Hip & Knee Fellowship Program

Clinical Hip & Knee Fellowship Positions Available: 1
Sponsoring Society: American Association of Hip and Knee Surgeons (AAHKS)

Prospective Interviewee Timeline for upcoming Match Cycle:

1. November 2021: Deadline for Online Application
2. January – February 2022: Fellowship Candidate Interviews (Dates to be announced)
3. April 2022: Fellowship Match results announced (San Francisco Match, https://sfmatch.org)
4. August 1, 2023: Clinical Fellowship begins

Clinical Fellowship Summary:

1. Patient Care

1. Over 2,000 joint replacement procedures per year
   1. High-volume, regional referral center, specialty orthopaedic hospital
      1. Includes simple and complex primary cases, revision cases, comprehensive infection management, conversion arthroplasty, and periprosthetic fractures
   2. Three fellowship-trained hip and knee arthroplasty surgeons (actively recruiting a fourth)
      1. Active Members of AAHKS and AAOS, including committee representation
      2. Mentorship-model training
   3. Exposure to multiple device companies
      1. Zimmer-Biomet, Stryker, Depuy-Synthes, Smith & Nephew, Exactech, all currently in use
   4. Opportunity for trauma call
      1. Ambulatory primary hip and knee trauma, as well as periprosthetic fractures
      1. Attending surgeon back-up always available for fellow cases
2. Hip Arthroplasty
   1. Anterior, Posterior, and Anterolateral approaches
      1. Revision/conversion/periprosthetic fracture surgery from all approaches
      2. Use of computer-navigation and intra-operative fluoroscopy
      3. Wide age range and interesting primary/conversion cases due to our relationship with Scottish Rite pediatric hospital (congenital hip diseases, post-Perthes, post-acetabular osteotomy, etc)
3. Knee Arthroplasty
   1. Exposure to both PS and CR knee designs, fixed-bearing and Rotating platform
   2. Use of computer navigation and robotic-assisted surgery
   3. Traditional gap balancing and measured resection techniques
   4. Total knee arthroplasty as well as partial knee arthroplasty (medial, patellofemoral, and lateral)

2. Education

1. Regular case conference for teaching purposes, pre- and post-operative discussion
2. Rotating lecture series on hip and knee arthroplasty topics
3. Journal club

3. Research

1. Supported by the non-profit Carrell Clinic Foundation
2. Active IRB-approval for retrospective review of prospective institutional database
3. Active IRB for multi-center prospective randomized controlled trial for automated THA
4. Support for new IRBs for additional prospective studies
5. Mentoring of residents in orthopaedic research from Baylor University Medical Center and UT-Southwestern
6. Institutional research grants and industry research support
7. Editorial Review for multiple orthopaedic journals
8. Research relationships with national colleagues (University of Utah, OrthoCarolina)
9. Current Research Projects:
   1. Prospective multicenter RCT: Automated vs. Manual impaction for THA
   2. Retrospective review of anterior vs posterior conversion THA
      1. (collaboration with University of Utah)
   3. Posterior capsular reconstruction for recurrent THA instability
10. Recently Published/Submitted Manuscripts:
    1. Wood DS, Eckel TM, Kitziger KJ, Peters Jr PC, Gladnick BP. Accelerometer-based navigation improves early patient-reported outcomes after gap-balanced total knee arthroplasty. 2020 [Submitted to Knee].
    2. Rizkalla JM, Gladnick BP, Bhimani AA, Wood DS, Kitziger KJ, Peters Jr PC. Triaging total hip arthroplasty during the COVID-19 pandemic. Curr Rev Musculoskelet Med 2020 Aug;13(4):416-424.
    3. Kapilow JM, Gladnick BP, Anderson LA, Peters Jr PC, Masonis JL. Acetabular exposure is enhanced with self-retaining retractors during direct anterior total hip arthroplasty. 2020 [Accepted at Orthopedics, in press].
    4. Rizkalla JM, Bhimani AA, Kitziger KJ, Peters Jr PC, Schubert RD, Gladnick BP. Financial Impact of Removal of Total Knee Arthroplasty from the Inpatient-Only List for a Physician-owned Bundled Payment Program. J Orthop. 2020 Jan 30;20:221-22.
    5. Bhimani AA, Rizkalla JM, Peters Jr PC, Kitziger KJ, Schubert RD, Gladnick BP. Surgical automation reduces operating time while maintaining accuracy for direct anterior total hip arthroplasty. J Orthop. 2020 April 1;22:68-72.
11. Recent Presentations at Academic Conferences:
    1. Kellam PJ, Gililland JM, Wood DS, Kitziger KJ, Gladnick BP, Anderson LA. Conversion total hip arthroplasty: does approach affect outcomes? [Abstract and Poster Presentation]. In: American Association of Hip and Knee Surgeons; November 5-8, 2020; Dallas TX.
    2. Rizkalla J, Bhimani A, Kitziger KJ, Peters Jr PC, Schubert RD, Gladnick BP. Financial Impact of Removal of Total Knee Arthroplasty from the Inpatient-Only List for a Physician-owned Bundled Payment Program. [Abstract and Podium Presentation]. In: American Academy of Orthopaedic Surgeons; March 24-28, 2020; Orlando FL.
    3. Bhimani A, Rizkalla J, Peters Jr PC, Kitziger KJ, Schubert RD, Gladnick BP. Surgical automation reduces operating time while maintaining accuracy for direct anterior total hip arthroplasty. [Abstract and Poster Presentation]. In: American Association of Hip and Knee Surgeons; November 7-10, 2019; Dallas TX.
    4. Kapilow JM, Gladnick BP, Anderson LA, Kitziger R, Peters Jr PC. Enhanced acetabular exposure with self-retaining retractors during anterior hip arthroplasty. [Abstract and Oral Presentation]. In: Eastern Orthopaedic Association; October 16-19, 2019; Palm Beach, FL.

If you are interested in learning more about the fellowship program, please contact Kande Progue.