Andrew P. Gutow MD

Meet Dr. Gutow

Dr. Gutow is expert in the care of injuries and disorders of the hand and Upper Extremity. He has over 20 years of practice experience in treating the most complex fractures and injuries and in providing reconstructive surgery for arthritis and other disorders of upper extremity for thousand of patients. Patients often are referred to him for treatment of complex fractures of the upper extremity by other providers. In the treatment of disorders such as dupuytren contracture and carpal tunnel syndrome he performs office procedures and minimally invasive endoscopic treatments when possible. He has many years of experience in the use of microsurgery in the reimplantation of severed fingers and hands which methods also apply to the treatment of isolated nerve and blood vessel injuries.

Dr. Gutow is an active educator of other surgeons, speaking at national meetings and serving as an Adjunct Clinical Associate Professor at Stanford teaching and supervising the residents and fellows in orthopedics and plastic surgery in the treatment of patients with complex bone, tendon , nerve and blood vessel injuries of the arm. He is the author of many scientific articles and book chapters. He was an early developer of techniques for the minimally invasive treatment of scaphoid fractures and was an editor of a Hand Clinics dedicated to the treatment of Distal Radius ( wrist ) fractures.

What Makes Dr. Gutow Different?

When I am performing surgery on patients’ fractures and injuries I appreciate that my role is to use my experience and expertise to spend whatever time and efforts is needed to get the patient the best possible outcome from the injury they have suffered.

I work together with my patients to help them restore as much function as we can.

What His Patients Say

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“Dr. Gutow has performed a very complex operation on my right-hand wrist, to restructure the shuttered head of the radius bone. A 6 feet fall resulted in numerous fractures and major displacement of the bone particles. During more than 3 hours of operation Dr. Gutow installed a metal plate and about 11 screws to restructure the shuttered bone and realign the joint. 8 weeks post the operation, the healing process was swift, the recovery was absolutely exceptional. I regained already about 90% of the motion on the injured joint and the joint and bone pains are vanishing fast. As a veteran of numerous sports injuries and orthopedics surgeries, I can attest to the exceptional professionalism, dedication, commitment and care of Dr. Gutow. His humanistic approach to the patient , compassion, and involvement in the diagnostics, operation and recovery are exceptional, and stand out as an example of a top physician and human being. I am thankful for the opportunity to be treated by Dr. Gutow and most highly recommend Dr. Gutow as the top hand surgent. Thank you, Doctor!”

Avi K.

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“After a biking accident, Dr Gutow diagnosed me with a Bennet fracture in my left thumb. He was very professional, caring, good spirited and his whole team was great. Dr Gutow operated on my thumb 3-4 days after my accident and it was my first ever surgery. He re-worked his schedule based on my professional travel schedule. He was very reassuring and the surgery went perfectly. It has now been 3 months since the surgery and I went through some PT sessions based on recommendations from Dr Gutow. My hand is already almost back to normal and is on track for a full recovery. I would strongly recommend Dr Gutow. He is professional, pays attention to his patients, is caring and has a great team. Three of my friends were also operated by him and they all had great experiences.”

Thomas T.

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“I can't say enough positive things about Dr. Gutow! I have seen him a total of 4 times now. I fell and broke my left wrist in Oct, one week before relocating my residence 100 miles away. Dr. Gutow really accommodated me by scheduling my surgery before we moved, getting me the earliest spot available which meant he worked late into the evening. My surgery started at 5:15pm. His bedside manner was very pleasant. He was personable and compassionate to my situation. He allowed plenty of time to answer all of my questions. I have a nice piece of titanium jewelry(a plate) on my wrist to hold the bone together. Now nearly 3 months after surgery and 8 sessions with a physical therapist, my wrist is almost as good as new. The mobility and strength in my left hand is 95% of my right hand. Thanks Doc!

Lisa B.

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“Dr. Gutow and his auxiliary are wonderful. They are very professional. Dr. Gutow practices with compassion, humor, and practicality. He gave me all my options, discussed the risks, and took into consideration my concerns. He and his staff are prompt and comprehensive in replying to my many questions and concerns after and between visits. I'm just very happy that I am under his care.”

Sandy A.

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“I saw Dr. Gutow for injuries to my hand following a bike accident (broken finger, torn ligaments, dislocations, etc.). He was able to see me and operate on me within days. He's been attentive and considerate throughout my entire healing process, including remembering details from previous visits and my specific concerns, explaining things thoroughly, and being able to fit me in the day after surgery to address pain issues. I do agree there are often wait times at his office, but he's helpful, caring, and very good overall - I would recommend him.”

Sumi K.

Practice Locations

What’s your favorite activity to do in your free time?

Bicycling

Specialties

• Hand Surgery
• Upper Extremity Surgery

Medical Education & Training

• Medical School: University of Michigan, 1990
• Residency: Yale Orthopedic Surgery, 1995
• Internship: Yale General Surgery, 1991
• Fellowships: USC Joseph Boyes Hand and Microsurgery 1996
• Years in Practice: 24

Professional Affiliations

• Adjunct Clinical Associate Professor, Orthopedics, Stanford Medical School

Publications

1. Percutaneous fixation of scaphoid fractures.
   Gutow AP. J Am Acad Orthop Surg. 2007 Aug;15(8):474-85. doi: 10.5435/00124635-200708000-00004. PMID: 17664367
2. Avoidance and treatment of complications of distal radius fractures.
   Gutow AP. Hand Clin. 2005 Aug;21(3):295-305. doi: 10.1016/j.hcl.2005.04.004. PMID: 16039441
3. Percutaneous internal fixation of scaphoid fractures via an arthroscopically assisted dorsal approach.
   Slade JF 3rd, Gutow AP, Geissler WB. J Bone Joint Surg Am. 2002;84-A Suppl 2:21-36. doi: 10.2106/00004623-200200002-00003. PMID: 12479336
4. Intra-articular distal radius fractures: arthroscopic assessment of radiographically assisted reduction.
   Edwards CC 2nd, Haraszti CJ, McGillivary GR, Gutow AP. J Hand Surg Am. 2001 Nov;26(6):1036-41. doi: 10.1053/jhsu.2001.28760. PMID: 11721247
5. How surgeons make decisions when the evidence is inconclusive.
   Hageman MG, Guitton TG, Ring D; Science of Variation Group. J Hand Surg Am. 2013 Jun;38(6):1202-8. doi: 10.1016/j.jhsa.2013.02.032. Epub 2013 May 4. PMID: 23647639
6. Surgeon volume and operative mortality.
   Gutow AP. N Engl J Med. 2004 Mar 18;350(12):1256-8; author reply 1256-8. doi: 10.1056/NEJM200403183501217. PMID: 15028832
7. Arthroscopy of the metacarpophalangeal joint.
   Slade JF 3rd, Gutow AP. Hand Clin. 1999 Aug;15(3):501-27. PMID: 10451827
8. The management of bone defects of the forearm after trauma.
   Stevanovic M, Gutow AP, Sharpe F. Hand Clin. 1999 May;15(2):299-318. PMID: 10361640
9. Effects of calcitonin gene-related peptide on bone turnover in ovariectomized rats.
   Valentijn K, Gutow AP, Troiano N, Gundberg C, Gilligan JP, Vignery A. Bone. 1997 Sep;21(3):269-74. doi: 10.1016/s8756-3282(97)00142-7. PMID: 9276092

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Academic Publications

1. Byers BA, Graw BP, Baksh D, Mauck RL, Rackwitz L, Tuan RS. Compromised Maturation of Tissue-Engineered Cartilage in the Presence of Pro-Inflammatory Cytokines IL-1 and TNF. 53rd Annual Orthopedic Research Society Meeting, San Diego, CA, 32:663, 2007.
2. Graw BP and Wiesel SW. Low Back Pain in the Aging Athlete. Contemporary Spine Surgery. Volume 9 Number 5 May 2008. Lippincott Williams and Wilkins.
3. Graw BP and Wiesel SW, Low Back Pain in the Aging Athlete. Sports Med and Arthroscopy Review. 2008 Mar; 16(1):39-46. PMID: 18277261
4. Graw BP, Giori N. Rotational Alignment of the Proximal Tibia. 2010 American Academy of Orthopaedic Surgeons Annual Meeting, New Orleans, LA. Podium Presentation.
5. Graw BP, Giori N. Rotational Alignment of the Proximal Tibia. 123rd Annual Meeting of the American Orthopaedic Association, June 2010, San Diego, CA. Poster Presentation.
6. Graw BP, Goodman SB, Woolson ST, Huddleston JI. Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty. 123rd Annual Meeting of the American Orthopaedic Association, June 2010, San Diego, CA. Poster Presentation
7. Graw BP, Goodman SB, Woolson ST, Huddleston JI. Minimal Incision Surgery as a Risk Factor for Early Failure of Total Hip Arthroplasty. 123rd Annual Meeting of the American Orthopaedic Association, June 2010, San Diego, CA. Poster Presentation.
8. Irani AR, Graw BP, Goodman SB. Bilateral Knee Arthrodesis in a Patient with Common Variable Immunodeficieincy. Journal of Arthroplasty. 2010 Oct;25(7):1169. PMID: 19729268
9. Graw BP, Woolson ST, Huddleston HG, Goodman SB, Huddleston JI. Minimal Incision Surgery as a Risk Factor for Early Failure of Total Hip Arthroplasty. Clinical Orthopedics and Related Research. 2010 Sep; 468(9):2372-6. PMID: 20352391
10. Graw BP, Harris AH, Tripuraneni KR, Giori NJ. Rotational References for Total Knee Arthroplasty Tibial Components Change with Level of Resection. Clinical Orthopaedics and Related Research. 2010 Oct; 468 (10): 2734-8. PMID: 20352384
11. Graw BP, Woolson S, Huddleston JI. Candida Infection in Total Knee Arthroplasty with Successful Reimplantation. Journal of Knee Surgery 2010; 23: 169-174. PMID: 21329258
12. Mayle RE, Graw BP, Huddleston HG, Woolson ST, Goodman SB, Huddleston JI. Minimal Incision Total Knee Arthroplasty: A Risk Factor for Early Revision Surgery, Journal of Knee Surgery, Accepted December 28, 2011. PMID: 23150354
13. Hartford JM, Graw BP, Frosch DL, Knowles S. Isolated Greater Trochanteric Fracture and the Direct Anterior Approach Using a Fracture Table. American Association of Hip and Knee Surgeons. Annual Meeting 2017, November 2017, Poster Presentation.
14. Hartford JM, Graw BP, Frosch DL, Knowles S. Isolated Greater Trochanteric Fracture and the Direct Anterior Approach Using a Fracture Table. Journal of Arthroplasty. 2018 Jul; 33(7S):S253-S258. PMID: 29555500
15. Hartford JM, Graw BP, Frosch DL, Knowles S. Isolated Greater Trochanteric Fracture and the Direct Anterior Approach Using a Fracture Table. Rapid Fire Presentation, Total Joint Replacement. Western Orthopedic Association, Annual Meeting 2018, Aspen, Colorado.
16. Graw B, Hartford J, Cooper J, Frosch, D, Yu, E, Balazsy L, Wilson Jones, K. Electronic Platform Enhances Patient-Reported Outcome Measure Collection for Total Hip and Knee Arthroplasty within a Multispecialty Group. Poster Presentation, American Academy Association of Orthopedic Surgery, Annual Meeting 2019, Las Vegas, Nevada.
17. Furnas HJ, Graw GJ, Cho MJ, Othman S, Graw B, Percec I. Safety in Female Genital Plastic Surgery. Plast Reconstr Surg. [publication in process].
18. Hartford J, Graw B. Perioperative Complications Stratified by Body Mass Index (BMI) for the Direct Anterior Approach to Total Hip Arthroplasty. Journal of Arthroplasty. April 2020. PMID: 32389402