Fellowship

Otto E. Aufranc Fellowship in Adult Reconstructive Surgery, New England Baptist Hospital, Boston, MA

Medical School

Boston University School of Medicine, Boston, MA
Alpha Omega Alpha

Residency

Orthopaedic Surgery Residency Program,
Tufts Medical Center, Boston, MA

College

University of Notre Dame, Notre Dame, IN
Bachelor of Science, Biological Sciences, magna cum laude

Memberships

• American Academy of Orthopaedic Surgeons – Resident Member
• Arthroscopy Association of North America – Resident Member
• Massachusetts Medical Society – Resident Member

• Alpha Omega Alpha Boston University School of Medicine, Boston, MA (2018)
• Eli Shapiro Academy in Internal Medicine Boston University School of Medicine, Boston, MA (2017)
• Robert Braco, M.D. Honors Research Award Department of Biological Sciences, University of Notre Dame, Notre Dame, IN (2014)

Peer-Reviewed Publications

• Sudah S, Mojica E, Masood R, Moverman MA, Puzzitiello RN, Pagani NP, Menendez ME, Salzler MJ. The Reverse Fragility Index: A Systematic Review and Meta-Analysis of Randomized Controlled Trials in Sports Medicine Reporting Non-Significant Findings. Arthroscopy. (Accepted for publication)

• Masood R, Mandalia K, Moverman MA, Puzzitiello RN, Pagani NR, Menendez ME, Salzler MJ. Patients with Functional Somatic Syndromes – Fibromyalgia, Irritable Bowel Syndrome, Chronic Headaches, and Chronic Low Back Pain – Have Lower Outcomes and Higher Opioid Usage and Cost After Shoulder and Elbow Surgery. Arthroscopy. (Accepted for publication)

• Ramsden DM, Pagani NR, Santiago JA, Menendez ME, Baratz MD, Salzler MJ. Patient Language Does Not Impact Need for Manipulation Following Total Knee Arthroplasty. JSOA. (Accepted for publication)

• Shi JL, Mojica ES, Moverman MA, Pagani NR, Puzzitiello RN, Menendez ME, Salzler MJ, Gordon M, Bono JV. The Reverse Fragility Index: Interpreting the Current Literature for Long-Term Survivorship of Computer-Navigated versus Conventional Total Knee Arthroplasty: A Systematic Review and Cross-Sectional Study of Randomized Control Trials. J Bone Joint Surg. (Accepted for publication)

• Bragg JT, Sudah SY, Moverman MA, Puzzitiello RN, Pagani NR, Menendez ME. Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Economically Justified in Preventing Infection after Total Shoulder Arthroplasty. J Shoulder Elbow Surg. 2022 Sep 12:S1058-2746(22)00667-X. doi: 10.1016/j.jse.2022.07.022. Online ahead of print.

• Miltenberg B, Masood R, Katsiaunis A, Moverman M, Puzzitiello R, Pagani NR, Menendez ME, Salzler MJ, Drager J. Fracture Dislocations of the Proximal Humerus Treated with Open Reduction and Internal Fixation: A Systematic Review. J Shoulder Elbow Surg. 2022 Oct;31(10):e480-e489. doi: 10.1016/j.jse.2022.04.018. Epub 2022 May 20.

• Lan YT, Pagani NR, Chen YW, Niu R, Chang DC, Talmo CT, Hollenbeck BL, Mattingly D, Smith EL. A Safe Number of Perioperative Opioids to Reduce the Risk of New Persistent Opioid Use Among Opioid-Naïve Patients Following Following Total Joint Arthroplasty. J Arthroplasty. 2022 Aug 18:S0883-5403(22)00775-6. doi: 10.1016/j.arth.2022.08.018. Online ahead of print.

• Moverman MA, Sudah S, Puzzitiello RN, Pagani NR, Hart PA, Swanson D, Kirsch JM, Jawa A, Menendez ME. Neighborhood Socioeconomic Disadvantage Does Not Predict Outcomes or Cost after Elective Shoulder Arthroplasty. J Shoulder Elbow Surg. 2022 Jun 4: S1058-2746(22)00489-X.

• Pagani NR, Puzzitiello RN, Stambough JB, Saxena A. Online Survey of U.S. Population Preferences and Perceptions Regarding Outpatient Hip and Knee Arthroplasty. J Arthroplasty. Online ahead of print. doi: 10.1016/j.arth.2022.06.011
  
• Lipson S, Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Smith EL. The Cost Effectiveness of Extended Oral Antibiotic Prophylaxis For Infection Prevention After Total Joint Arthroplasty. J Arthroplasty. 2022 Apr 25:S0883-5403(22)00474-0. doi: 10.1016/j.arth.2022.04.025. Online ahead of print.
  
• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Gordon M. Adverse Events Associated With Robotic-Assisted Total Joint Arthroplasty: An Analysis of the U.S. Food and Drug Administration MAUDE Database. J Arthroplasty. 2022 Aug;37(8):1526-1533. doi: 10.1016/j.arth.2022.03.060. Epub 2022 Mar 21.

• Pagani NR, Sudah S, Moverman MA, Puzzitiello RN, Menendez ME, Guss MS. Performance Outcomes and Return to Sport Following Metacarpal Fractures in Major League Baseball Players. Hand (NY). 2022 Mar 21; 15589447221081565. Online ahead of print.

• McIntyre JA, Pagani NR, Van Schuyer P, Menendez ME, Moverman MA, Puzzitiello RN, Kavolus JJ. Public Perceptions and Expectations of Post-Operative Opioid Use Following Orthopaedic Surgery. HSS Journal. 2022 Aug. 18(3):328-337. doi: 10.1177/15563316221097698. Epub 2022 Jun 28.

• Kolin DA, Moverman MA, Pagani NR, Puzzitiello RN, Dubin J, Menendez ME, Jawa A, Kirsch JM. Substantial Inconsistency and Variability Among Minimal Clinically Important Differences for Shoulder Arthroplasty Outcomes: A Systematic Review. CORR. 2022 Jul 1;480(7):1371-1383. doi: 10.1097/CORR.0000000000002164. Epub 2022 Mar 17.  

• Sudah S, Puzzitiello RN, Nasra M, Moverman MA, Pagani NR, Guss M, Menendez ME. Nonoperative Treatment of Distal Humerus Fractures in the Elderly Yields Satisfactory Functional Outcomes and Low Conversion to Delayed Surgery: A Systematic Review. JSES Reviews, Reports, & Techniques. 2022 Feb. 2(1):96-102. 

• Ruelos VCB, Puzzitiello RN, Menendez ME, Moverman MA, Pagani NR, Rogerson A, Ryan SP, Salzler MJ. Patient Perceptions of Telehealth Orthopedic Services in the Era of COVID-19 and Beyond. Orthopedics. 2021 Sep-Oct;44(5):e668-674. DOI: 10.3928/01477447-20210817-07. Epub 2021 Sep 1. 

• Frediani SJ, Menendez ME, Pagani NR, Ryan SP. Historical Evolution in the Treatment of Midshaft Clavicle Fractures. Clin Shoulder Elbow. 2021. [Epub ahead of print] https://doi.org/10.5397/cise.2021.00346

• Moverman MA, Puzzitiello RN, Menendez ME, Pagani NR, Hart PJ, Churchill RW, Kirsch JM, Jawa A. Rotator Cuff Fatty Infiltration and Muscle Atrophy: Relation to Glenoid Deformity in Primary Glenohumeral Osteoarthritis. J Shoulder Elbow Surg. 2021 Aug 12;S1058-2746(21)00586-3. DOI: 10.1016/j.jse2021.07.007

•  Sudah S, Pagani NR, Nasra M, Moverman MA, Puzzitiello RN, Guss M, Menendez ME. What Patients Want to Know about Shoulder Arthroplasty: A Google Search Analysis. Seminars in Arthroplasty: JSES. 2021 Oct 12. DOI: 10.1053/j.sart.2021.08.005  

• Kolin DA, Moverman MA, Menendez ME, Pagani NR, Puzzitiello RN, Kavolus JJ. A break-even analysis of tranexamic acid for prevention of periprosthetic joint infection following total hip and knee arthroplasty. J Orthop. 2021 Jul 13;26:54-58. doi: 10.1016/j.jor.2021.07.007. eCollection 2021 Jul-Aug.

• Pagani NR, Leroy TE, Menendez ME, Stoker GE, Lococo DV, Nairus JG. Gross Trunnion Failure of a Type 1 Taper After Metal-On-Polyethylene Total Hip Arthroplasty: A Report of Two Cases. JBJS Case Connect. 2021 Jun 24;11(2). doi: 10.2106/JBJS.CC.21.00098.

• Puzzitiello RN, Dubin J, Menendez ME, Moverman MA, Pagani NR, Drager J, Salzler MJ. Public Opinion and Expectations of Stem Cell Therapies in Orthopaedics. Arthroscopy. 2021 Dec; 37(12): 3510-3517.e2. doi: 10.1016/j.arthro.2021.05.058.

• Moverman MA, Puzzitiello RN, Pagani NR, Moon AS, Hart PA, Kirsch JM, Jawa A, Menendez ME. Functional Somatic Syndromes are Strongly Associated with Suboptimal Outcomes and High Cost after Shoulder Arthroplasty. J Shoulder Elbow Surg. 2022 Jan; 31(1):48-55. doi: 10.1016/j/jse.2021.05.015.

• Fang C, Pagani NR, Gordon M, Talmo CT, Mattingly DA, Smith EL. Episode-of-Care Costs for Revision Total Joint Arthroplasties by Decadal Age Groups. Geriatrics. 2021. 6(2):49. doi: 10.3390/geriatrics6020049

• Schumacher CS, Menendez ME, Pagani NR, Freiberg AA, Kwon YM, Bedair H, Ring D, Rubash HE. Variation in perioperative opioid use after total joint arthroplasty. J Orthop. 2021. (25):162-166. doi: https://doi.org/10.1016/j.jor.2021.05.003.

• Ruelos VCB, Puzzitiello RN, Menendez ME, Pagani NR, Moverman MA, Forsythe B, Salzler MJ. Vancomycin Presoaking of Anterior Cruciate Ligament Tendon Grafts Is Highly Cost-Effective for Preventing Infection. Arthroscopy. 2021 Oct;37(10):3152-3156. doi: 10.1016/j.arthro.2021.04.005. 

• Puzzitiello RN, Moverman MA, Pagani NR, Ryan SP, Salzler MJ, Jawa A, Menendez ME. Public perceptions and disparities in access to telehealth orthopaedic services in the COVID-19 era. J Natl Med Assoc. 2021 Aug;113(4):405-413. doi:10.1016/j.jnma.2021.02.007. 

• Moverman MA, Bruha MJ, Pagani NR, Puzzitiello RN, Menendez ME, Barens CL. Perioperative Medical Optimization of Symptomatic Benign Prostatic Hyperplasia is an Economically Justified Infection Prevention Strategy in Total Joint Arthoplasty. J Arthroplasty. 2021 Jul;36(7):2551-2557. doi: https://doi.org/10.1016/j.arth.2021.02.059. Epub 2021 Feb 27.

• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Barnes CL, Kavolus JJ. Online Crowdsourcing to Explore Public Perceptions of Robotic-Assisted Orthopedic Surgery. J Arthroplasty. 2021 Jun;36(6):1887-1894.e3. doi: https://doi.org/10.1016/j.arth.2021.02.027. Epub 2021 Feb 15. 

• Puzzitiello RN, Menendez ME, Moverman MA, Pagani NR, Salzler MJ, Garrigues GE. Silver-Impregnated Occlusive Dressings are a Cost-Effective Strategy for Preventing Infection after Total Shoulder Arthroplasty. Seminars in Arthroplasty: JSES. 2021 Apr 3. doi: https://doi.org/10.1053/j.sart.2021.03.004. Online ahead of print.

• Puzzitiello RN, Moverman MA, Pagani NR, Menendez ME, Salzler MJ. Current Status Regarding the Safety of Inpatient Versus Outpatient Shoulder Arthroplasty: A Systematic Review. HSS Journal. 2021 Jul 5. doi: 10.1177/15563316211019398. Online ahead of print.

• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Kavolus JJ. The Cost-Effectiveness of Closed Incisional Negative Pressure Wound Therapy for Infection Prevention after Revision Total Knee Arthroplasty. J Knee Surg. 2021 Jan 28. doi: 10.1055/s-0041-1724137. Online ahead of print.

• Toppo AJ, Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Kavolus JJ. The Cost-Effectiveness of Silver-Impregnated Occlusive Dressings for Infection Prevention After Total Joint Arthroplasty. J Arthroplasty. 2021 May;36(5)175301757. doi: 10.1016/j.arth.2020.11.017. Epub 2020 Nov 16.

• Menendez ME, Moverman MA, Puzzitiello RN, Pagani NR, Ring D. The Telehealth Paradox in the Neediest Patients. J Natl Med Assoc. 2021 Jun:113(3):351-352doi: 10.1016/j.jnma.2020.09.144. Epub 2020 Oct 20.

• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Barnes CL, Kavolus JJ. Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Cost-Effective in Preventing Infection after Total Hip and Knee Arthroplasty. J Arthroplasty. 2021 Feb;36(2):700-704. doi: 10.1016/j.arth.2020.08.045. Epub 2020 Aug 27.

• Pagani NR, Varady NH, Chen AF, Rajaee SS, Kavolus JJ. Nationwide Analysis of Lower Extremity Periprosthetic Fractures. J Arthroplasty. 2021 Jan;36(1):317-324. doi: 10.1016/j.arth.2020.07.050. Epub 2020 Jul 25.

• Moverman MA, Puzzitiello RN, Pagani NR, Mahendraraj KA, Barnes CL, Jawa A, Menendez ME. Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic. J Arthroplasty. 2021 Feb;36(2):397-402.e2. doi: 10.1016/j.arth.2020.07.037. Epub 2020 Jul 20.

• Pagani NR, Leibman MI, Guss MS. Return to Play and Performance After Surgical Repair of Distal Biceps Tendon Ruptures in National Football League Athletes. J Shoulder Elbow Surg. 2021 Feb;30(2):346-351. doi: 10.1016/j.jse.2020.06.023. Epub 2020 Jul 7.

• Menendez ME, Moverman MA, Puzzitiello RN, Pagani NR, Namdari S. A Break-Even Analysis of Benzoyl Peroxide and Hydrogen Peroxide for Infection Prevention in Shoulder Arthroplasty. J Shoulder Elbow Surg. 2020 Nov;29(11):2185-2189. doi: 10.1016/j.jse.2020.06.019. Epub 2020 Jul 7.

• Puzzitiello RN, Pagani NR, Moverman MA, Moon AS, Menendez ME, Ryan SP. Inflammatory and Coagulative Considerations for the Management of Orthopaedic Trauma Patients with COVID-19: A Review of the Current Evidence and Our Surgical Experience. J Orthop Trauma. 2020;34(8):389-394. doi: 10.1097/BOT.0000000000001842.

• Li X, Pagani N, Curry EJ, Alolabi B, Dickens JF, Miller AN, Mesfin A. Factors Influencing Resident Satisfaction and Fellowship Selection in Orthopaedic Training Programs: An American Orthopaedic Association North American Travelling Fellowship Project. J Bone Joint Surg Am 2019; 101(10):e46. doi: 10.2106/JBJS.17.00928.

• Pagani NR, Cusano A, Li X. Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear. Arthrosc Tech 2018;7(2):e105-e112. doi: 10.1016/j.eats.2017.08.059. eCollection 2018 Feb.

• Cusano A, Pagani N, Li X. Pectoralis Major Muscle Transfer With the Sternal Head and Hamstring Autograft for Scapular Winging. Arthrosc Tech 2017;6(4):e1321-e1327. doi: 10.1016/j.eats.2017.05.015. eCollection 2017 Aug.

• Rayavarapu RR, Heiden B, Pagani N, Shaw MM, Shuff S, Zhang S, Schafer ZT. The role of multicellular aggregation in the survival of ErbB2-positive breast cancer cells during extracellular matrix detachment. J Biol Chem 2015;290(14):8722-33.

Presentations & Abstracts

• Pagani NR, Ramsden DM, Zink TM, Niu R, Ward DW, Bono JV, Talmo C. Failure Following Revision Total Hip Arthroplasty After Cobalt-Chrome Femoral Heads Are Placed on A Retained Femoral Stem. American Association of Hip and Knee Surgeons 2022 Annual Meeting, Dallas, TX. Poster Presentation. November 4-6, 2022.
• Pagani NR, Lan YT, Chen YW, Niu R, Chang DC, Talmo CT, Hollenbeck BL, Mattingly D, Smith EL. A Safe Number of Perioperative Opioids to Reduce the Risk of New Persistent Opioid Use Among Opioid-Naïve Patients Following Following Total Joint Arthroplasty New England Baptist Hospital 18^th Annual Research Symposium, Boston, MA. Oral Presentation. July 13, 2022.
• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Gordon M. Adverse Events Associated With Robotic-Assisted Total Joint Arthroplasty: An Analysis of the U.S. Food and Drug Administration MAUDE Database. American Academy of Orthopaedic Surgeons 2022 Annual Meeting, Chicago, IL. Podium Presentation. March 22-26, 2022.
• Pagani NR, Ramsden DM, Zink TM, Ward DW, Bono JV, Talmo C. Failure Following Revision Total Hip Arthroplasty After Cobalt-Chrome Femoral Heads Are Placed on A Retained Femoral Stem. American Academy of Orthopaedic Surgeons 2022 Annual Meeting, Chicago, IL. Poster Presentation. March 22-26, 2022.
• Pagani NR, Lung TY, Chen YW, Talmo CT, Hollenbeck BL, Mattingly D, Niu R, Chang DC, Smith EL. New Persistent Opioid Use Among Opioid Naïve Patients Following Total Joint Arthroplasty: Is There a Safe Quantity of Perioperative Opioids to Prescribe? American Academy of Orthopaedic Surgeons 2022 Annual Meeting, Chicago, IL. Poster Presentation. March 22-26, 2022.
• Pagani NR, Menendez ME, Moverman MA, Puzzitiello RN, Moon A, Ryan SP, Mears SC, Barnes CL. Cemented Fixation in Hemiarthroplasty for Femoral Neck Fractures is Cost-Effective in Preventing Post-Operative Periprosthetic Fracture. American Academy of Orthopaedic Surgeons 2022 Annual Meeting, Chicago, IL. Poster Presentation. March 22-26, 2022.
• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Barnes CL, Kavolus JJ. Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Cost-Effective in Preventing Infection after Total Hip and Knee Arthroplasty. American Academy of Orthopaedic Surgeons 2021 Annual Meeting, San Diego, CA. Poster Presentation. August 31-September 3, 2021.
• Pagani N, Guss M. Snapping Triceps Syndrome: Evaluation and Surgical Management. American Academy of Orthopaedic Surgeons 2021 Annual Meeting, San Diego, CA. Orthopaedic Video Theater. August 31-September 3, 2021.
• Pagani NR, Niu R, Chung M, Freccero DM, Smith EL. Is there a safe number of opioids to prescribe to opioid-naïve total joint arthroplasty patients? New England Baptist Hospital 17^th Annual Research Symposium, Boston, MA. Oral Presentation. July 14, 2021.
• Pagani NR, Moverman MA, Puzzitiello RN, Menendez ME, Barnes CL, Kavolus JJ. Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Cost-Effective in Preventing Infection after Total Hip and Knee Arthroplasty. Tufts University School of Medicine Office of Continuing Education and Tufts Medical Center Department of Orthopaedics Tibby Days Resident & Fellow Graduation Research Symposium, Boston, MA. Oral Presentation. June 17-18, 2021.
• Pagani NR, Varady NH, Chen AF, Rajaee SS, Kavolus JJ. Nationwide Analysis of Lower Extremity Periprosthetic Fractures. Tufts University School of Medicine Office of Continuing Education and Tufts Medical Center Department of Orthopaedics Tibby Days Resident & Fellow Graduation Research Symposium, Boston, MA. Oral Presentation. June 11-12, 2020.
• Pagani N, Guss M. Snapping Triceps Syndrome: Evaluation and Surgical Management. 75^th Annual Meeting of the American Society for Surgery of the Hand, San Antonio, TX. Hand eVideo Theater. October 1-3, 2020.
• Pagani N, Leibman M, Guss M. Return to Play and Performance After Surgical Repair of Distal Biceps Tendon Ruptures in National Football League Athletes. 75^th Annual Meeting of the American Society for Surgery of the Hand, San Antonio, TX. Poster Presentation. October 1-3, 2020.
• Pagani N, Curry EJ, Miller AN, Dickens J. Alolabi B, Mesfin A, Li X. Factors Influencing Resident and Fellow Satisfaction in Orthopaedic Training Programs. New England Orthopedic Society 2017 Spring Meeting, Hancock, MA, USA. Oral Presentation. June 2-4, 2017.
• Pagani N, Rayavarapu RR, Heiden B, Schafer ZT. The role of cell-cell contacts in the survival of extracellular matrix detached epithelial cells. American Association of Cancer Research Ninth Annual Undergraduate Student Caucus and Poster Competition, San Diego, CA. Poster Presentation. April 5-9, 2014.
• Pagani N, Schafer ZT. Ras Mediated Regulation of Caspase-3 Activity and Anoikis Protection in Breast Cancer. Harper Cancer Research Institute Annual Research Day, South Bend, IN. Poster Presentation. 2013.

Book Chapters

• Ryan S, Pagani N. Failure of Posterior Malleolar Fracture Fixation. Failed Fracture Fixation Made Easy. Ed. Tornetta P. (In press)

• Pagani N, Ryan S. Biomechanics of Plates, Screws, Rods, and External Fixation. AAOS Resident Curriculum­. Ed. Hayda, R. Illinois, American Academy of Orthopaedic Surgeons, 2021.

• Li X, Pagani NR. All-Arthroscopic Coracoclavicular Ligament Reconstruction for Type V Acromioclavicular Separation. Shoulder Surgery: Tricks of the Trade. Eds. Dines JS, Dines DM, Gulotta LV. New York, Thieme Publishers, 2019.