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Limb Lengthening and Complex Reconstruction Fellowship

Department of Orthopaedic Surgery

S. Robert Rozbruch, MD, Chief of the Limb Lengthening and Complex Reconstruction Service
Austin T. Fragomen, MD, Fellowship Director

Duration: 1 year
Stipend: $94,151.32 per annum/benefits (subsidized housing also available)
Positions: 2
Accreditation: Non-accredited
Contact: Jennifer Johnson at johnsonj@hss.edu or call 212.606.1594

During the Limb Lengthening and Complex Reconstruction Fellowship, fellows become proficient in the diagnosis, management, decision-making, and surgical techniques associated with limb lengthening and reconstruction. The fellow will gain both clinical and research experience. The Ilizarov method is extensively used in addition to more conventional approaches. This will include preoperative, surgical, and postoperative care. There will also be opportunities for basic and clinical research.

Curriculum and Expectations

Fellows will gain experience with the following procedures:

  • Adult and pediatric limb lengthening and deformity correction
  • Lower extremity reconstruction: hip, femur, knee, tibia, ankle and foot
  • Post-traumatic reconstruction: malunions, nonunions (septic and aseptic), bone defects
  • Congenital conditions: congenital short femur, hemiatrophy dwarfism, short stature
  • Developmental conditions: growth disturbance from trauma or infection
  • Limb lengthening using the Ilizarov method
  • Deformity analysis and correction
  • Knee reconstruction: osteotomy for realignment, arthrodesis
  • Foot and ankle reconstruction: complex ankle fusions, deformity correction
  • Upper extremity: humeral lengthening, forearm and wrist deformity correction
  • Techniques used are the Ilizarov method, circular external fixation, Taylor Spatial Frame, monolateral external fixation, intramedullary nailing, fully implantable lengthening nail (ISKD), plate osteosynthesis
  • Postoperative care and rehabilitation
  • Complication management; pin problems, soft-tissue releases, nerve decompression, residual deformity management.

Fellows are expected to participate in a research project with the objective of abstract presentation at the Limb Lengthening & Reconstruction Society (LLRS), Orthopaedic Trauma Association (OTA), or American Academy of Orthopaedic Surgeons (AAOS) meetings, and peer-reviewed publication.

 


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