The Rotation Schedule
The fellowship year is equally divided into six two-month rotations. The strength of the fellowship is the clinical and operative variety that each Fellow will be exposed to while here at the Cleveland Clinic. By year's end our fellows will leave confident and capable of managing simple and complex conditions affecting the shoulder, elbow, hip and knee. Our sports medicine specialists perform a wide array of surgical techniques that are cutting edge and will provide each fellow with a multitude of tools to be successful in his/her future career.
The knee experience will include everything from simple meniscus work to complex reconstruction for multiligamentous injuries. The fellow will be exposed to all-inside, inside-out and outside-in meniscal repair techniques. Anterior cruciate ligament reconstruction drilling techniques will include traditional transtibial, medial portal, and 2-incision techniques. Fellows will be exposed to autograft bone-tendon-bone, hamstring and quadriceps (both all soft tissue as well as bone-quad tendon constructs) harvest and fixation techniques. Various ACL fixation techniques will include interference screw fixation and various suspensory options. There will also be extensive exposure to posterior cruciate ligament (both transtibial and arthroscopic inlay) and multiligamentous reconstruction. Various chondral resurfacing techniques are performed by several of our staff with good exposure for each fellow. Other joint preservation options such as meniscus transplantation, high tibial/distal femoral osteotomy and partial surface replacement is also routinely performed by our expert staff.
The shoulder experience during the fellowship year is also very strong. Our experts perform simple and complex repair and reconstruction of the rotator cuff using various repair techniques (single row and double row rotator cuff repair; both knotted repair and knotless fixation will be used). Our Sports Medicien Specialists are also performing augmented repair of the rotator cuff on a frequent bases. Each fellow will also be exposed to arthroscopic and open stabilization options for shoulder instability (ie arthroscopic capsulolabral repair for anterior and posterior instability; arthroscopic remplissage; Hill-Sachs defect reconstruction; coracoid transfer). Again, both knotless fixation and knot-tying will be emphasized by various staff. Superior labrum anterior and posterior (SLAP) fixation and various proximal biceps tenodesis techniques will also be performed. Exposure to complex reconstructive techniques such as partial surface replacement, superior capsular reconstruction and rotator cuff repair with augmentation will also be emphasized. Although shoulder arthroplasty is not an emphasis in the fellowship program, each fellow will have the opportunity to be exposed to both total and reverse shoulder arthroplasty.
The hip arthroscopy and reconstruction experience here at the Cleveland Clinic is second to none. Each fellow will leave here proficient in the work-up and surgical management of sports medicine conditions affecting the hip. Femoral and acetabular osteoplasty for femoroacetabular impingement will be emphasized. Labral repair and reconstruction techniques are plentiful. Other techniques such as abductor tendon repair, iliopsoas release, proximal hamstring repair and the management of hip instability will be emphasized.
The elbow experience during the fellowship year will cover all pertinent aspects of sports medicine conditions affecting the elbow. Elbow arthroscopy, tendon repair and ligamentous reconstruction will be available during the fellowship year. Open techniques will include medial ulnar collateral ligament reconstruction ("Tommy John" surgery), ulnar nerve neurolysis/transposition, management of epicondylitis, triceps tendon repair and distal biceps tendon repair.
The knee experience will include everything from simple meniscus work to complex reconstruction for multiligamentous injuries. The fellow will be exposed to all-inside, inside-out and outside-in meniscal repair techniques. Anterior cruciate ligament reconstruction drilling techniques will include traditional transtibial, medial portal, and 2-incision techniques. Fellows will be exposed to autograft bone-tendon-bone, hamstring and quadriceps (both all soft tissue as well as bone-quad tendon constructs) harvest and fixation techniques. Various ACL fixation techniques will include interference screw fixation and various suspensory options. There will also be extensive exposure to posterior cruciate ligament (both transtibial and arthroscopic inlay) and multiligamentous reconstruction. Various chondral resurfacing techniques are performed by several of our staff with good exposure for each fellow. Other joint preservation options such as meniscus transplantation, high tibial/distal femoral osteotomy and partial surface replacement is also routinely performed by our expert staff.
The shoulder experience during the fellowship year is also very strong. Our experts perform simple and complex repair and reconstruction of the rotator cuff using various repair techniques (single row and double row rotator cuff repair; both knotted repair and knotless fixation will be used). Our Sports Medicien Specialists are also performing augmented repair of the rotator cuff on a frequent bases. Each fellow will also be exposed to arthroscopic and open stabilization options for shoulder instability (ie arthroscopic capsulolabral repair for anterior and posterior instability; arthroscopic remplissage; Hill-Sachs defect reconstruction; coracoid transfer). Again, both knotless fixation and knot-tying will be emphasized by various staff. Superior labrum anterior and posterior (SLAP) fixation and various proximal biceps tenodesis techniques will also be performed. Exposure to complex reconstructive techniques such as partial surface replacement, superior capsular reconstruction and rotator cuff repair with augmentation will also be emphasized. Although shoulder arthroplasty is not an emphasis in the fellowship program, each fellow will have the opportunity to be exposed to both total and reverse shoulder arthroplasty.
The hip arthroscopy and reconstruction experience here at the Cleveland Clinic is second to none. Each fellow will leave here proficient in the work-up and surgical management of sports medicine conditions affecting the hip. Femoral and acetabular osteoplasty for femoroacetabular impingement will be emphasized. Labral repair and reconstruction techniques are plentiful. Other techniques such as abductor tendon repair, iliopsoas release, proximal hamstring repair and the management of hip instability will be emphasized.
The elbow experience during the fellowship year will cover all pertinent aspects of sports medicine conditions affecting the elbow. Elbow arthroscopy, tendon repair and ligamentous reconstruction will be available during the fellowship year. Open techniques will include medial ulnar collateral ligament reconstruction ("Tommy John" surgery), ulnar nerve neurolysis/transposition, management of epicondylitis, triceps tendon repair and distal biceps tendon repair.
Dr. Farrow - 2 Months
This rotation has a major emphasis on both basic and complex arthroscopy and reconstruction of the knee. Dr. Farrow performs advanced techniques in arthroscopy including ACL reconstruction, PCL reconstruction and multiligamentous reconstruction of the knee. The fellow will also learn complex joint preservation techniques including meniscal transplantation, chondral resurfacing, and osteotomy of the femur and tibia. Dr. Farrow also has a specific interest in the evaluation and management of patellofemoral pain and instability. The fellow will also be exposed to arthroscopy and reconstruction of the shoulder with Dr. Farrow.
The "Flex Rotation". Drs. Yalcin, Vega, Egger - 2 Months
This rotation is a unique rotation that melds the talents of three of our exceptional Orthopaedic Sports Medicine Staff. This rotation is designed to largely be an operative rotation with fellows spending 4 - 5 days in the operating room each week. Dr. Sercan Yalcin's practice is balanced between the knee and shoulder. With his unique training background, Dr. Yalcin performs anything from bread and butter knee and shoulder surgery to complex knee and shoulder reconstruction. Specific emphasis on patellofemoral dysfunction and complex soft tissue reconstruction and tendon transfers of the shoulder. Dr. Jose Vega brings special expertise in knee, elbow and shoulder reconstructive techniques. He has a keen interest in the overhead throwing athlete and is adept at management of conditions affecting the shoulder and elbow. Dr. Anthony "Ace" Egger rounds out the experience with extensive interest and expertise in the management of the pediatric and adolescent athlete. Dr. Egger is dual fellowship trained and further bolsters the pediatric and adolescent Sports Medicine experience here at the Cleveland Clinic.
Dr. Rosneck Rotation - 2 Months
The emphasis of this rotation is comprehensive evaluation and management of athletic issues affecting the hip. Dr. Rosneck is an authority on pathology affecting the hip joint. The fellow will gain extensive experience in the work-up and surgical management of basic and complex problems affecting the hip joint. This experience will include arthroscopic evaluation and management of conditions like femoral acetabular impingement (FAI), labral tears, snapping hips, hip instability, etc. At the end of this rotation the fellow will be well equipped to establish themselves as a hip specialist where every he/she decides to practice after fellowship. Dr. Rosneck also manages conditions affecting the knee and shoulder.
Dr. Saluan Rotation - 2 Months
The Dr. Saluan rotation has a strong emphasis on the evaluation and management of sports medicine conditions affecting the shoulder, elbow, and knee in children and adolescents. This rotation provides the fellow with an extensive and legitimate experience in pediatric and adolescent sports medicine. Emphasis is placed on the operative management of ACL injuries in the skeletally immature knee, chondroses of the elbow, meniscal and chondral lesions of the knee, patellofemoral instability and shoulder instability, just to name a few. Complex management of chondral lesions of the knee will also be emphasized, including but not limited to both drilling and fixation of chondral lesions of the knee and various chondral resurfacing techniques. Fellows will leave this rotation with the confidence and ability to handle both simple and complex sports medicine issues in the pediatric and adolescent athlete/patient.
Dr. Tramer - 2 Months
The Dr. Tramer rotation focuses on management of shoulder, elbow and knee conditions in the athlete/athletic individual. Dr. Tramer has particular interest in the overhead athlete. Dr. Tramer performs high level arthroscopic and reconstructive procedures for the knee, shoulder and elbow. Each fellow will be exposed to advanced arthroscopic and reconstruction techniques for shoulder and elbow, including shoulder arthroplasty, elbow ulnar collateral ligament reconstruction and repair, management of shoulder instability and rotator cuff repair and reconstruction techniques. In the knee, Dr. Tramer performs complex reconstruction ligamentous injuries as well as advanced surgical techniques for cartilage and meniscus pathology.
Dr. Scarcella - 2 Months
The Dr. Scarcella rotation provides each fellow with a great experience in the management of both simple and complex arthroscopic and reconstructive procedures of the hip, knee and shoulder. The fellow will be exposed to advanced ligamentous reconstructive techniques in the knee, including multiligamentous knee reconstruction. The shoulder experience will include the full gamut of sports medicine issues pertaining to the shoulder. Dr. Scarcella also has a strong hip arthroscopy practice for additional exposure to advanced hip arthroscopy techniques for each fellow.
