Dr. Andrew D. Pearle is a board-certified Orthopedic Surgeon at Hospital for Special Surgery, specializing in Sports Medicine. Dr. Pearle's clinical interests include arthroscopic and robotic surgery of the shoulder, knee, and ankle. He is an Associate Team Physician for the New York Mets and Editor-in-Chief of the Orthopedic Journal Techniques in Knee Surgery.
A graduate of Amherst College and Stanford Medical School, Dr. Andrew Pearle completed training in orthopedic surgery and sports medicine at Hospital for Special Surgery. After 9/11, he traveled to Hadassah Hospital in Jerusalem during the height of the intifada to assist in the care of terror victims. While participating in this care, Dr. Pearle was inspired by the pioneering use of computer assisted surgery (CAS) at Hadassah. "Hadassah surgeons modified Computer Assisted Surgery tools designed for the spine, and applied the technology to remove shrapnel," he recalls.
Dr. Pearle was recruited as an attending orthopedic surgeon at Hospital for Special Surgery and was selected to develop one of the first Computer Assisted Surgery programs in the United States. Computer Assisted Surgery uses navigation, which is like a "GPS for orthopedic surgery," says Dr. Pearle, who is conducting research to bring these techniques from bench to bedside. He has now performed more types of robotic and computer assisted procedures than any orthopedic surgeon in the country.
In addition to his responsibilities at HSS, Dr. Pearle is a team physician for the New York Mets and coordinates care for the minor league affiliates including the Brooklyn Cyclones. Dr. Pearle has published more than 90 original manuscripts, predominantly on topics related to ACL reconstruction, robotic partial knee replacement, and computer assisted surgery.
Associate Attending Orthopedic Surgeon, Hospital for Special Surgery
Associate Professor of Orthopedic Surgery, Weill Cornell Medical College
Director of Computer Assisted Surgery Center, Hospital for Special Surgery
Editor-in-Chief Techniques in Knee Surgery
Computer Assisted and Robotic Surgery
Partial knee relacement
Knee Joint Replacement
Shoulder Joint Replacement
Early Arthritis - Knee and Shoulder
Athletic Throwing Injuries
Maak TG, Bedi A, Raphael BS, Citak M, Suero E, Wickiewicz T, Pearle AD. Effect of Femoral Socket Position on Graft Impingement After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2011 Feb 18. [Epub ahead of print]
Bedi A, Maak T, Musahl V, Citak M, O'Loughlin PF, Choi D, Pearle AD. Effect of tibial tunnel position on stability of the knee after anterior cruciate ligament reconstruction: is the tibial tunnel position most important? Am J Sports Med. 2011 Feb;39(2):366-73.
Kennedy A, Coughlin DG, Metzger MF, Tang R, Pearle AD, Lotz JC, Feeley BT. Biomechanical Evaluation of Pediatric Anterior Cruciate Ligament Reconstruction Techniques. Am J Sports Med. 2011 Jan 21. [Epub ahead of print]
Musahl V, Bedi A, Citak M, O'Loughlin P, Choi D, Pearle AD. Effect of single-bundle and double-bundle anterior cruciate ligament reconstructions on pivot-shift kinematics in anterior cruciate ligament- and meniscus-deficient knees. Am J Sports Med. 2011 Feb;39(2):289-95. WINNER OF CABAUD AWARD FOR BEST BASIC SCIENCE PAPER 2010
Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, Pearle AD, Altchek DW. Transtibial versus Anteromedial Portal Reaming in ACL Reconstruction: An Anatomic and Biomechanical Evaluation of Surgical Technique. Arthroscopy 2010
Citak M, Suero EM, Rozell JC, Bosscher MR, Kuestermeyer J, Pearle AD. A mechanized and standardized pivot shifter: technical description and first evaluation. KSSTA 2010
Bedi A, Musahl V, Lane C, Ctak M, Warren RF, Pearle AD. Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis. KSSTA 2010 Sept 18(9) 1269-76
Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD. The effect of medial versus lateral meniscectomy on the stability of the ACL-deficient knee. Am J Sports Med 2010 Aug 38(8) 1591-7
Bedi A, Musahl V, O’Loughlin P, Maak T, Citak M, Dixon P, Pearle AD. A comparison of central anatomic single-bundle ACL reconstruction and double-bundle ACL reconstruction on pivot shift kinematics. Am J Sports Med 2010 Sept 38(9) 1788-94
Musahl V, Voos JE, O’Loughlin PF, Choi D, Stueber V, Kendoff D, Pearle AD. Comparing stability of different single and double bundle ACL reconstruction techniques: a cadaveric study using navigation. Arthroscopy 2010 Sept 26 (9Suppl) S41-8
Voos JE, Musahl V, Maak TG, Wickiewicz TL, Pearle AD. Comparison of tunnel positions in single bundle ACL reconstructions using computer navigation. KSSTA 2010 Sept; 18(9) 1282-9
Musahl V, Ayeni OR, Citak M, Irrgang JJ, Pearle AD, Wickiewicz TL, The influence of bony morphology on the magnitude of the pivot shift. KSSTA 2010 Sept18(0) 1232-8
Kendoff D, Koulalis D, Citak M, Voos J, Pearle AD. Open wedge valgus tibial osteotomies: affecting the distinct ACL bundles. KSSTA 2010
Robinson J, Stanford FC, Kendoff D, Stüber V, Pearle AD. Replication of the range of native anterior cruciate ligament fiber length change behavior achieved by different grafts: measurement using computer-assisted navigation. Am J Sports Med. 2009 Jul;37(7):1406-11.
Brophy RH and Pearle AD Single-Bundle Anterior Cruciate Ligament Reconstruction: A Comparison of Conventional, Central, and Horizontal Single-Bundle Virtual Graft Positions. Am J Sports Med 2009 37(7): 1317-23
Stanford FC, Kendoff D, Warren RF, Pearle AD. Native Anterior Cruciate Ligament Obliquity Versus Anterior Cruciate Ligament Graft Obliquity: An Observational Study Using Navigated Measurements.Am J Sports Med. 2008 Sep 24.
Brophy RH, Voos JE, Shannon FJ, Granchi CC, Wickiewicz TL, Warren RF, Pearle AD. Changes in the length of virtual anterior cruciate ligament fibers during stability testing: a comparison of conventional single-bundle reconstruction and native anterior cruciate ligament. Am J Sports Med. 2008 Nov;36(11):2196-203.
Pearle AD, Shannon FJ, Granchi C, Wickiewicz TL, Warren RF. Comparison of 3-Dimensional Obliquity and Anisometric Characteristics of Anterior Cruciate Ligament Graft Positions Using Surgical Navigation. Am J Sport Med 2008
Lane CG, Warren RF, Stanford FC, Kendoff D, Pearle AD. In vivo analysis of the pivot shift phenomenon during computer navigated ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2008 March 1
Pearle AD, Kendoff D, Musahl V, Warren RF. The pivot-shift phenomenon during computer-assisted anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2009 Feb;91 Suppl 1:115-8.
Pearle AD, O'Loughlin PF, Kendoff DO. Robot-Assisted Unicompartmental Knee Arthroplasty.
J Arthroplasty. 2008 Dec 3.
Pearle AD, Kendoff D, Stueber V, Musahl V, Repicci JA. Perioperative management of unicompartmental knee arthroplasty using the MAKO robotic arm system (MAKOplasty). Am J Orthop. 2009 Feb;38(2 Suppl):16-9.
Roche M, O'Loughlin PF, Kendoff D, Musahl V, Pearle AD. Robotic arm-assisted unicompartmental knee arthroplasty: preoperative planning and surgical technique.Am J Orthop. 2009 Feb;38(2 Suppl):10-5.
O'Loughlin PF, Pearle AD, Fyhrie DP, Long F. On the Horizon From the ORS. J Am Acad Orthop Surg. 2009 Apr;17(4):266-9.
Citak M, Bosscher MR, Citak M, Musahl V, Pearle AD, Suero EM. Anterior cruciate ligament reconstruction after unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2011 Feb 23. [Epub ahead of print]
Koulalis D, O’Loughlin PF, Plaskos C, Kendoff D, Cross MB, Pearle AD. Sequential versus automated cutting guides in computer-assisted total knee arthroplasty. Knee 2010
Koulalis D, O'Loughlin PF, Plaskos C, Kendoff D, Pearle AD. Adjustable Cutting Blocks for Computer-Navigated Total Knee Arthroplasty A Cadaver Study. J Arthroplasty. 2009 Aug:25(5):807-11
Mayman D, Plaskos C, Kendoff D, Wernecke G, Pearle AD, Laskin R. Ligament Tension in the ACL-deficient Knee: Assessment of Medial and Lateral Gaps. Clin Orthop Relat Res. 2009 467(6):1621-8
Kendoff DO, Moreau-Gaudry A, Plaskos C, Granchi C, Sculco TP, Pearle AD. A Navigated 8-in-1 Femoral Cutting Guide for Total Knee Arthroplasty Technical Development and Cadaveric Evaluation. J Arthroplasty. 2008 Dec 22.
Feeley BT, Muller MS, Sherman S, Allen A, Pearle AD. Comparison of Posterolateral Corner Reconstructions Using Computer-Assisted Navigation. Arthroscopy Aug 26(8): 1088-95
Musahl V, Voos J, O’Loughlin PF, Stueber V, Kendoff D, Pearle AD. Mechanized pivot shift test achieves greater accuracy than manual pivot shift test. KSSTA 2010 Sept 18(9):1208-13
Pearle AD, Citak M. Sports Medicine: Navigation for anterior cruciate ligament surgery. Current Orthopaedic Practice 2010; 21(1) 11-16.
Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD. Isometry of medial collateral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009 Sep;17(9):1078-82.
Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD. Biomechanical Comparison of Medial Collateral Ligament Reconstructions Using Computer-Assisted Navigation. Am J Sports Med. 2009 37(6):1123-30.
Kendoff D, Citak M, Voos J, Pearle AD. Surgical navigation in knee ligament reconstruction. Clin Sports Med. 2009 Jan;28(1):41-50.
Lane CG, Warren R, Pearle AD. The pivot shift. J Am Acad Orthop Surg. 2008 Dec;16(12):679-88.
Koulalis D, Kendoff D, Citak M, O Loughlin PF, Pearle AD. Freehand versus navigated glenoid anchor positioning in anterior labral repair. Knee Surg Sports Traumatol Arthrosc. 2011 Jan 11. [Epub ahead of print] PubMed PMID: 21222107.
Kendoff D, Citak M, Stuever V, Nelson L, Pearle AD, Boettner F. Feasibility of a navigated registration technique in FAI surgery. Ach Orthop Trauma Surg 2010
Vandevenne J, PEARLE A, Lang P, Butts Pauly K, Bergman G. Clinical feasibility of a magnetic resonance tracking system to guide the position of the scan plane during physiologic joint motion. Radiol Med. 2009
Pearle AD, Goleski P, Musahl V, Kendoff D. Reliability of image-free navigation to monitor lower-limb alignment. J Bone Joint Surg Am. 2009 Feb;91 Suppl 1:90-4.
Pearle AD, Kendoff D, Musahl V. Perspectives on computer-assisted orthopaedic surgery: movement toward quantitative orthopaedic surgery. J Bone Joint Surg Am. 2009 Feb;91 Suppl 1:7-12.
Gray ML, Pearle AD. Advanced imaging and computer-assisted surgery of the knee and hip. Introduction. J Bone Joint Surg Am. 2009 Feb;91 Suppl 1:1-2.
Koulalis D, Di Benedetto P, Citak M, O'Loughlin P, Pearle AD, Kendoff DO. Comparative Study of Navigated Versus Freehand Osteochondral Graft Transplantation of the Knee. Am J Sports Med. 2009 37(4):803-7.
O'Loughlin PF, Kendoff D, Pearle AD, Kennedy JG. Arthroscopic-assisted fluoroscopic navigation for retrograde drilling of a talar osteochondral lesion. Foot Ankle Int. 2009 Jan;30(1):70-3.
Kendoff DO, Fragomen AT, Pearle AD, Citak M, Rozbruch SR. Computer Navigation and Fixator-Assisted Femoral Osteotomy for Correction of Malunion After Periprosthetic Femur Fracture. J Arthroplasty. 2009 Jan 14.
Citak M, Kendoff D, Pearle AD, O'Loughlin PF, Krettek C, Hüfner T, Citak M. Navigated femoral anteversion measurements: general precision and registration options. Arch Orthop Trauma Surg. 2009 129(5):671-7
Goleski P, Warkentine B, Lo D, Gyuricza C, Kendoff D, Pearle AD. Reliability of navigated lower limb alignment in high tibial osteotomies. Am J Sports Med. 2008 Nov;36(11):2179-86.
Kendoff D, Lo D, Goleski P, Warkentine B, O' Loughlin PF, Pearle AD. Open wedge tibial osteotomies influence on axial rotation and tibial slope. Knee Surg Sports Traumatol Arthrosc. 2008 Oct;16(10):904-10.
Weil YA, Liebergall M, Mosheiff R, Helfet DL, Pearle AD. Long bone fracture reduction using a fluoroscopy-based navigation system: A feasibility and accuracy study. Comput Aided Surg. 2007 12(5):295-302.
Weil YA, Gardner MJ, Helfet DL, Pearle AD. Computer Navigation Allows for Accurate Reduction of Femoral Fractures. Clin Orthop Relat Res. 2007 Jul;460:185-191.
Computer Assisted and Robotic Techniques in Sports, Trauma, and Joint Replacement Surgery
Mechanisms of Early Arthritis
Synthetic Meniscal Replacement
Augmentation of Rotator Cuff Healing