Adult Reconstruction Fellowship



The Rothman Institute Adult Reconstruction Fellowship Program is based at the Rothman Institute, located in the Greater Philadelphia Area. The experience is well rounded, with ample exposure to the clinic and operating room. Upon completion of the Fellowship, graduates should be comfortable diagnosing and treating the complete spectrum of adult hip and knee diseases. Formal didactic conferences are held to compliment the clinical experience and a monthly Journal Club meeting round out the schedule. The Faculty is actively engaged in these conferences.

The Rothman Institute’s Adult Reconstruction Division is one of the world’s largest and most respected programs. The Faculty is specially trained, experienced, and are all high-volume surgeons with case loads ranging from 500-1000 cases a year.

The Adult Reconstruction Program has as tradition of clinical and academic excellence established by Dr. Richard H Rothman, MD, PhD. The Division of Adult Reconstruction has evolved into one of the premier Fellowships in the country, offering a high-volume clinical practice emphasizing state-of-the art patient care, academic excellence, and a Faculty committed to Fellow education.

The Fellowship is associated with the Thomas Jefferson University Hospital, Riddle Memorial Hospital, Rothman Orthopaedic Specialty Hospital, Physician’s Care Specialty Hospital, Bryn Mawr Hospital and multiple Rothman Institute Clinics located in the Greater Philadelphia area. Fellows will have the opportunity to collaborate with thought-leaders in their sub-specialty fields. The Adult Reconstruction Division is sub-divided into 3 Sections; Clinical, Basic Science Research, and Clinical Research. The Clinical Section is comprised of surgeons with leadership positions in the American Academy of Orthopedic Surgeons and Specialty Societies such as the American Association of Hip and Knee Surgeons, the Hip Society and the Knee Society. Surgeons from around the world travel to the Rothman Institute to learn the latest joint preservation, primary and revision hip and knee arthroplasty techniques. Annually, our Division performs >10,000 joint preservation and arthroplasty procedures. The Department’s Basic Science Research Division is among the top programs in the United States receiving National Institutes of Health (NIH) funding. The Clinical Research Section is unparalleled in productivity. The Adult Reconstruction Fellow is expected to become an integral part of this team.

Graduates of the Program are prepared and poised to flourish in clinical practice, rise to prominence academically, and become thought-leaders in the field if they so desire. Most importantly, they are prepared to take care of their patient’s needs, whether the most complex revision or uncomplicated primary surgery. We hope that you will visit us to see all that we have to offer.

Fellowship Director

Matthew S. Austin, MD

Professor of Orthopaedic Surgery

Sidney Kimmel Medical College

Adult Reconstruction Division Chief

Adult Reconstruction Fellowship Director

Rothman Institute

925 Chestnut St., 5th Floor

Philadelphia, PA 19107


Richard H. Rothman, MD. PhD
William J. Hozack, MD
Peter F. Sharkey, MD
Javad Parvizi, MD
Jess H. Lonner, MD
Gregory K. Deirmengian, MD

The Fellow will gain clinical experience with these procedures:

• Primary arthroplasty
• Complex primary arthroplasty
• Revision arthroplasty
• Peri-prosthetic fracture
• Mega-prosthesis arthroplasty
• Direct anterior, anterolateral, and direct lateral approaches

• Primary arthroplasty 
• Unicompartmental arthroplasty
• Complex primary arthroplasty
• Revision arthroplasty
• Peri-prosthetic fracture
• Computer-assisted and robotic surgery

Joint Preservation Surgery
• Periacetabular osteotomy
• Femoroacetabular impingement surgery
• Labral repair


Four 3 month rotations:

• Dr. Austin 4 days a week (2 OR days, 2 clinic days), 1 day with Dr. Deirmengian. On this rotation you spend a portion of one of Dr. Austin’s office days with Dr. Rothman.
• Dr. Sharkey 4 days a week (2 OR days, 2 clinic days), Friday research day
• Dr. Hozack 4 days a week (2 OR days, 2 clinic days), Friday research day.
• Dr. Parvizi 3 days a week (2 OR days, 1 clinic day), Thursday with Dr. Lonner doing unicompartmental knees (including patellofemoral) and revision knees, Friday research day.
• Annual volume for the Fellowship~ 550 joints, ~15% revision

• Once or twice weekly Joints Conference with residents
• Once weekly Preop Planning meeting with your attending.
• Once monthly Journal Club, hosted by an attending at their home
• Once monthly Interesting Case Conference

Research requirements
• At least three research projects during the year
• At least one chapter

Protected research time
• Most Fridays. Many afternoons.

Research resources
• Large team of Research Fellows to assist in trials
• Medical students
• Full-time biostatistician
• Professional assistance with IRB process

• One in four weeks, generally managing potential transfers 

The Rothman Institute has numerous full-time staff, research fellows, and expanded facilities available for clinical and basic science research. Basic Science section of Orthopaedics is well funded from programs such as the NIH, Department of Defense, and other funding sources. Although, the Joint Arthoplasty Fellows can certainly take advantage of these facilities, majority of the fellows engage in clinical research.

The Clinical Research Division, occupying 3000 sq feet space, is particularly prolific, with national prominence at meetings such as the annual meetings of the American Academy of Orthopaedic Surgeons, the American Association of Hip and Knee Surgeons, the Hip Society, the Knee Society, the Musculoskeletal Infection Society and numerous other national and regional meetings such as the Eastern Orthopaedic Association and the Pennsylvania Orthopaedic Association. The clinical research division has a full-time biostatistician who can help with the design of studies and subsequent data analyses for manuscript preparation. There is an active clinical trail division that helps with the preparation of the regulatory paper work for the IRB approval and also execution of the prospective studies. There is also a full-time database manager who helps with data retrieval from the prospectively collected database on over 30,000 patients. A full-time editorial staff is also available who can provide assistance for manuscript preparation, formatting, and ultimate submission to a journal.

The Joint Arthroplasty Fellows are required to engage in numerous research projects during their one –year tenure at the Rothman. They are encouraged to design their studies prior to the start of the fellowship to ensure that all preliminary work is completed prior to arrival here. The Fellow is expected to ask clinically relevant questions, design a study to answer those questions, and ensure timely completion of the study. The full-time personnel in research, including numerous research fellows who can help them with chart review, are at their disposal to ensure that the conceived projects are completed in a timely manner. The Faculty are also very engaged and readily available to provide mentorship. The Fellows are encouraged to submit their work for presentation in various national meetings and expected to ultimately publish their work in high tier journals. The Fellows are provided one protected day per week to allow them to fulfill the research requirements. There is an expectation that each Fellow will ultimately publish two to three manuscripts based on their research during the Fellowship.

Austin, MS
Rothman, RH
Hozack, WJ
Sharkey, PF
Parvizi, J
Lonner, JH
Deirmengian, GK

The Faculty and Alumni of the Adult Reconstruction Fellowship have authored numerous textbooks, papers, editorials and other publications. In addition they have received multiple honors and awards.
• NIH-Ko8 grant
• OREF – Clinician Scientist Award
• Mentor Award. Orthopaedic Research and Education Foundation
• Department of Defense grant
• OREF – Career Development
• Insall Knee Society Traveling Fellowship
• American-British-Canadian Traveling Fellowship
• Rothman-Ranawat Travelling Hip Fellowship
• AAOS Knee Society Insall Award
• Andry award
• Annual Total Joint IEP Award
• Chitranjan Ranawat Award (Hip Society)
• Distinguished Basic Science Paper Award (Musculoskeletal Infection Society)
• Eastern Orthopaedic Association (EOA)/Eastern Orthopaedic Educational Foundation (EOEF)Resident/Fellow award
• Frank Stinchfield Award, American Hip Society 
• Insall Award (Knee Society)
• “John J. Gartland” Award for Outstanding Commitment to Resident Education
• John Mader Award at Musculoskeletal Infection Society Conference
• Mark Coventry Award
• Marmor Arthritis Foundation Award
• OITE Award
• Philip Syng Physick Award
• Sir John Charnley Award
• The Otto Aufranc Award for the Hip Society
• U.S. Bone and Joint Initiative, Young Investigators Initiative (YII) program
• Vernon Nickel Award
• Top Doctors List of Philadelpiha Magazine
• Top Doctors List of New Jersey
• Top Doctors List of Main Line Today Magazine

Kelly Quici
Resident, Fellowship and Medical Student Coordinator
Rothman Institute
925 Chestnut Street, 5th Floor
Philadelphia, Pa 19107

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