Knee Fellowships Improve Clinical Practice and Scientific Activity

Purpose: To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries. Methods: An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cr...

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Main Authors: Riccardo D’Ambrosi, M.D., Andy Williams, M.B., B.S., F.R.C.S. (Orth.)., Bertrand Sonnery-Cottet, M.D., Ph.D., Christian Fink, M.D.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy, Sports Medicine, and Rehabilitation
Online Access:http://www.sciencedirect.com/science/article/pii/S2666061X25000264
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author Riccardo D’Ambrosi, M.D.
Andy Williams, M.B., B.S., F.R.C.S. (Orth.).
Bertrand Sonnery-Cottet, M.D., Ph.D.
Christian Fink, M.D.
author_facet Riccardo D’Ambrosi, M.D.
Andy Williams, M.B., B.S., F.R.C.S. (Orth.).
Bertrand Sonnery-Cottet, M.D., Ph.D.
Christian Fink, M.D.
author_sort Riccardo D’Ambrosi, M.D.
collection DOAJ
description Purpose: To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries. Methods: An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cruciate ligament (ACL) before and after a knee fellowship. Results: A total of 74 of 102 (72.54%) fellows completed the survey. The mean age of the respondents was 36.85 ± 5.0 years (range 28-47 years). Sixty-nine (93.24%) were male, and 5 were female (6.75%). Before the fellowship, only 6 (8.10%) surgeons had performed more than 50 ACL surgeries yearly as the first operator, whereas more than 60% (46) had performed fewer than 10 ACL surgeries; after the fellowship, more than 50% (41) of the surgeons performed more than 50 ACL surgeries yearly as the first operator (P < .001). Before the fellowship, 57 (77.02%) surgeons did not perform anterolateral procedures or performed in less than 20% of their cases, whereas after the fellowship, almost 40% (31) performed anterolateral procedures in most of their cases (P < .001). A significant increase was also noted in the number of publications developed during the fellowship and conference presentations given between the period before and after the fellowship (P < .001). More than 90% (70%-94.59%) answered that they would do the fellowship again. Conclusions: Knee fellowships in highly specialized centers improve surgical activity in terms of surgical procedures and scientific production; furthermore, almost all the fellows reported that they would pursue such a fellowship again. Clinical Relevance: The results of this study may provide fellowship directors with important feedback about the strengths and weaknesses of the experience from participants.
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spelling doaj-art-34914e9cb0bc439d9e7582c6f9cd4bb92025-08-20T03:31:54ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-017310110010.1016/j.asmr.2025.101100Knee Fellowships Improve Clinical Practice and Scientific ActivityRiccardo D’Ambrosi, M.D.0Andy Williams, M.B., B.S., F.R.C.S. (Orth.).1Bertrand Sonnery-Cottet, M.D., Ph.D.2Christian Fink, M.D.3IRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, Italy; Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy; Address correspondence to Riccardo D’Ambrosi, M.D., IRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, Italy, Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy.Fortius Clinic, London, United KingdomCentre Orthopédique Santy, FIFA Medical Center of Excellence, Hopital Mermoz, Groupe Ramsay, Lyon, FranceGelenkpunkt-Sports-and Joint Surgery FIFA Medical Centre of Excellence, Innsbruck, Austria; Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Medical Informatics and Technology Private University for Health Sciences Hall, Tirol, AustriaPurpose: To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries. Methods: An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cruciate ligament (ACL) before and after a knee fellowship. Results: A total of 74 of 102 (72.54%) fellows completed the survey. The mean age of the respondents was 36.85 ± 5.0 years (range 28-47 years). Sixty-nine (93.24%) were male, and 5 were female (6.75%). Before the fellowship, only 6 (8.10%) surgeons had performed more than 50 ACL surgeries yearly as the first operator, whereas more than 60% (46) had performed fewer than 10 ACL surgeries; after the fellowship, more than 50% (41) of the surgeons performed more than 50 ACL surgeries yearly as the first operator (P < .001). Before the fellowship, 57 (77.02%) surgeons did not perform anterolateral procedures or performed in less than 20% of their cases, whereas after the fellowship, almost 40% (31) performed anterolateral procedures in most of their cases (P < .001). A significant increase was also noted in the number of publications developed during the fellowship and conference presentations given between the period before and after the fellowship (P < .001). More than 90% (70%-94.59%) answered that they would do the fellowship again. Conclusions: Knee fellowships in highly specialized centers improve surgical activity in terms of surgical procedures and scientific production; furthermore, almost all the fellows reported that they would pursue such a fellowship again. Clinical Relevance: The results of this study may provide fellowship directors with important feedback about the strengths and weaknesses of the experience from participants.http://www.sciencedirect.com/science/article/pii/S2666061X25000264
spellingShingle Riccardo D’Ambrosi, M.D.
Andy Williams, M.B., B.S., F.R.C.S. (Orth.).
Bertrand Sonnery-Cottet, M.D., Ph.D.
Christian Fink, M.D.
Knee Fellowships Improve Clinical Practice and Scientific Activity
Arthroscopy, Sports Medicine, and Rehabilitation
title Knee Fellowships Improve Clinical Practice and Scientific Activity
title_full Knee Fellowships Improve Clinical Practice and Scientific Activity
title_fullStr Knee Fellowships Improve Clinical Practice and Scientific Activity
title_full_unstemmed Knee Fellowships Improve Clinical Practice and Scientific Activity
title_short Knee Fellowships Improve Clinical Practice and Scientific Activity
title_sort knee fellowships improve clinical practice and scientific activity
url http://www.sciencedirect.com/science/article/pii/S2666061X25000264
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