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Knee Fellowships Improve Clinical Practice and Scientific Activity
Riccardo D'Ambrosi1,2, Andy Williams3, Bertrand Sonnery-Cottet4
1IRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
Arthroscopy, Sports Medicine, and Rehabilitation
|July 22, 2025
Summary
Completing a knee fellowship significantly enhances orthopaedic surgeons' surgical volume, particularly in anterior cruciate ligament (ACL) reconstruction and anterolateral procedures. The specialized training also boosts scientific output and is highly recommended by participants.
Area of Science:
- Orthopaedic Surgery
- Sports Medicine
- Knee Surgery
Background:
- Orthopaedic surgeons specializing in sports injuries often pursue further training.
- Knee fellowships offer advanced specialization in treating knee conditions.
Purpose of the Study:
- To evaluate the impact of completing a knee fellowship on orthopaedic surgeons.
- To assess changes in clinical practice and scientific activity post-fellowship, focusing on anterior cruciate ligament (ACL) surgery.
Main Methods:
- An online survey was distributed to orthopaedic surgeons who completed a knee fellowship.
- The survey assessed surgical practice and scientific output before and after fellowship training.
Main Results:
- Fellowship completion significantly increased the number of anterior cruciate ligament (ACL) surgeries performed annually.
- There was a notable rise in the performance of anterolateral procedures and a significant increase in publications and conference presentations.
- Over 90% of participants indicated they would repeat the fellowship.
Conclusions:
- Knee fellowships in specialized centers enhance surgical proficiency and scientific productivity.
- The training experience is highly valued by fellows, suggesting its effectiveness.
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