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Adult Reconstruction Fellowship

Adult Reconstructive Surgery of the Hip & Knee

A twelve-month fellowship in adult reconstructive surgery is offered beginning August 1st each year. A large surgical volume and abundant hands on experience should best prepare one for a career in private practice focused on joint replacements.

 

This one-on-one, hands-on fellowship provides exposure to complex primary and revision total hip and knee arthroplasties, minimally invasive joint replacement, hip arthroscopy, and joint sparing techniques. Special emphasis is given to developing surgical techniques, instrumentation, and implant design. Clinical evaluation and non-surgical management of arthroplasty problems are also emphasized.

 

Because fellows are given considerable surgical autonomy, a broad surgical experience prior to commencement of the fellowship year is mandatory.

 

Ability to attend AAOS and AAHKS annual meetings 1 week paid educational course Anticipated Research Production 1 clinical research project to be completed and submitted to peer reviewed orthopedic journal
Ability to attend AAOS and MSTS annual meetings Not Applicable Surgical Case Volume – Primary THR 200/year
Surgical Case Volume -Revision THR 80/year Surgical Case Volume – Primary TKR 200/year
Surgical Case Volume – Revision TKR 100/year Surgical Case Volume-Joint Preservation Procedure 50/year
Program Director Parminder Kang, MD

 

Fellowship Educational Goals

  1. Be able to choose appropriate implants for various etiologies (OA, pathologic fractures, DDH, failed primary, etc.) and various anatomies.
  2. Be able to execute the preoperative plan (based on digital and manual templating) in an efficient and reproducible fashion
  3. Understand the etiologies that lead to failure of primary hip and knee replacements (instability, osteolysis, loosening, infection, metallosis, trunionosis, squeaking, catastrophic component failure, etc.)
  4. Perform an efficient knee revision
            a. Plan for various constraint (constrained, hinge, distal femoral replacement)
            b. Efficient component removal

                    i. Quad snip vs. Tibial tubercle osteotomy for exposure
                    ii. Tools for component removal

            c. Achieve stable fixation by understanding metaphyseal bone loss
            d. When to use hybrid fixation vs. fully cemented stems

  5. Perform an efficient hip revision
            a. Achieve immediate stable fixation with various cups (highly porous cups, jumbo cups, augments, cup/cage) by understanding
                acetabular bone loss/pelvic discontinuity
            b. Achieve stable fixation with various stems (tapered cylindrical, monoblock tapered fluted, distal modular fixation stems) by
                understanding femoral bone loss
            c. Efficient component removal

                    i. Exposure using extended trochanteric osteotomy
                    ii. Cup out device for cup removal
                    iii. Metal cutting burr, trephines, large extractors for stem removal
  6. Learn to perform a simple clinical study
  7. Learn how to be a productive Joint Surgeon in a private practice model