About me
Li Felländer-Tsai, MD, Dr Med Sc, was appointed full professor and senior consultant in orthopaedic surgery at Karolinska Institutet and Karolinska University Hospital in 2006.
Between May 1 2001 - March 31 2017 she was chairman at the Department KARO, later the Center for Surgical Sciences followed by the Department of Clinical Science, Intervention and Technology which is a merger between the Center for Surgical Sciences and the Department of Clinical Science.
Li Felländer-Tsai is director of the Center for Advanced Medical Simulation and Training (CAMST). As an orthopaedic surgeon she is active in orthopaedic research, education and training as well as advanced surgical technology. She is past president of the European Federation of National Associations of Orthopaedics and Traumatology (efort.org) and Deputy Editor of Acta Orthopaedica. Li Felländer-Tsai is past president of the Swedish Orthopaedic Association (2012-2016) and past president of the Nordic Orthopaedic Federation (2016-2018). She is past registrar and chairman of the Swedish ACL Register (National quality registry for cruciate ligament injuries). She chaired the process of Accreditation of the Center for Advanced Medical Simulation and Training as an American College of Surgeons Level I (Comprehensive) Educational Institute. In 2001 she was awarded Karolinska Institutets annual Pedagogical Prize. In 2017 she was appointed honorary member of the Swedish Orthopaedic Association and in 2023 she was appointed honorary member of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT). Li Felländer-Tsai has served as expert reviewer for e.g. The Swiss National Science Foundation, The Norwegian Research Council, Copenhagen University, Copenhagen Health Science Partners and Tartu University. She has previously been consultant orthopaedic surgeon for the Cullberg Ballet Company.
She has supervised 15 completed PhD theses at Karolinska Institutet and served as external examiner (opponent) for numerous PhD theses both in Sweden and internationally.
Research description
Muscoloskeletal disease and trauma:
Li Felländer-Tsais research focuses on recovery after injury and surgery of the musculoskeletal system, rehabilitation and also tissue metbolism. She has developed and implemented a technique for monitoring of synovial tissue metabolism and inflammation with intraoperative and postoperative microdialysis. Other fields of her research include trauma and tissue regeneration.
Her research includes epidemiological aspects of trauma and surgery.
The goal is optimal pain relief and healing with good joint function, minimizing adverse long term effects including osteoarthritis.
Advanced medical simulation and training:
The vision of this research field is to create a new de-facto standard for training technical and non technical skills (team behaviour) in high stakes healthcare with advanced medical simulators, where ergonomic principles are followed, and thus optimize patient safety. The aim is also to develop valid and reliable training and assessment instruments for technical skills so that individual training programs can be developed in which individual factors such as working memory and visuospatial ability can be targeted. When valid measures of team behavior and surgical skills are established, these can be translated into evidence-based training and education with both theory and practice. The ultimate goal is advanced state-of-the-art courses for trainers ( "train the trainer" course) with modern principles of both team training and advanced skills training. By training instructors and teachers the next generation of healthcare professionals will improve skills and attitudes in favour of patient safety.
Selected publications:
Does patient-surgeon sex discordance impact adverse events following primary total hip arthroplasty?
Technology-Enhanced Learning of Human Trauma Biomechanics in an Interprofessional Student Context
Pandemic pressure: policy, politics, profession, and rapid publication
Fractures after kidney transplantation: Incidence, predictors, and association with mortality
Pandemic pressure: policy, politics, profession, and rapid publication
Incidence of Fractures Before and After Dialysis Initiation
Major fractures after initiation of dialysis: Incidence, predictors and association with mortality.
Iseri K, Carrero JJ, Evans M, Felländer-Tsai L, Berg H, Runesson B, et al
Bone 2020 Jan;():115242
AI ethics, accountability, and sustainability: revisiting the Hippocratic oath.
Felländer-Tsai L
Acta Orthop 2020 Feb;91(1):1-2
Operative versus non-operative treatment for 2-part proximal humerus fracture: A multicenter randomized controlled trial. Launonen AP, Sumrein BO, Reito A, Lepola V, Paloneva J, Jonsson KB, Wolf O, Ström P, Berg HE, Felländer-Tsai L, Jansson KÅ, Fell D, Mechlenburg I, Døssing K, Østergaard H, Märtson A, Laitinen MK, Mattila VM; as the NITEP group. PLoS Med. 2019 Jul 18;16(7):e1002855. doi: 10.1371/journal.pmed.1002855. eCollection 2019 Jul.
Younger patients and smokers report a higher level of pain after knee arthroscopy: a clinical and experimental study including synovial metabolism.
Berglund L, Stålman A, Dungner E, Qureshi AR, Kumlin M, Felländer-Tsai L
Knee Surg Sports Traumatol Arthrosc 2019 Feb;27(2):471-477
Learning through a virtual patient vs. recorded lecture: a comparison of knowledge retention in a trauma case.
Courteille O, Fahlstedt M, Ho J, Hedman L, Fors U, von Holst H, et al
Int J Med Educ 2018 Mar;9():86-92
How to tackle the orthopedic maze.
Felländer-Tsai L
Acta Orthop 2017 10;88(5):465
Video analysis in basic skills training: a way to expand the value and use of BlackBox training?
Oussi N, Loukas C, Kjellin A, Lahanas V, Georgiou K, Henningsohn L, et al
Surg Endosc 2018 01;32(1):87-95
Medical students' situational motivation to participate in simulation based team training is predicted by attitudes to patient safety.
Escher C, Creutzfeldt J, Meurling L, Hedman L, Kjellin A, Felländer-Tsai L
BMC Med Educ 2017 Feb;17(1):37
The Effect of Socioeconomic Status on the Choice of Treatment for Patients With Cruciate Ligament Injuries in the Knee: A Population-Based Cohort Study.
Nordenvall R, Marcano AI, Adami J, Palme M, Mattila VM, Bahmanyar S, et al
Am J Sports Med 2017 03;45(3):535-540
Trends in the Incidence of Clavicle Fractures and Surgical Repair in Sweden: 2001-2012.
Huttunen TT, Launonen AP, Berg HE, Lepola V, Felländer-Tsai L, Mattila VM
J Bone Joint Surg Am 2016 Nov;98(21):1837-1842
Proximal humeral fractures in Sweden-a registry-based study.
Sumrein BO, Huttunen TT, Launonen AP, Berg HE, Felländer-Tsai L, Mattila VM
Osteoporos Int 2017 03;28(3):901-907
Traumatic transfers: calibration is adversely affected when prediction models are transferred between trauma care contexts in India and the United States.
Gerdin M, Roy N, Felländer-Tsai L, Tomson G, von Schreeb J, Petzold M, et al
J Clin Epidemiol 2016 06;74():177-86
Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students' Experiences Using a Multiplayer Virtual World.
Creutzfeldt J, Hedman L, Felländer-Tsai L
JMIR Serious Games 2016 Dec;4(2):e22
Visual-spatial ability is more important than motivation for novices in surgical simulator training: a preliminary study.
Schlickum M, Hedman L, Felländer-Tsai L
Int J Med Educ 2016 Feb;7():56-61
Post-operative bracing after ACL reconstruction has no effect on knee joint effusion. A prospective, randomized study.
Lindström M, Wredmark T, Wretling ML, Henriksson M, Felländer-Tsai L
Knee 2015 Dec;22(6):559-64
Cruciate ligament reconstruction and risk of knee osteoarthritis: the association between cruciate ligament injury and post-traumatic osteoarthritis. a population based nationwide study in Sweden, 1987-2009.
Nordenvall R, Bahmanyar S, Adami J, Mattila VM, Felländer-Tsai L
PLoS ONE 2014 ;9(8):e104681
Predicting early mortality in adult trauma patients admitted to three public university hospitals in urban India: a prospective multicentre cohort study.
Gerdin M, Roy N, Khajanchi M, Kumar V, Dharap S, Felländer-Tsai L, et al
PLoS ONE 2014 ;9(9):e105606
Early hospital mortality among adult trauma patients significantly declined between 1998-2011: three single-centre cohorts from Mumbai, India.
Gerdin M, Roy N, Dharap S, Kumar V, Khajanchi M, Tomson G, et al
PLoS ONE 2014 ;9(3):e90064
Incidence of knee dislocation and concomitant vascular injury requiring surgery: a nationwide study.
Sillanpää PJ, Kannus P, Niemi ST, Rolf C, Felländer-Tsai L, Mattila VM
J Trauma Acute Care Surg 2014 Mar;76(3):715-9
Acute achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012.
Huttunen TT, Kannus P, Rolf C, Felländer-Tsai L, Mattila VM
Am J Sports Med 2014 Oct;42(10):2419-23
Diclofenac and triamcinolone acetonide impair tenocytic differentiation and promote adipocytic differentiation of mesenchymal stem cells.
Fredriksson M, Li Y, Stålman A, Haldosén LA, Felländer-Tsai L
J Orthop Surg Res 2013 Sep;8():30
A population-based nationwide study of cruciate ligament injury in Sweden, 2001-2009: incidence, treatment, and sex differences.
Nordenvall R, Bahmanyar S, Adami J, Stenros C, Wredmark T, Felländer-Tsai L
Am J Sports Med 2012 Aug;40(8):1808-13
Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study.
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Felländer-Tsai L
World J Surg 2009 Nov;33(11):2360-7
Temperature-sensitive release of prostaglandin E₂ and diminished energy requirements in synovial tissue with postoperative cryotherapy: a prospective randomized study after knee arthroscopy.
Stålman A, Berglund L, Dungnerc E, Arner P, Felländer-Tsai L
J Bone Joint Surg Am 2011 Nov;93(21):1961-8
Ketorolac but not morphine exerts inflammatory and metabolic effects in synovial membrane after knee arthroscopy: a double-blind randomized prospective study using the microdialysis technique.
Stålman A, Tsai JA, Segerdahl M, Dungner E, Arner P, Felländer-Tsai L
Reg Anesth Pain Med ;34(6):557-64
Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions.
Meurling L, Hedman L, Sandahl C, Felländer-Tsai L, Wallin CJ
BMJ Qual Saf 2013 Jun;22(6):485-94
Cancellations of elective surgery may cause an inferior postoperative course: the ‘invisible hand’ of health-care prioritization? https://doi.org/10.1258/ce.2011.011005
Education
MD Karolinska Institutet 1991
Dr Med Sc Karolinska Institutet 1992
Appointed associate professor at Karolinska Institutet 1996
Internship and residency in orthopaedic surgery 1992-1999
Board certified orthopaedic surgeon 1999
Fellow with professor Lyle Micheli, Childrens Hospital Harvard University, during spring 1996
Consultant in Orthopaedic surgery 1999-2006
Appointed full professor and senior consultant in orthopaedic surgery at Karolinska Institutet and Karolinska University Hospital 2006
Academic honours, awards and prizes
1998: The award "The outstanding young persons of the world (TOYP)" in the category academic leadership and research, Sweden.
2001: Karolinska Institutets annual Pedagogical Prize.
2017: Appointed honorary member of the Swedish Orthopaedic Association.
2023: Appointed honorary member of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT).