Rafael J. Sierra, MD

Contact Information

  • Name: Rafael J. Sierra
  • Degree: MD
  • Title / Position: Associate Professor of Orthopaedic Surgery / Member Hip Preservation Advisory Board
  • Place of Employment / Office Name: Mayo Clinic
  • Street Address: 200 First Street SW
  • City: Rochester
  • State/Province: Minnesota
  • Zip/Postal code: 55905
  • Country: United States
  • Office phone number: 507.284.2226
  • Medical or Surgical Specialty: Orthopaedic Surgery, Young Hip Disease

Professional Education and Memberships

  • Medical School: Pontificia Universidad Javeriana, Bogota, Columbia
  • Residency: Mayo Clinic
  • Fellowship training:

    Mueller Foundation, European Travling Fellowship, Insall Fellowship, University of Miami

  • Certifications:

    American Board of Orthopaedic Surgeons

  • Society Memberships (list up to four only):
    • American Association of Hip and Knee Surgeons (AAHKS)
    • Academic Network of Conservational Hip Outcomes Research (ANCHOR)
    • Mueller Foundation
    • American Academy of Orthopaedic Surgeons (AAOS)
  • Specific training in hip dysplasia:

    Reinhold Ganz Fellow

  • Academic contributions for DDH research or education including publications:
    • Kalberer F, Sierra RJ, Madan SS, Ganz R, Leunig M. Ischial spine projection into the pelvis : a new sign for acetabular retroversion.  Clin Orthop Relat Res. 2008 Mar; 466(3):677-83. Epub 2008 Feb 10. PMID:18264856. PMCID:2505226. DOI:10.1007/s11999-007-0058-6.
    • Yuan BJ, Sierra RJ, Trousdale RT. Femoral-acetabular impingement.  Orthopedics. 2008 Sep; 31(9):890-2.  PMID:18814602.
    • Clohisy JC, Carlisle JC, Beaule PE, Kim YJ, Trousdale RT, Sierra RJ, Leunig M, Schoenecker PL, Millis MB. A systematic approach to the plain radiographic evaluation of the young adult hip.  J Bone Joint Surg – American Volume. 2008 Nov; 90A(Suppl 4):47-66.
    • Sierra RJ, Trousdale RT, Ganz R, Leunig M. Hip disease in the young, active patient: evaluation and nonarthroplasty surgical options.  J Am Acad Orthop Surg. 2008 Dec; 16(12):689-703.  PMID:19056918.
    • Sierra RJ, Trousdale RT. Labral reconstruction using the ligamentum teres capitis: report of a new technique.  Clin Orthop Relat Res. 2009 Mar; 467(3):753-9. Epub 2008 Dec 02.  PMID:19048354. PMCID:2635467. DOI:10.1007/s11999-008-0633-5.
    • Millis MB, Kain M, Sierra R, Trousdale R, Taunton MJ, Kim YJ, Rosenfeld SB, Kamath G, Schoenecker P, Clohisy JC. Periacetabular osteotomy for acetabular dysplasia in patients older than 40 years: a preliminary study.  Clin Orthop Relat Res. 2009 Sep; 467(9):2228-34. Epub 2009 May 07.  PMID:19421831. PMCID:2866943. DOI:10.1007/s11999-009-0824-8.
    • Schoeniger R, Espinosa N, Sierra RJ, Leunig M, Ganz R. Role of the extraosseus blood supply in osteoarthritic femoral heads?  Clin Orthop Relat Res. 2009 Sep; 467(9):2235-40. Epub 2009 Apr 21. PMID:19384562. PMCID:2866934. DOI:10.1007/s11999-009-0839-1.
    • Sierra RJ, Schoeniger SR, Millis M, Ganz R. Periacetabular osteotomy for containment of the nonarthritic dysplastic hip secondary to poliomyelitis.  J Bone Joint Surg Am. 2010 Dec 15; 92(18):2917-23. PMID:21159992. DOI:10.2106/JBJS.I.00753.
    • Rhee PC, Woodcock JA, Clohisy JC, Millis M, Sucato DJ, Beaule PE, Trousdale RT, Sierra RJ, Academic Network for Conservational Hip Outcomes Research Group. The Shenton line in the diagnosis of acetabular dysplasia in the skeletally mature patient.  J Bone Joint Surg Am. 2011 May; 93 Suppl 2:35-9.  PMID:21543686. DOI:10.2106/JBJS.J.01717.
    • Zaltz I, Beaule P, Clohisy J, Schoenecker P, Sucato D, Podeszwa D, Sierra R, Trousdale R, Kim YJ, Millis MB. Incidence of deep vein thrombosis and pulmonary embolus following periacetabular osteotomy.  J Bone Joint Surg Am. 2011 May 4; 93A(Suppl 2):62-5.
    • Sink EL, Beaule PE, Sucato D, Kim YJ, Millis MB, Dayton M, Trousdale RT, Sierra RJ, Zaltz I, Schoenecker P, Monreal A, Clohisy J. Multicenter study of complications following surgical dislocation of the hip.  J Bone Joint Surg Am. 2011 Jun 15; 93(12):1132-6.  PMID:21571987. DOI:10.2106/JBJS.J.00794.
    • Larson AN, Stans AA, Sierra RJ. Ischial spine sign reveals acetabular retroversion in Legg-Calve-Perthes disease.  Clin Orthop Relat Res. 2011 Jul; 469(7):2012-8. Epub 2011 Jan 29.  PMID:21279483. PMCID:3111771. DOI:10.1007/s11999-011-1793-2.
    • Sink EL Leunig M Zaltz I Gilbert JC Clohisy J, Academic Network for Conservational Hip Outcomes Research Group. Reliability of a complication classification system for orthopaedic surgery. Clin Orthop Relat Res. 2012; 470(8):2220-6. PMID:22528377.
    • Boone GR, Pagnotto MR, Walker JA, Trousdale RT, Sierra RJ. Caution should be taken in performing surgical hip dislocation for the treatment of femoroacetabular impingement in patients over the age of 40.  HSS Journal. 2012; 8(3):230-4.
    • Larson AN, Sierra RJ, Yu EM, Trousdale RT, Stans AA. Outcomes of slipped capital femoral epiphysis treated with in situ pinning.  J Pediatr Orthop. 2012 Mar; 32(2):125-30.  PMID:22327445. DOI:10.1097/BPO.0b013e318246efcb.
    • Dapuzzo MR, Sierra RJ. Acetabular considerations during total hip arthroplasty for hip dysplasia.  Orthop Clin North Am. 2012 Jul; 43(3):369-75.  PMID:22819164. DOI:10.1016/j.ocl.2012.05.012.
    • Sierra RJ, Beaule P, Zaltz I, Millis MB, Clohisy JC, Trousdale RT, ANCHOR group. Prevention of nerve injury after periacetabular osteotomy.  Clin Orthop Relat Res. 2012 Aug; 470(8):2209-19. Epub 2012 Jun 09.  PMID:22684336. PMCID:3392380. DOI:10.1007/s11999-012-2409-1.
    • Nepple JJ, Larson CM, Smith MV, Kim YJ, Zaltz I, Sierra RJ, Clohisy JC. The reliability of arthroscopic classification of acetabular rim labrochondral disease.  Am J Sports Med. 2012 Oct; 40(10):2224-9. Epub 2012 Aug 27.  PMID:22926746. DOI:10.1177/0363546512457157.
    • Boone G, Pagnotto MR, Walker JA, Trousdale RT, Sierra RJ. Radiographic features associated with differing impinging hip morphologies with special attention to coxa profunda.  Clin Orthop Relat Res. 2012 Dec; 470(12):3368-74.  PMID:22926444. PMCID:3492630. DOI:10.1007/s11999-012-2539-5.
    • Walker JA, Pagnotto M, Trousdale RT, Sierra RJ. Preliminary pain and function after labral reconstruction during femoroacetabular impingement surgery.  Clin Orthop Relat Res. 2012 Dec; 470(12):3414-20.  PMID:22864618. PMCID:3492611. DOI:10.1007/s11999-012-2506-1.
    • Peters CL, Sierra RJ, Session Participants. Report of breakout session: Intraarticular work during periacetabular osteotomy–simultaneous arthrotomy or hip arthroscopy? Clin Orthop Relat Res. 2012 Dec; 470(12):3456-8. PMID:22723243. PMCID:3492642. DOI:10.1007/s11999-012-2414-4.
    • Peters CL, Beaule PE, Beck M, Tannast M, Jiranek W, Sierra RJ. Report of breakout session: Strategies to improve hip preservation training. Clin Orthop Relat Res. 2012 Dec; 470(12):3467-9. PMID:22790592. PMCID:3492594. DOI:10.1007/s11999-012-2449-6
    • Clohisy JC, Baca G, Beaule PE, Kim YJ, Larson CM, Millis MB, Podeszwa DA, Schoenecker PL, Sierra RJ, Sink EL, Sucato DJ, Trousdale RT, Zaltz I. Descriptive epidemiology of femoroacetabular impingement: A North American Cohort of patients undergoing surgery. Am J Sports Med. 2013; 41(6):1348-56.
    • Sierra RJ. The management of acetabular retroversion with reverse periacetabular osteotomy. Instr Course Lect. 2013; 62:305-13. PMID:23395036.
    • Yuan BJ, Bartelt RB, Levy BA, Bond JR, Trousdale RT, Sierra RJ. Decreased range of motion is associated with structural hip deformity in asymptomatic adolescent athletes. Am J Sports Med. 2013 Jul; 41(7):1519-25. Epub 2013 May 22. PMID:23698387. DOI:10.1177/0363546513488748.
    • Baghdadi YM, Larson AN, Sierra RJ, Peterson HA, Stans AA. The fate of hips that are not prophylactically pinned after unilateral slipped capital femoral epiphysis. Clin Orthop Relat Res. 2013 Jul; 471(7):2124-31. PMID:23283674. PMCID:3676633. DOI:10.1007/s11999-012-2762-0.

Practice Information

  • Age groups you are accepting new hip dysplasia patients: Adolescents, Adults
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