Hip and Knee Fellowship Program

Carrell Clinic Hip and Knee Replacement Center

Sponsoring Society: American Association of Hip and Knee Surgeons (AAHKS)

Prospective Interviewee Timeline for Upcoming Match Cycle:

  1. October 31, 2021: Deadline for Online Application
  2. January – March 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. Four fellowship-trained hip and knee arthroplasty surgeons
        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, and 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 intraoperative fluoroscopy
        3. Wide age range and interesting primary/conversion cases due to our relationship with Scottish Rite for Children (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 as well as pre- and postoperative discussion
    2. Rotating lecture series on hip and knee arthroplasty topics
    3. Journal club
  3. Research
    1. Supported by the nonprofit 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 Medical Center
    6. Institutional research grants and industry research support
    7. Editorial review for multiple orthopaedic journals
    8. Research relationships with national colleagues (The University of Utah and 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 The University of Utah)
      3. Posterior capsular reconstruction for recurrent THA instability
    10. Recently published/submitted manuscripts:
      1. Fritz JK, Waddell BS, Kitziger KJ, Peters Jr PC, Gladnick BP. Is dislocation risk due to posterior pelvic tilt reduced with direct anterior approach total hip arthroplasty? J Arthroplasty. 2021 Jul 14; 1-5 [ePub ahead of print].
      2. Rizkalla JM, Gladnick BP, Obafemi TF, Kitziger KJ, Peters Jr PC, Schubert RD. Posterior capsule reconstruction with polypropylene mesh for recurrent instability after total hip arthroplasty. 2021 [In Press at J Surg Orthop Adv].
      3. Wood DS, Watson SL, Eckel TM, Peters Jr PC, Kitziger KJ, Gladnick BP. Decreased costs with maintained patient satisfaction after total joint arthroplasty in a physician-owned hospital. J Orthop. 2021; 24:212-215.
      4. 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. J Orthop. 2020 Dec 24;23:37-40.
      5. 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. Orthopedics. 2020 Nov 25: 1-5.
      6. 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.
      7. 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;20:221-223.
    11. Recent presentations at academic conferences:
      1. Ferrari E, Thomason HC, Morrison JC, Yang CC, Fawley DW, Gladnick BP. Surface electromyography of muscle performance in surgeons during automated versus manual THA [Abstract and Poster Presentation #A10382]. In: American Association of Hip and Knee Surgeons; November 11-14, 2021; Dallas TX.
      2. Wood DS, Watson SL, Eckel TM, Peters Jr PC, Kitziger KJ, Gladnick BP. Decreased Costs after Total Joint Arthroplasty in a Physician-Owned Hospital. [Abstract and Oral Presentation]. In: Eastern Orthopaedic Association; October 20-23, 2021; Nashville, TN.
      3. 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.
      4. 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.
      5. 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.
      6. 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.