Research & publications

Reducing surgical failure, improving joint mechanics.

Dr. Hughes serves as Principal Investigator and Co-Investigator on major federally funded and foundation-backed clinical trials that shape modern sports medicine guidelines. His work spans rotatory knee instability, meniscus pathology, knee malalignment, shoulder instability, rotator cuff pathology, and shoulder arthroplasty — with a consistent focus on biomechanics and personalized rehabilitation.

200+Papers, abstracts & chapters
$10M+Funded clinical trials
5Journal editorial boards
50+Students & fellows mentored

Clinical trials

Active & recent clinical trials.

Research designed to answer the questions patients actually ask: which graft, which timing, which technique — and how to keep re-injury from happening.

The STABILITY 2 Trial

$3,240,691 (NIH) · Co-Investigator · 2019–2026

A multicenter study comparing ACL grafts and extra-articular tenodesis for rotatory instability — helping match each patient to the ideal graft for their knee and activity level, significantly decreasing the chances of a future re-tear.

The OASIS Trial

$2,939,078 (Dept. of Defense) · Co-Investigator · Active

Comparing arthroscopic versus open stabilization for complex shoulder instability involving subcortical bone loss — determining which of three standard operations offers superior long-term joint stability and restored function.

The STaR Trial

$4,476,920 (Dept. of Defense) · Co-Investigator · 2017–2025

A large-scale multicenter integrated clinical trial evaluating optimal surgical timing and rehabilitation pathways for multi-ligament knee injuries — informing ideal timing for surgery and rehab after these devastating injuries.

Digital Biomarkers of Post-Traumatic Osteoarthritis

$412,132 (NIH) · Co-Investigator · 2022–2027

Utilizing digital health tracking and advanced biomechanical biomarkers to predict joint health and customize physical therapy after sports injuries — identifying risk factors for early arthritis to protect long-term mobility.

Changes in In-Vivo Knee Kinematics After Revision ACL-R & Slope Osteotomy

$40,000 (AOSSM Young Investigator Grant) · Principal Investigator · 2024–2026

Tracking 3D knee joint motion to see how altering the posterior tibial slope protects a revision ACL graft from failing again — explaining how changing knee alignment improves natural movement and lowers re-injury risk.

Dislocation- & Surgery-Induced Plasticity of the Glenoid Track

$25,000 (AOSSM) · Principal Investigator · 2026–Present

Investigating complex shoulder instability, tracking joint changes, and refining surgical techniques to prevent recurrent dislocations — helping surgeons choose safer, more stable treatments so patients return to sport with fewer redislocations.

Selected publications

Recent peer-reviewed work.

A selection from more than 200 papers, abstracts, and book chapters. The complete record is available on PubMed.

Knee

  • Meniscus extrusion on standing weightbearing ultrasound is associated with limb alignment and posterior tibial slope in healthy knees.

    Journal of Experimental Orthopaedics, 2026

  • Outcomes after anterior cruciate ligament reconstruction with quadriceps tendon in adolescent athletes at mean follow-up of 4 years.

    Orthopaedic Journal of Sports Medicine, 2024

  • Association of smaller intercondylar notch size with graft failure after anterior cruciate ligament reconstruction.

    Orthopaedic Journal of Sports Medicine, 2024

  • Slope osteotomies in the setting of anterior cruciate ligament deficiency.

    Journal of Bone and Joint Surgery — American Volume, 2024

Shoulder

  • Surgical technique and implant design affect abduction kinematics and functional outcomes after reverse shoulder arthroplasty.

    Medical Engineering & Physics, 2025

  • Best-fit circle missing area method shows good accuracy and interrater reliability when assessing glenoid bone loss.

    American Journal of Sports Medicine, 2025

  • Surgical parameters during reverse shoulder arthroplasty predict post-surgical kinematics during the hand-to-head motion.

    Annals of Biomedical Engineering, 2025

  • Anatomic restoration of lateral humeral offset and humeral retroversion optimizes functional outcomes following reverse total shoulder arthroplasty.

    Journal of Biomechanics, 2024

View full PubMed profile

Leadership, committees & editorial boards

Shaping the field beyond the OR.

Dr. Hughes serves in key editorial, society, and institutional leadership roles across orthopedic sports medicine.

Editorial boards

  • Associate Editor: KSSTA (2024–Present)
  • Editorial Board: JISAKOS (2026–Present)
  • Editorial Board: Journal of Experimental Orthopaedics (2026–Present)
  • Editorial Board: Orthopaedic Journal of Sports Medicine (2025–Present)
  • Editorial Board: Annals of Joint (2024–Present)

Society & committee leadership

  • AAOS — Sports Medicine / Arthroscopy Program Committee
  • AOSSM — Team Physician and Athlete’s Advocacy Committee
  • ASES — Education Committee
  • ISAKOS — Innovations and New Tech Task Force

Institutional & program leadership

  • AAOS — Crew Chief, Launchpad Program (2026–2028)
  • AOSSM — BOLD Leadership Program (2025–2027); Catalyst Program (2025–2026)
  • JISAKOS — Mentor, Excellence in Authorship Program (2026–2027)
  • UPMC — Director, Ortho Sports Fellow Research (2020–2026)
  • UPMC — Co-Director, Freddie Fu ACL Meeting (2022–2026)

Presentations & speaking

Invited faculty, worldwide.

Dr. Hughes is a frequently invited faculty speaker, panelist, and moderator at leading orthopedic and sports medicine meetings. His talks focus on complex knee and shoulder reconstruction, osteotomy, and managing complications and revision surgery for high-demand athletes and active patients.

International faculty presentations

  • Santiago Knee Osteotomy Course

    Santiago, Chile — 2026

  • ESSKA Congress

    Prague, Czech Republic — 2026 · Milan, Italy — 2024 · Paris, France — 2022

  • ISAKOS Congress

    Munich, Germany — 2025 · Virtual — 2021

  • ESSKA Rising Stars Reviewers Course

    Virtual — 2025

  • Freddie Fu Sports Medicine Symposium

    Pittsburgh, PA — 2024

  • International Knee Day, German Knee Society

    Virtual — 2022

National keynotes & symposiums

  • AOSSM Annual Meetings

    2017–2026

  • AAOS Annual Meetings

    2017–2026

  • AANA Annual Meetings & Fellows Courses

    2023–2024

  • Orthopedic Summit

    Las Vegas, NV — 2025

  • Advanced Team Physician Course

    Las Vegas, NV — 2019

Dr. Hughes presenting from the podium at Hospital del Trabajador in Santiago, Chile
Invited faculty — Hospital del Trabajador, Santiago, Chile
Dr. Hughes presenting on revision ACL reconstruction at the ACL Study Group Biennial Meeting in Brazil
ACL Study Group Biennial Meeting — Foz do Iguaçu, Brazil
Dr. Hughes lecturing on anatomic ACL reconstruction at the University of Gothenburg
Guest lecture — Sahlgrenska Academy, Gothenburg, Sweden
Surgeons in scrubs gathered around a station during a hands-on surgical skills lab
Hands-on surgical skills lab instruction

MedTech, resident & fellow mentorship

Research that trains researchers.

  • Surgical lab instruction: leads hands-on arthroscopy and total joint replacement labs for sports medicine fellows.
  • Mentorship: has mentored over 50 undergraduate and graduate students, medical students, residents, and international research fellows.
  • MedTech device development: engineering faculty mentor guiding senior biomedical engineering design teams through medical product ideation, prototyping, and innovation (2018–2026).
  • Dissertation advising: supervises advanced biomedical research, including a PhD dissertation using machine learning to predict adverse outcomes after ACL reconstruction.

Referring physicians & patients

Evidence-based care, in practice.

Every trial and publication above exists for one reason: better outcomes in the operating room and beyond.

Book a consultation