Adult Reconstruction Fellowship

About the Program

The University of Rochester Medical Center Adult Reconstruction Fellowship is a one-year, AAHKS-recognized clinical fellowship designed to prepare orthopaedic surgeons for a career specializing in primary and complex hip and knee reconstruction.

The fellowship provides comprehensive experience in primary and revision total joint arthroplasty, management of complex degenerative, traumatic and infectious conditions about the hip and knee, and the use of modern technologies including robotic-assisted and computer-navigated surgery. Fellows work closely with experienced fellowship-trained faculty while developing progressive surgical autonomy, academic scholarship, and leadership skills.

Fellowship Structure

The fellowship is a 12-month, full-time clinical training program beginning in August of each calendar year. The curriculum combines:

• High-volume operative experience – in the hospital and ambulatory settings
• Longitudinal outpatient clinical practice
• Weekly educational conferences and formal didactics
• Mentored clinical research
• Resident and medical student education

Operative Experience

Fellows participate in a broad spectrum of adult reconstruction procedures, serving as first assistant and progressively functioning as primary surgeon under direct faculty supervision.

Primary Joint Arthroplasty

• Primary total hip arthroplasty
  • Direct anterior approach
  • Posterior approach
• Primary total knee arthroplasty
• Unicompartmental knee arthroplasty
• Complex primary hip and knee reconstruction
• Conversion arthroplasty

Revision Arthroplasty

• Revision total hip arthroplasty
• Revision total knee arthroplasty

Advanced Technology

• Robotic-assisted hip and knee arthroplasty
• Computer navigation
• Augmented reality navigation
• Digital templating and surgical planning

Fellows maintain a longitudinal clinical practice alongside faculty and actively participate in all aspects of patient care.

Responsibilities include:

• New patient evaluations
• Surgical decision making
• Preoperative planning and templating
• Postoperative outpatient follow-up
• Inpatient perioperative management of the arthroplasty patient
• Coordination with anesthesia, geriatrics, infectious disease, rehabilitation, and medical consultants
• Progressive independent clinical decision-making appropriate to level of training and practice
• Optional paid general orthopedic call at low acuity referral centers

Clinical training occurs throughout the University of Rochester Medical Center system.

Evarts Joint Center

Highland Hospital
1000 South Avenue
Rochester, NY

The Evarts Joint Center is a designated Joint Commission-certified center specializing in total joint replacement and one of the region's highest-volume arthroplasty programs.

Saunders Orthopaedic Center

10 Miracle Mile Drive
Rochester, NY 14623

The largest, most comprehensive orthopaedic facility in the Northeastern U.S.  Full spectrum of orthopaedic care provided including ambulatory surgery, advanced diagnostic imaging, physical therapy, computerized motion analysis laboratory, and prosthetics.

Strong Memorial Hospital

601 Elmwood Avenue
Rochester, NY

As the region's Level I Trauma Center, fellows may gain exposure to complex primary arthroplasty, revision surgery, post-traumatic reconstruction, and medically complex patients.