2019 Guest Speakers

L. Andrew Koman, MD

L. Andrew Koman, MD, earned his medical degree from Duke University School of Medicine in 1974 and completed additional postdoctoral training there, including an internship in pediatrics, residencies in general and orthopaedic surgery and a hand/microsurgery fellowship. He served on the faculty at Duke University for eighteen months before joining the orthopaedic surgery faculty at Wake Forest School of Medicine in 1981.

Koman’s research focuses primarily on two areas: microvascular physiology and pediatric cerebral palsy. He is a pioneer in the study and use of intramuscular injections of botulinum toxin to improve upper and lower extremity function of children with cerebral palsy. Through several multicenter clinical trials, he has shown the toxin injections as a safe, effective treatment strategy for spasticity associated with cerebral palsy, changing the way the disease is treated worldwide.

Other research efforts center on upper extremity vascular disorders and the control mechanisms involved in microcirculation. During his more than 40-year career, Koman has received multiple grants, including a grant from National Institutes of Health to examine microvascular control of patient upper extremities and treatments for cold sensitivity, blood clots, nerve repair, replantation and chronic pain. He developed the sympathectomy technique for Refractory Raynaud’s Syndrome that is the standard procedure for peripheral and periaterial sympathectomy used today. This unique approach encompasses the entire hand rather than the single digits.

Nationally recognized for excellence in research, he has received the American Academy of Orthopaedic Surgery’s Kappa Delta award and the Pediatric Orthopaedic Society of North America’s Huene Award. He has served as president of the Southern Orthopaedic Association, the Eastern Orthopaedic Association, the North Carolina Orthopaedic Association, the American Society of Surgery of the Hand and was the founder and first president of the North Carolina Society of Surgery of the Hand. He is editor-in-chief of the Journal of Surgical Orthopaedic Advances and has published four books and more than 200 articles and book chapters.

Koman works closely with pharmaceutical, orthopaedic manufacturing and other industry partners to create protocols, advance surgical techniques and further drug development. He is fascinated by the journey of scientific discovery and how ideas transform into mechanisms of care. He holds a patent in dose and localization of botulinum toxins in skin and muscle and developed an external fixator to correct deformities in upper and lower patient extremities. Most recently, he created a suture needle holder protective device for surgical procedures. Koman is also the chief medical officer for Keranetics, Inc., a company that develops treatment options for wound management, advanced wound healing and tissue regeneration.


COL(R) Carlton G. Savory, MD

COL(R) Carl Savory graduated from the United States Military Academy in 1967 and was commissioned as an Infantry Second Lieutenant. He completed Infantry Officers Basic, Airborne and Ranger training at Ft. Benning, Georgia. In 1968, he led the first Federal troops into the Baltimore following the assassination of Dr. Martin Luther King. Volunteering for service in Vietnam, he served as a Platoon Leader in the 173rd Airborne Brigade and Company "E", 20th Long Range Patrol, and  Company "C" Rangers, 75th Infantry. After Vietnam, he served in Germany in the 3rd Armored Division before returning to the University of Arizona for Medical School.

Following graduation, Dr. Savory completed his surgical internship and orthopedic residency at Letterman Army Medical Center and Shriners Hospital for Crippled Children in San Francisco. Dr. Savory was then assigned to Fort Bragg, NC, where he served as Chief of Orthopaedics at Womack Army Hospital and became involved in Special Operations. He assumed the lead in establishing a medical support program for 1st Special Forces Operations Detachment (Delta). He was the first Delta Force surgeon and later the first Command Surgeon of the Joint Special Operations Command (JSOC). Dr. Savory was also the Chief Medical Officer on the failed Iranian hostage rescue mission at Desert One.

In 1983 Dr. Savory completed a Fellowship in Adult Reconstructive Surgery at Johns Hopkins. Following fellowship, he  served at Walter Reed as Assistant Chief of Orthopaedics. That same year, he was part of the Long Commission, a blue ribbon panel appointed to investigate the Marine Corps barracks bombing in Beirut. He retired from the Army in 1987 and joined the Hughston Clinic in Columbus, Georgia.

In 1987 and 1988,Dr. Savory returned to Vietnam, on behalf of President Reagan and General John Vessey, to facilitate the resolution of POW/MIA issues. In 1990, he was recalled to active duty in support of the first Gulf War. During the invasion of Iraq, he was assigned to the 274th Forward Airborne Surgical Team, attached to 1st Brigade, 24th Infantry Division. Upon completion of the Gulf War, he returned to private practice at the Hughston Clinic where he practiced until retiring in 2016.