Surace
Dr. SURACE
PETER
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Professional Appointments: The Cleveland Clinic Foundation Cleveland, OH Associate Professor of Orthopaedic Surgery 2021-present Academic Appointments: Associate Program Director for the Adult Reconstruction Fellowship 2024-Present Director of Education for Adult Reconstruction Fellowship 09/2021-2025 Associate Program Director for the Residency 09/2024-2026 Director of Education for Adult Reconstruction for Orthopaedic Residency 09/2021-present Chair of Clinical Competency Committee for Orthopaedic Residency Program 09/2024-2026 Program Evaluation Committee Member for Orthopaedic Residency Program 09/2021-present Awards: Orthopaedic Surgery Teacher of the Year, residency 2025 Orthopaedic Training: The Cleveland Clinic Foundation Cleveland, OH Orthopaedic Surgery Residency July 2015-2020 Program Director: Thomas Kuivila, MD Duke University Durham, NC Adult Reconstruction Fellow August 1, 2020-July 31, 2021 Program Director: Michael Bolognesi, MD Keivan Abtahi Duke Orthopaedic Surgery Fellow of the Year Award Education: Case Western Reserve University School of Medicine Cleveland, OH M.D. 2015 July 2011-May 2015 Medical Degree Alpha Omega Alpha Honors Training and Committee Appointments: Associate Program Director: Orthopaedic Surgery Residency 2024-2026 Associate Program Director: Adult Reconstruction Fellowship 2024-Present Director of Education: Adult Reconstruction Fellowship 2021-2026 Selected as staff director for education for adult reconstruction fellowship, including consensus and indications conference, journal club, and educational objectives. Program Evaluation Committee for Residency 2021-Present Selected as staff member for evaluation committee aimed a residency education and development, lead for adult reconstruction subspeciality Chair of Clinical Competency Committee for Residency 2021-2026 Chair of Committee. Review and assess meeting clinical competency for residents, goals for education, and ability to matriculate Residency Admissions Committee and Interview Committee Cleveland Clinic Department of Orthopaedic Surgery 2017-2019, 2024-present Program Evaluation Committee 2016-present Selected as the sole resident delegate from my class for bi-monthly staff meetings aimed at program growth, improvements, and challenges facing the residency AAOS Resident Delegate 2018-2019 Selected as the residency delegate for the Cleveland Clinic at the annual AAOS meeting to discuss issues facing residencies nationally and target areas of improvement in resident education Education Grants Secured: Smith and Nephew Fellowship Grant 2023, 2024 Applied for and obtained $10,000 each year for fellowship American Association of Hip and Knee Surgeons Fellowship Grant 2022-present Applied for and obtained $20,000 each year for fellowship Publications: Pasqualini I, Elmenawi KA, Khan ST, Hadad MJ; Cleveland Clinic Adult Reconstruction Research Group (CCARR); Piuzzi NS. Substantial Clinical Benefit Thresholds for Hip Disability and Osteoarthritis Outcome Score Subscales and Associated Risk Factors for Nonattainment After Total Hip Arthroplasty: A Prospective Cohort Study of 9,229 Patients. J Arthroplasty. 2026 Sep;41(9):2640-2645. doi: 10.1016/j.arth.2025.11.052. Epub 2025 Nov 29. PMID: 41319842. Elmenawi KA, Emara AK, Khan ST, Gudapati LS, Zhang C, Deren ME; Cleveland Clinic Adult Reconstruction Research Group; Piuzzi NS. Greater Resource Utilization for Patient-Reported Outcome Measures Collection in Medicare Inpatient Versus Outpatient Total Knee Arthroplasty: Implications for the New Centers for Medicare and Medicaid Services Patient-Reported Outcomes-Based Performance Measure Policy. J Arthroplasty. 2026 Aug;41(8):2278-2283. doi: 10.1016/j.arth.2025.10.028. Epub 2025 Oct 15. PMID: 41106703. Ibaseta A, Khan ST, Pasqualini I, Elmenawi KA, Zhang C, Piuzzi NS; Cleveland Clinic Adult Reconstruction Research. Contralateral Total Knee Arthroplasty More Than One Year Apart: Do Patient-Reported Outcomes and Health Care Utilization Differ After Each Surgery? J Arthroplasty. 2026 May;41(5):1425-1430.e1. doi: 10.1016/j.arth.2025.09.016. Epub 2025 Sep 17. PMID: 40972990. Jia L, Khan ST, Pasqualini I, Elmenawi KA, Jin Y, Deren ME, Piuzzi NS; Cleveland Clinic Adult Reconstruction Research Group. Preoperative Psychiatric Diagnosis Predicts Worse Patient-Reported Outcome Measures, Higher Dissatisfaction, and Increased Health Care Utilization Following Total Knee Arthroplasty: Analysis of Over 13,000 Patients. J Arthroplasty. 2026 May;41(5):1438-1445. doi: 10.1016/j.arth.2025.09.015. Epub 2025 Sep 17. PMID: 40972987. Emara AK, Khan ST, Pasqualini I, Elmenawi KA, Zhang C; Cleveland Clinic Adult Reconstruction & Research Group; Piuzzi NS. Preoperative NarxCare Overdose Risk Scores Greater than 200 Are Associated With Worse 1-Year Patient-Reported Outcomes and Dissatisfaction after Primary Total Knee Arthroplasty. J Arthroplasty. 2026 Apr;41(4):1100-1106.e2. doi: 10.1016/j.arth.2025.08.028. Epub 2025 Sep 1. PMID: 40902686. Elmenawi KA, Kwas C, Molloy LG, Zhang C, Pasqualini I, Deren ME; Cleveland Clinic Adult Reconstruction Research (CCARR); Piuzzi NS. Comparing Medicare and Non-Medicare Inpatient Total Hip Arthroplasty: Is the New Centers for Medicare & Medicaid Services Patient-Reported Outcomes Performance Measure Mandate Applicable to All? J Arthroplasty. 2026 Mar 11:S0883-5403(26)00200-7. doi: 10.1016/j.arth.2026.03.003. Epub ahead of print. PMID: 41825498. Elmenawi KA, Huffman N; Cleveland Clinic Adult Reconstruction Research Group; Piuzzi NS. Similar PROMs and Healthcare Utilization in Patients Undergoing Total Knee Arthroplasty with and Without Prior Knee Hardware. Indian J Orthop. 2025 Oct 3;60(2):417-424. doi: 10.1007/s43465-025-01575-3. PMID: 41669204; PMCID: PMC12883614. Ramos MS, Benyamini B, Kompala V, Khan ST, Kunze KN, Visperas A, Surace PA, Piuzzi NS. Mortality after an infected total knee arthroplasty : a meta-analysis. Bone Joint J. 2026 Feb 1;108-B(2):177-184. doi: 10.1302/0301-620X.108B2.BJJ-2025-0106.R1. PMID: 41619799. Khan ST, Mabarak D, Jin Y, Elmenawi KA; Cleveland Clinic Adult Reconstruction Research Group; Piuzzi NS. Impact of preoperative chronic pain diagnosis on unicompartmental knee arthroplasty surgery: Analysis of healthcare utilization and patient reported outcomes. J Clin Orthop Trauma. 2025 Dec 11;73:103305. doi: 10.1016/j.jcot.2025.103305. PMID: 41552699; PMCID: PMC12808941. Elmenawi KA, Jevnikar BE, Dinesh A, Jin Y; Cleveland Clinic Adult Reconstruction Research (CCARR) Groupccarr@ccf.org; Piuzzi NS; Cleveland Clinic Adult Reconstruction Research (CCARR) Group. Hospital volume is not associated with clinically meaningful PROM achievement following primary total hip arthroplasty. J Clin Orthop Trauma. 2025 Dec 7;72:103303. doi: 10.1016/j.jcot.2025.103303. PMID: 41542369; PMCID: PMC12800441. Elmenawi KA, Pasqualini I, Khan ST, Emara AK, Gudapati LS, Deren ME; Cleveland Clinic Adult Reconstruction Research Group; Piuzzi NS. Comparing Medicare and Non-Medicare Inpatient Total Knee Arthroplasty: Is the New Centers for Medicare and Medicaid Services Patient-Reported Outcomes Performance Measure Mandate Applicable to All? J Arthroplasty. 2025 Nov;40(11):2799-2804. doi: 10.1016/j.arth.2025.05.082. Epub 2025 May 26. PMID: 40436080. Ramos MS, Benyamini B, Jin Y, Klika AK, Molloy RM, Deren ME, Krebs VE, Surace PA, Piuzzi NS. Low Incidence of Reoperation of Modular Fluted Tapered Stems in Aseptic Revision Total Hip Arthroplasty in Patients 75 Years and Older. J Arthroplasty. 2025 Nov;40(11):2975-2983. doi: 10.1016/j.arth.2025.05.062. Epub 2025 May 23. PMID: 40414372. Khan ST, Jevnikar BE, Emara AK, Delaney PG, Elmenawi KA, Surace PA, Piuzzi NS, Deren M. Impact of robotic total hip and knee arthroplasty on resident and fellow training in orthopedic surgery. J Robot Surg. 2025 Aug 8;19(1):463. doi: 10.1007/s11701-025-02642-5. PMID: 40781202; PMCID: PMC12334456. Benyamini B, Hadad MJ, Pasqualini I, Khan ST, Jin Y; Cleveland Clinic Adult Reconstruction Research; Piuzzi NS. Neighborhood Socioeconomic Disadvantage May Influence 1-Year Patient-Reported Outcome Measures After Total Hip Arthroplasty. J Arthroplasty. 2024 Oct 16:S0883-5403(24)01020-9. doi: 10.1016/j.arth.2024.10.007. Epub ahead of print. PMID: 39424243.Jevnikar BE, Khan ST, Huffman N, Pasqualini I, Surace PA, Deren ME, Piuzzi NS. Advancements in treatment strategies for periprosthetic joint infections: A comprehensive review. J Clin Orthop Trauma. 2024 Jul 18;55:102496. doi: 10.1016/j.jcot.2024.102496. PMID: 39157704; PMCID: PMC11324841. Rullán PJ, Pasqualini I, Zhang C, Klika AK, Piuzzi NS; The Cleveland Clinic OME Arthroplasty Group. How to Raise the Bar in the Capture of Patient-Reported Outcome Measures in Total Joint Arthroplasty: Results from Active and Passive Follow-up Measures. J Bone Joint Surg Am. 2024 May 15;106(10):879-890. doi: 10.2106/JBJS.23.00558. Epub 2024 Mar 5. PMID: 38442204. Turan OA, Rullan PJ, Pasqualini I, Pumo TJ, Surace PA, Murray TG, Piuzzi NS. Cannabis Use Following Total Joint Arthroplasty is Associated With Increased Risks? A Meta-Analysis. J Arthroplasty. 2024 Feb;39(2):533-540.e6. doi: 10.1016/j.arth.2023.07.008. Epub 2023 Jul 14. PMID: 37454951. Tidd JL, Gudapati LS, Simmons HL, Klika AK, Pasqualini I; Cleveland Clinic Arthroplasty Group; Piuzzi NS. Do Patients With Hypoallergenic Total Knee Arthroplasty Implants for Metal Allergy Do Worse? An Analysis of Health Care Utilizations and Patient-Reported Outcome Measures. J Arthroplasty. 2024 Jan;39(1):103-110. doi: 10.1016/j.arth.2023.07.005. Epub 2023 Jul 15. PMID: 37454947. Pandey AK, Zuke WA, Surace P, Kamath AF. Management of acetabular bone loss in revision total hip replacement: a narrative literature review. Ann Jt. 2023 Oct 5;9:21. doi: 10.21037/aoj-23-23. PMID: 38694811; PMCID: PMC11061657. Rogers N, Rullán PJ, Pasqualini I, Khan ST, Klika AK, Surace PA, Molloy RM, Piuzzi NS, Bloomfield M. Lower 90-day inpatient readmission and 1-year reoperation in patients undergoing robotic versus manual total hip arthroplasty through an anterior approach. Technol Health Care. 2024 Feb 7. doi: 10.3233/THC-231646. Epub ahead of print. PMID: 38393864. Emara AK, Pasqualini I, Jin Y, Klika AK, Orr MN, Rullán PJ; Cleveland Clinic Arthroplasty Group; Piuzzi NS. What Are the Diagnosis-Specific Thresholds of Minimal Clinically Important Difference and Patient Acceptable Symptom State in Hip Disability and Osteoarthritis Outcome Score After Primary Total Hip Arthroplasty? J Arthroplasty. 2024 Jul;39(7):1783-1788.e2. doi: 10.1016/j.arth.2024.01.051. Epub 2024 Feb 7. PMID: 38331359. Huffman N, Pasqualini I, Surace P, Molloy RM, Piuzzi NS, Deren ME. Diagnosis, Treatment, and Outcomes of Crystalline Arthropathy in the Setting of Total Knee Arthroplasty: A Critical Analysis Review. JBJS Rev. 2023 Dec 22;11(12). doi: 10.2106/JBJS.RVW.23.00163. PMID: 38134288. Piuzzi NS, Deren ME, Green A, Emara AK, Pasqualini I, Surace P, McLaughlin JP, Murray TG, Bloomfield MR, Krebs VE, Molloy RM. Hip Abductor Reconstruction with the Use of Mesh and Distal Cerclage Cable Fixation: A Case Report and Surgical Technique. JBJS Case Connect. 2023 Sep 21;13(3). doi: 10.2106/JBJS.CC.23.00118. PMID: 37733914. Njoku I, Surace P, Piuzzi NS, Deren ME. Acetabular Component Removal Systems. JBJS Rev. 2023 Apr 4;11(4). doi: 10.2106/JBJS.RVW.22.00246. PMID: 37014973. Dubé MD, Rothfusz CA, Emara AK, Hadad M, Surace P, Krebs VE, Molloy RM, Piuzzi NS. Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty: a Detailed Review and Guide to Management. Curr Rev Musculoskelet Med. 2022 May 3. doi: 10.1007/s12178-022-09762-7. Epub ahead of print. PMID: 35501548. Duensing IM, Kim BI, Charalambous LT, Case A, Surace PA, Seyler TM, Wellman SS. Clinical Outcomes After Stage-One Antibiotic Coated Molded Hip Spacer. J Arthroplasty. 2022 Mar 5:S0883-5403(22)00268-6. doi: 10.1016/j.arth.2022.02.116. Epub ahead of print. PMID: 35259464. Jiranek W, Surace P. Diagnosis of Prosthetic Joint Infection. J Surg Orthop Adv. 2021 Winter;30(4):212-215. PMID: 35108184. N. Piuzzi, Marcelo BP Siqueira, P Surace, W Baroum, I Briskin, C Higuera, A Klika, M Orr, B Leo, P Patel, J Patterson, K Spindler, A Shuster, G Strnad, J Saurez, R Zaas. “Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?” Arch. Orthop Trauma Surg. 2021 Feb 19. P Surace, A Sultan, J George, A Khlopas, N Sodhi, R Molloy, K Stearns, M Mont. “An analysis of 89,802 surgeries investigating the association between operative time and short-term complications.” Journal of Arthroplasty 2019 Mar;34(3):426-432. P Surace, Alysse Boyd, Heather Vallier. “Case series evaluation the operative and nonoperative treatment of scapula fractures.” American Journal of Orthopaedics. 2018 Aug; 47(8). L Samuel, A sultan, J Rabin, P Surace, B Yao, J Moskal, M Mont. “Medical malpractice litigation following primary total joint arthroplasty: a comprehensive, nationwide analysis for the last decade.” Accepted to Journal of Arthroplasty, March 2019. A Sultan, W Cantrell, P Surace, M Chughtai, L Samuel, J Moskal, M Mont. “Total knee arthroplasty in the face of a previous tuberculosis infection of the knee: what do we know in 2018?” Expert Reviews of Medical Devices. Accepted July 2018. A Sultan, P Surace, L Samuel, A Khlopas, M Faour, N Sodhi, V Krebs, K Stearns, R Molloy, M Mont. “The use of non-vascularized bone grafts to treat osteonecrosis of the femoral head: Indications, techniques, and outcomes.” International Orthopaedics. July 23, 2018. S Basu, P Surace, et al. Pregravid obesity associates with increased maternal endotoxemia and metabolic inflammation. Obesity (2011) 19 3, 476-482 Honors and Awards: Denison University: Phi Beta Kappa 2011 Denison University: Summa Cum Laude 2011 CWRU School of Medicine: Crile Research Fellowship 2012 Alpha Omega Alpha Honorary Society 2014 Academy of Medicine of Cleveland and Northern Ohio: Academic Excellence Award 2015 Academic Award for Highest Orthopaedic In-Training Exam 2018, 2019 Highest Impact Graduating Resident Research Manuscript-Cleveland Clinic 2020 Keivan Abtahi Duke Orthopaedic Surgery Fellow of the Year Award 2020-2021 Teacher of the Year, Orthopaedic Surgery 2025 Highest Patient Satisfaction in Department, Orthopaedic Rheumatologic Institute 2025 Professional Memberships: American Academy of Orthopaedic Surgeons 2015-present American Association of Hip and Knee Surgeons 2018-present Piedmont Orthopaedic Society 2021-present Board Certification: ABOS Part I – Written Boards Passed 2020 ABOS Part II – Oral Boards Passed 2023 Certifications: Mako Robotic Certification August 2021