Penn Orthopaedics

Adult Reconstruction Fellowship Objectives

The primary goal of this ACGME-accredited Adult Reconstruction Fellowship is to mentor an individual in all aspects of adult reconstruction. This fellowship is an exciting state-of-the-art experience that has four specialists who work together to provide a learning experience of both traditional and cutting edge innovations in the field. Each staff person has a diverse training experience and brings a unique perspective to total joint replacement. All are heavily involved in research, as well as clinical pursuits and education.

Four of the five workdays are spent in the operating room. The fifth day is a protected day to pursue research interests and gain office experience. Substantial research opportunities are available with ample support to assist in the production of publishable quality projects. The faculty strongly support the full-year rotation schedule, rather than a rotation format, to assure that the experience and relationships with each attending are maximized.

Jonathan Garino, MD

Jonathan Garino, MD, is the current fellowship director. Trained at the New York Orthopedic Hospital and fellowship trained at Penn, he brings a vast array of interests and experience to the program. The fellow currently operates two full days per week with him for the entire year. Dr. Garino is involved in multiple clinical trials and his patients benefit from some of the latest advancements in adult reconstruction.

Some of his interests include alternate bearing surfaces such as ceramic on ceramic, minimally invasive exposures, trabecular metal applications, and impaction grafting. Dr. Garino has developed a reputation for complex primary and revision reconstruction which continues to further enhance the overall experience.

Craig Israelite, MD

Craig Israelite, MD, is the newest member contributing to the fellowship. Following his training at Hahnemann University, Dr. Israelite became a member of the full-time faculty at Hahnemann. While at Hahnemann, he developed special interests in knee reconstruction and he served there as the Director of the Joint Service. In addition to his clinical interests, Dr. Israelite has always demonstrated a strong commitment to resident and fellow education. He represents a strong addition to our program with a growing role.


The fellow is responsible for the adult reconstruction conference that is held on a weekly basis. Case presentations and organized weekly topics make for an educational and enjoyable time. The conference is well attended by the faculty. Other conferences include weekly grand rounds, visiting lectureships, and the journal club.



This is an ACGME-approved fellowship. It has certain requirements that include pursuing a research topic and producing a paper of publishable quality. As mentioned above, each of the faculty is very research oriented. There are many projects that are currently underway and offer an opportunity for fellow participation. The faculty is also supportive of discussing research ideas that may be of interest to the fellow.


The fellow currently does one call for the year, the night prior and day of the orthopaedic in training exam.


The fellowship is one year. It extends from August 1 until July 31. One fellow is accepted each year.

Other Operative Opportunities

All aspects of orthopaedics are well represented and the fellow is invited to take advantage of other services of interest when possible. This includes sports, trauma, oncology, hand, spine, foot and ankle, and pediatrics.


The University of Pennsylvania Adult Reconstruction Fellowship is a unique opportunity for fellows to increase the breadth and depth of their ability to deal with complex adult reconstruction issues. The faculty does not need the fellow in order to function, but do seek to train a highly motivated individual.