?
Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S Journal of orthopaedic trauma 2003 Jul 17 6 399-405 -
Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?
Griffin DR, Starr AJ, Reinert CM, Jones AL, Whitlock S Journal of Orthopaedic Trauma July 2003 17(6) 399-405 -
Complications following the "T extensile" approach: a modified extensile approach for acetabular fracture surgery-report of forty-three patients.
Starr AJ, Watson JT, Reinert CM, Jones AL, Whitlock S, Griffin DR, Borer DS Journal of orthopaedic trauma 2002 Sep 16 8 535-42 -
Pelvic ring disruptions: prediction of associated injuries, transfusion requirement, pelvic arteriography, complications, and mortality.
Starr AJ, Griffin DR, Reinert CM, Frawley WH, Walker J, Whitlock SN, Borer DS, Rao AV, Jones AL Journal of orthopaedic trauma 2002 Sep 16 8 553-61 -
Use of C-clamps and pelvic packing to control hemorrhage after pelvic fracture.
Starr AJ Journal of orthopaedic trauma 2002 May 16 5 362; author reply 362-3 -
The effect of hemorrhagic shock in a caprine tibial fracture model.
Starr AJ, Welch RD, Eastridge BJ, Pierce W, Zhang H Journal of orthopaedic trauma 2002 Apr 16 4 250-6 -
Percutaneous screw fixation of fractures of the iliac wing and fracture-dislocations of the sacro-iliac joint (OTA Types 61-B2.2 and 61-B2.3, or Young-Burgess "lateral compression type II" pelvic fractures).
Starr AJ, Walter JC, Harris RW, Reinert CM, Jones AL Journal of orthopaedic trauma 2002 Feb 16 2 116-23 -
Factors predictive of immobilization complications in pediatric polytrauma.
Starr AJ Journal of orthopaedic trauma 2001 Nov 15 8 591-3 -
Conflict of interest, bias, and objectivity in research articles.
Starr AJ, Borer DS, Reinert CM The Journal of bone and joint surgery. American volume 2001 Sep 83-A 9 1429-31 -
Preliminary results and complications following limited open reduction and percutaneous screw fixation of displaced fractures of the acetabulum.
Starr AJ, Jones AL, Reinert CM, Borer DS Injury 2001 May 32 Suppl 1 SA45-50 -
Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia.
Starr AJ The Journal of bone and joint surgery. British volume 2001 Mar 83 2 309 -
Timing of femoral fracture stabilization.
Starr AJ The Journal of bone and joint surgery. American volume 2001 Feb 83-A 2 293-4 -
Early versus delayed stabilization of pediatric femur fractures: analysis of 387 patients.
Hedequist D, Starr AJ, Wilson P, Walker J Journal of orthopaedic trauma 1999 Sep-Oct 13 7 490-3 -
Early wound complications of operative treatment of calcaneus fractures: analysis of 190 fractures.
Folk JW, Starr AJ, Early JS Journal of orthopaedic trauma 1999 Jun-Jul 13 5 369-72 -
The "swashbuckler": a modified anterior approach for fractures of the distal femur.
Starr AJ, Jones AL, Reinert CM Journal of orthopaedic trauma 1999 Feb 13 2 138-40 -
Long-term functional prognosis of posterior injuries in high-energy pelvic disruption.
Starr AJ Journal of orthopaedic trauma 1998 Nov-Dec 12 8 592-3 -
Timing fracture repair in patients with severe brain injury (Glasgow Coma Scale Score <9)
Starr AJ The Journal of trauma 1998 Nov 45 5 980 -
Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage.
Starr AJ The Journal of trauma 1998 Jan 44 1 236 -
Treatment of femur fracture with associated head injury.
Starr AJ, Hunt JL, Chason DP, Reinert CM, Walker J Journal of orthopaedic trauma 1998 Jan 12 1 38-45 -
Percutaneous fixation of the columns of the acetabulum: a new technique.
Starr AJ, Reinert CM, Jones AL Journal of orthopaedic trauma 1998 Jan 12 1 51-8 -
Early fracture fixation may be deleterious after head injury.
Starr AJ The Journal of trauma 1997 May 42 5 981; author reply 983 -
Treatment of femur fracture with associated vascular injury.
Starr AJ, Hunt JL, Reinert CM The Journal of trauma 1996 Jan 40 1 17-21
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Letter to the Editor on: "Iatrogenic peroneal nerve palsy rates secondary to open reduction internal fixation for tibial plateau fractures using an intra-operative distractor".
Clinical Focus
- Fractures of the Extremities
- Fractures of the Pelvis and Acetabulum
- Management of Multiple Injured Patients
- Polytrauma
Q&A by Dr. Starr
Results: 1 Locations
Parkland Memorial Hospital
5200 Harry Hines Blvd.Dallas, Texas 75235 214-590-8000 Directions to Parkland Memorial Hospital