Dr. Tosti is a fellowship trained, board certified Orthopaedic Surgeon who specializes in all conditions of the hand, wrist and elbow. He serves as Associate Professor of Orthopaedic Surgery at Thomas Jefferson University and Drexel University. He is a consulting physician for the Ultimate Fighting Championships, World Boxing Organization, and Bare Knuckle Boxing Championships.

Dr. Tosti received his medical degree from Temple University School of Medicine and trained as Chief Resident in orthopaedic surgery and sports medicine at Temple University Hospital and Shriners Hospital for Children. Dr. Tosti completed the prestigious Hand, Wrist, Elbow, and Microvascular Surgery Fellowship at Harvard Medical School’s Massachusetts General Hospital and Boston Children’s Hospital during a year when U.S. News and World Report ranked both hospitals #1 in the nation. Dr. Tosti’s fellowship was a combined program that integrated him in both the orthopaedic surgery and plastic surgery departments.

Dr. Tosti specializes in trauma and post-traumatic reconstruction of the upper extremity, which includes fractures, arthroscopy, and tendon, nerve, or ligament lacerations. He performs microsurgery procedures including limb salvage surgery, replantation of fingers, hands, and arms, toe to thumb transfer, and free tissue transfers. He cares for injuries and degenerative diseases of the hand, wrist, elbow, and some shoulder conditions. He also treats children for injuries and some congenital conditions.  He has authored and published over 50 peer reviewed journal articles, given over 100 national or regional presentations, wrote 14 textbook chapters and served as senior editor on two textbooks. He is the recipient of numerous “Top Doctor” honors and national research awards. He is currently the hand surgery fellowship director at the Rothman-Thomas Jefferson Program.

• “Top Doctor” Philadelphia Magazine 2025
• Castle Connolly Top Doctor 2025
• “Man of Influence” Philadelphia Style Magazine Nov 2024
• Top 30 Poster at ASSH Annual Meeting 2024 for “Scaphoid Fractures, Is a Single Screw Enough?”
• “Top Doctor” Mainline Today Magazine 2024
• “Top Doctor” Philadelphia Magazine 2024
• Castle Connolly Top Doctor 2024
• “Young Leader” American Society for Surgery of the Hand 2023
• “Top Doctor” Philadelphia Magazine 2023
• Castle Connolly Top Doctor 2023
• President: Philadelphia Hand Society 2021-2022
• 1st Place Research Philadelphia Hand Society Annual Meeting 2022. “All Inside vs Outside In TFCC Repair”
• “Top Doctor” Philadelphia Magazine 2022
• “Top Doctor” Castle Connolly 2022
• 1st Place Research Philadelphia Hand Society Annual Meeting 2021. “Intraobserver Agreement in Radiographic Interpretation of Distal Radius Fractures on PACS vs Iphone”
• “Rising Star” Castle Connolly 2021
• “Top Doc” Suburban Life Magazine 2021
• “Top Doc” Suburban Life Magazine 2020
• “Top Physician Under 40” by the Pennsylvania Medical Society 2018
• 1st Place Winner John R. Gregg Memorial Resident Bowl. Philadelphia Orthopaedic Society. 2015.
• 3rd place Resident Research Day hosted by Temple University Department of Orthopaedic Surgery and Sports Medicine. 2015. “Developing a pollicization outcomes measure.” Judged by William De Long, MD and F. Todd Wetzel, MD.

• “Highlighted Poster” for Hand and Wrist Guided Poster Tours at the American Academy of Orthopaedic Surgeons Annual Meeting 2014. “Emerging multi-drug resistance of methicillin resistant staphylococcus aureus in hand infections.” Judged by Terry Light, MD.

• “Julian M. Bruner Award for Best Poster of the ASSH” at the American Society for Surgery of the Hand Annual Meeting 2013. “Prospective evaluation of pronator quadratus repair following volar plate fixation of distal radius fractures.” Judged by Richard Bernstein, MD and the Scientific Displays Committee.

• 2nd place Resident Research Day hosted by Temple University Department of Orthopaedic Surgery and Sports Medicine. 2013. Judged by Frank Liporace, MD.

• “Best of the AAOS” by the Hand and Wrist Committee for podium presentation at the American Academy of Orthopaedic Surgeons Annual Meeting 2012. “Is antibiotic prophylaxis necessary in elective soft tissue hand surgery?” Judged by Fraser Leversedge, MD.

• 1st place Resident Research Day hosted by Temple University Department of Orthopaedic Surgery and Sports Medicine. 2011. Judged by Thomas DiPasquale, DO.

• 2nd place Resident Research hosted by the Pennsylvania Orthopaedic Society. 2011. Judged by Thomas Muzzonigro, MD.

• Honorable Mention by the Annenberg Anatomy Competition 2005. Judged by Spine Faculty of Lankenau Hospital, Philadelphia PA.

Education: 

• Fellowship: Harvard Medical School – Hand Wrist Elbow Microvascular Surgery
• Residency: Temple University School of Medicine – Orthopaedic Surgery
• Medical School: Temple University School of Medicine – MD
• Undergraduate: Pennsylvania State Univeristy – BS General Science

BOARD CERTIFICATION:

• American Board of Orthopaedic Surgery
• Subspecialty Certificate in Surgery of the Hand