Surgical expertise

Precision surgery, evidence first.

Dr. Hughes combines fellowship-trained surgical precision with a rigorous academic approach — prioritizing evidence-based joint reconstruction and preservation for athletes and active individuals of every age.

Knee

Knee reconstruction & sports injuries

Advanced knee surgery & joint preservation

Comprehensive care for complex knee conditions, combining biomechanical research with tailored surgical interventions to restore joint stability and delay arthritis progression.

Complex ligament reconstruction: primary and revision ACL reconstruction, multi-ligament reconstruction (MLKI), and extra-articular tenodesis (LET) for severe rotatory knee instability.
Joint preservation & realignment: specialized osteotomies, including slope-reducing procedures, to correct malalignment and offload damaged compartments.
Cartilage & meniscus restoration: advanced cartilage restoration, structural allografts, and meniscal allograft transplantation (MAT) to address structural deficiencies.
Patellofemoral & extensor care: surgical management of recurrent patellar instability, including trochleoplasty and complex tendon reconstruction.

Anatomical plate: the knee in anterior cutaway, with the anterior cruciate ligament highlighted

Shoulder

Shoulder arthroscopy & reconstruction

From instability in pros to 3D-planned replacement

The full spectrum of shoulder care — from treating high-impact instability in professional athletes to performing advanced, 3D-planned joint replacements.

Complex rotator cuff surgery: precision arthroscopic repair for massive or recurrent tears, utilizing patch augmentation, allograft reconstruction, and tendon transfers for complex cases.
Shoulder instability: specialized management of dislocations and subluxations through arthroscopic and open procedures, including bone-block procedures.
AC joint repair & reconstruction: surgical correction of complex acute and chronic AC and CC joint separations and instability.
Total & reverse arthroplasty: advanced joint replacement using 3D surgical planning to restore function for patients with severe arthritis or complex rotator cuff deficiency.

Anatomical plate: the shoulder in anterior cutaway, with the supraspinatus tendon of the rotator cuff highlighted

Elbow

Specialized elbow surgery

Restoring the strength athletes count on

Targeted open interventions for chronic tendon degeneration and acute structural elbow joint failures.

Distal biceps repair & reconstruction: structural repair or reconstruction of biceps avulsions to restore powerful elbow flexion.
Ulnar collateral ligament (UCL) repair & reconstruction: surgical repair or reconstruction for acute and chronic UCL injuries in throwing and overhead athletes.

Anatomical plate: the elbow in anteromedial view, with the ulnar collateral ligament highlighted

Evidence-based200+ publications inform care

3D surgical planningFor complex reconstruction

Return-to-play protocolsPro-level rehabilitation

Individualized plansEvery patient, every goal

Not sure where to start?

Every plan starts with an evaluation.

Whether you have a diagnosis in hand or just a knee that won’t cooperate, a consultation is the first step toward answers.

Book a consultation