Deformity Fellowships
Florida:
Paley Orthopaedic and Spine Institute
901 45th Street
Kimmel Building
West Palm Beach, FL 33407
Phone: 561-844-5255
Fax: 561-844-5245
Number of Positions: 1
Program Director: Dror Paley, MD, FRCSC
Program Administrator: Sarah Ziegler
Phone: 561-315-9149
Email: sziegler@paleyinstitute.org
Maryland:
International Center for Limb Lengthening
Rubin Institute for Advanced Orthopaedics
Schoeneman Building, 2nd Floor
Sinai Hospital of Baltimore
2401 West Belvedere Avenue
Baltimore, MD 21215
Phone: 410-601-9276
Fax: 410-601-9576
Number of Positions: 3
Program Director: Phillip K. McClure, MD
Program Administrator: Ashley Adolph
Phone: 410-601-9276
Email: aadolph@lifebridgehealth.org
New York:
535 East 70th Street
New York, NY 10021
Phone: 212-606-1466
Fax: 212-606-1477
Number of Positions: 2
Program Director: Austin T. Fragomen, MD
Program Administrator: Jennifer Johnson
Phone: 212-606-1594
Email: johnsonj@hss.edu
Ohio:
Nationwide Children’s Hospital
700 Children’s Drive, Ste T2E-A2700
Columbus, OH 43205-2696
Phone: 614-722-5175
Fax: 614-355-1395
Number of Positions: 1
Program Directors: Christopher A. Iobst, MD
Program Administrator: Teaya Rough
Phone: 614-722-3393
Email: teaya.rough@nationwidechildrens.org
Canada:
BC Children’s Hospital LImb Lengthening and Reconstruction Program
The Orthopaedic Limb Reconstruction Fellowship is a new and innovative sub-specialist fellowship, which is the first of its kind in Canada. Lower limb reconstruction surgery involves a wide range of specific skills and techniques which require a thorough understanding of the implications of growth and deformity of the growing skeleton. This fellowship provides the fellows with a total of 1 year exposure to paediatric limb deformity. The lower limb reconstruction case load of BC Children’s hospital is the busiest in Canada and as such would provide a unique opportunity upon completion of the fellowship to pursue an independent practice in complex lower limb deformity and reconstruction surgery. The fellow would work within a multidisciplinary team comprising specialist physiotherapists, occupational therapists, nurse practitioner and experienced OR nursing staff. The fellow will also have the opportunity to work on research projects as part of the multidisciplinary Limb Lengthening and Reconstruction research program. During this 1 year fellowship, the fellow will acquire an advanced knowledge base in paediatric limb deformity, advanced diagnostic clinical skills and use of diagnostic imaging within paediatric limb deformity orthopaedics, advanced skills in surgical judgement, planning and techniques, and research, administrative and program management skills.
Contact: Anthony Cooper, anthony.cooper@cw.bc.ca
The McGill Pediatric Orthopaedic Surgery Fellowship
The McGill Pediatric Orthopaedic Surgery Fellowship offers a one year fellowship covering all aspects of pediatric orthopaedic surgery. The fellowship is arranged in 3-4 month blocks whereby the fellow spends that entire block with a specific set of mentors. Each team consists of 2-3 staff members with whom the fellow then works during that rotation. The rotations are setup such that the staff combinations provide a complimentary experience overall. The rotations are setup to provide the fellow with approximately 2 days of clinic and 2 days of operative experience per week. Each week the fellow has ½ to 1 day available for study time and research. The fellowship provides a wide-ranged exposure to all areas of pediatric orthopaedics. The fellow has ample opportunities to become proficient in clinically and surgically managing all aspects of pediatric orthopaedic including:
- Musculoskeletal trauma
- Musculoskeletal infection
- Pediatric hip pathologies (DDH, SCFE, Perthes…)
- Neuromuscular disorders
- Lower limb deformity
- Limb length inequality
- Upper extremity disorders
- Adolescent hip preservation
- Metabolic bone disorders
- Skeletal dysplasia
The McGill Pediatric Orthopaedic Fellowship also offers a two year fellowship with 6 month subspecialty training blocks and a possible 6 month research block.
- General Pediatric Orthopaedics (6 months)
- Adolescent Hip or Spine (6 months)
- Lower Limb Deformity or Spine (6 months)
- Research or General Pediatric Orthopaedics (6 months)
United Kingdom – blrs.org.uk/fellowships/
Limb Reconstruction Fellowship, St Georges’ Hospital, London
This is primarily an adult limb reconstruction fellowship. Experience will be gained in post-traumatic limb reconstruction and deformity correction. The unit also provides an amputation service. As St Georges is a major trauma centre experience will also be gained in the management of open fractures etc including paediatric open tibiae. The post includes being on the senior fellow weekend on call rota. The post is usually for 12 months commencing in October.
Program Director: Alex Trompeter, a.trompeter@nhs.net
Post-CCT Fellowship in Limb Reconstruction, Royal National Orthopaedic Hospital, Stanmore
Based at The Royal National Orthopaedic Hospital, this fellowship provides an excellent higher training opportunity in all aspects of Limb Reconstruction in a world renowned tertiary referral centre for orthopaedic surgery. This will include experience with management of internal and external fixation, circular frames, lengthening nails and management of bone infection. The successful candidate will experience the full range of adult and paediatric limb reconstruction surgery. The placement provides excellent opportunities for clinical and professional development. Throughout the duration of the fellowship the candidate will be expected to engage in the planning and delivery of services as well in research and service improvement projects. This post does not attract an NTN, but is suitable for a candidate who has passed the FRCS (Tr & Orth) or equivalent, and is looking for subspecialty experience in complex elective limb reconstruction, management of congenital and acquired deformity and bone infection. Applicants must have full GMC registration with a licence to practice prior to the start of employment.
The fellowship is for 12 months, starting in April of each year.
Contact: Jayne.norton2@nhs.net
Post-CCT Fellowship in Limb Reconstruction, Sheffield Children’s Hospital
This is a post-CCT fellowship giving experience in both elective and trauma paediatric orthopaedics. It is usually for 12 months, from October. Fellows will get limb reconstruction experience in all aspects of paediatric orthopaedics, including circular and monolateral frames, intramedullary lengthening nails, realignment osteotomies, along with training in deformity planning, significant operative and outpatient experience for congenital limb deficiencies of both upper and lower limbs. Other conditions include a large patient population with osteogenesis imperfecta, skeletal dysplasia, ablative reconstruction (amputations) and other rare bone diseases. 1:11/1:12 non-resident on call for paediatric trauma within a level one trauma centre. Consultant-led trauma lists.
Contact: James Fernandes, james.fernandes@nhs.net
Liverpool Adult Trauma and Reconstruction Senior Clinical Fellow, Liverpool University Hospitals
The fellowship is set across two sites, including an adult major trauma centre where high volumes of acute complex polytrauma and periarticular trauma is managed (Aintree University Hospital), as well as an adult elective limb reconstruction centre where the full range of elective and orthoplastic limb reconstruction management is delivered (Broadgreen Hospital). Visits to the paediatric major trauma centre which also runs an elective limb reconstruction unit (Alder Hey Children’s Hospital) can be arranged with an honorary contract if required, however the fellowship is predominantly an adult placement.
These centres have been performing limb reconstruction surgery for more than 20 years, and as a result have a broad and deep experience of fellowship training within an established multidisciplinary team. The orthopaedic surgeons work alongside plastic surgeons, specialist physiotherapists, occupational therapists and specialist nurses to provide all aspects of limb reconstruction care for complex congenital and acquired pathology, using a wide variety of surgical techniques including internal and external devices, biologics and adjuncts to achieve optimal patient outcomes. We have previously provided high level fellowship training for surgeons from Germany, Spain, Italy, Greece, Egypt, Oman, Nigeria, South Africa, Brazil, India, Japan, China, Singapore, Malaysia, Kuwait, Saudi Arabia, Ireland, Australia & New Zealand. The fellow forms an integral part of the unit and is encouraged to work independently, whilst remaining under the supervision of an experienced and enthusiastic consultant body. The fellow will be exposed to a large volume of complex clinical work in an outpatient, inpatient and operative setting. Operative experience is typically 80% supervised primary surgeon. We expect the fellow to participate in at least 8 elective theatre sessions, 4 trauma sessions, a multi-disciplinary meeting and 2 elective limb reconstruction clinic sessions each week.
By the end of our fellowship program, we would expect our fellow to have gained experience and competence in the following areas:
- The theory and practice of the management of major trauma, polytrauma and complex peri-articular trauma using an orthoplastic approach, using internal and external devices appropriately.
- The theory and practice of the management of acute and chronic bone infection using an orthoplastic approach and techniques including, but not limited to, bone transport, Masquelet, free tissue transfer, wound excision, debridement and dead space management.
- The theory and practice of the management of simple and complex deformities using techniques including circular frame (traditional fine wire Ilizarov and hexapod), external fixator assisted (LRS assisted – ORDER) internal fixation, lengthening nails (FITBONE and PRECICE) or a combination thereof.
- Additionally, fellows will gain exposure to and understanding of how a major trauma network and centre functions, the wider LRS multidisciplinary team, congenital and acquired pathology.
Our unit is involved in research at the highest level, with recruitment to nationally organised and commissioned level 1 randomised controlled trials. We expect the fellow to complete the NIHR Good Clinical Practice qualification (online course) and to take an active role in the recruitment of patients for ongoing research projects within our department. Our consultants have high level national and international research experience. We are actively involved in NIHR research trials and on the research committee of the British Limb Reconstruction Society.
Contact: Nick Peterson, nick.peterson@rlbuht.nhs.uk