Residency Information
Last updated Tuesday, December 04, 2007
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Hip and knee reconstruction
About the rotation
The hip and knee reconstruction rotation offers an excellent experience under the supervision of fellowship-trained faculty.
While hip and knee reconstruction is performed at all of our medical
centers, this third year rotation is based at the University of
Washington Medical Center. It is under the supervision of John Clark M.D. and Seth Leopold M.D..
During this rotation emphasis is placed on the comprehensive
evaluation of patients with degenerative and inflammatory conditions of
the hip and knee.
Goals & objectives
Our goals are to teach the essentials of hip and knee reconstruction relevant to a general orthopedic practice.
During this rotation, residents learn to perform a thorough
assessment and management plan for individuals with hip and knee
conditions. This will often include consideration of systemic factors
such as age, immune compromise, rheumatoid arthritis, urinary tract
problems, and potential for pulmonary and cardiac problems.
Residents learn preoperative planning osteotomy and primary and
revision arthroplasty including the elements of implant selection and
detailed "templating".
Residents read activity during this rotation. There is a reading
list that is updated by regular review of the current literature.
Emphasis is placed on the JBJS Current Concepts as well as the Journal
of Arthroplasty.
In the clinic, residents learn the principles of evaluation of the
hip and knee, including the history, physical exam, radiography, and
ancillary tests. This experience provides a context for understanding
the natural history of OA, RA, Perthes, CDH, SCFE, AVN, joint sepsis,
fractures, and of many joint procedures. On the inpatient service the
residents learn the details of care of patients having surgical
procedures. This includes thromboembolic prophylaxis, pain management,
physical therapy, and discharge planning. In the operating room the
residents learn the surgical approaches to the hip and knee as well as
the specific elements of joint.