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Adult Reconstruction Hip & Knee Fellowship


The fellowship in Adult Reconstruction at Hoag Orthopedic Institute is designed to allow considerable freedom in the educational process. The goal of the Adult Reconstruction Fellowship at Hoag Orthopedic Institute is to train up to two board eligible orthopedic surgeons in the basic science, research, clinical, surgical, and rehabilitative techniques as it pertains to the field of adult hip and knee reconstruction. The fellow will find that the clinical experience and instruction will facilitate the maturation of an understanding of the complexities of total joint replacement and related reconstructive surgery.


The fellows surgical experience will exceed 700 cases and will be quite broad. The surgical experience is hands-on with graduated independence based on the fellow’s development over the year. Fellows will be exposed to multiple surgical approaches for total hip arthroplasty including the posterior and direct anterior approach. The Adult Reconstruction faculty surgeons are some of the thought leaders in the area of direct anterior THA and fellows will benefit from this greatly. For primary THA, fellows will be exposed to a number of different types of implants and fixation. The revision THA experience will include complex acetabular revisions including pelvic discontinuities, use of cages, porous tantalum implants and augments, metal on metal revisions, and acetabular allografts. The revision THA experience will also include complex femoral revisions such as extended trochanteric osteotomies, proximal femur replacements, total femur replacements, modular femoral revision stems. The primary TKA experience will teach different surgical exposures, cruciate retaining and posterior stabilized techniques, rotating platform implants, and computer navigation. The fellow will have exposure to both fixed and mobile bearing unicompartmental knee arthroplasty. The revision TKA experience will include use of augments, sleeves, cemented and cementless fixation, hinged prosthesis, and tumor prostheses.


The fellows rotation schedule is broken into six two-month blocks. During each block, the fellow will be paired with two attendings for their clinic and OR days. This rotation schedule allows for concentrated yet varied clinical and surgical experience with each faculty. The fellow's weekly schedule will include up to two days in the outpatient setting and three days in the operating room. Fellows are expected to round on all the patients they operate on. Dedicated research time is allocated for one half to one full day per week. Fellows will divide weekend and holiday coverage. Fellows will take call for their particular service and must be available when faculty are on ER call to assist with in-hospital consultations, OR, and rounding. The faculty to fellow ratio is 8:2.


The fellowship requires a minimum of two projects. Fellows are expected to submit abstracts of their projects to the major adult reconstructive meetings. A completed manuscript ready for submission for publication is expected by the end of the fellowship year. The fellows have access to three clinincal research coordinators, one clinical research assistant, one clinical data coordinator, and a statistician to assist them with their research needs. Fellows will present their research at a symposium held by Hoag Orthopedics at the end of the year.


  • Preop/Postop Conference – Every Thursday
  • Didactic Conference – 4th Thursday of the month
  • Research Conference – 2nd Friday of every month
  • Grand Rounds – 2nd Friday of every month
  • Journal Club – Quarterly
  • Cadaver Labs – 1 Hip and 1 Knee lab each year


Fellows are paid at the PGY-6 level including benefits, and receive two weeks of paid vacation. In addition, travel accommodations and reimbursements are granted for the Fellow to attend either the AAOS or AAHKS annual meetings.


There are two (2) positions available for the 2025-2026 fellowship year.


1 year (August 1st – July 31st)


Hoag Orthopedics’ Adult Reconstruction Fellowship Program participates in the San Francisco Match Program. Applicants must complete a residency in orthopedic surgery at an ACGME accredited program. The deadline for completing the application process for our program is October 8th, 2023 via SF Match. Applicant profiles that do not contain an AAMC I.D number will not be eligible for review. Invitations to interview will be sent out to selected applicants upon review of all applications. Applicants must be eligible to obtain an unrestricted California Medical License prior to the start of Fellowship for credentialing purposes.

In alliance with the match guidelines, we will not be in contact with you after your interview. Your consideration of the Hoag Orthopedic Institute's Adult Reconstruction Fellowship is appreciated and we welcome your questions regarding the program.


  • February 2-3, 2024

Hoag Orthopedics
16300 Sand Canyon Avenue
Suite 511
Irvine, California 92618

Daseyra Fontalvo
Education Coordinator
Tel: 949-255-9753