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Orthopaedic Surgery

Lower Extremity Adult Reconstruction Fellowship

The Lower Extremity Adult Reconstruction Fellowship at Indiana University School of Medicine is a one-year program, recognized by the American Association of Hip and Knee Surgeons. This fellowship encompasses nearly all aspects of lower extremity adult reconstruction, including primary and revision hip and knee arthroplasty (total joint replacement). It also includes unicompartmental knee arthroplasty, minimally invasive surgical techniques, a variety of anterior and posterior-based hip surgical approaches, and computer-assisted surgical techniques. Emphasis is placed on complex revision hip and knee reconstruction, including the surgical treatment of peri-prosthetic infection.

Register for Fellowship Match

Applicants must have completed an orthopaedic surgery residency program. A $100 non-refundable registration fee and additional fees apply for applications sent by the match program to specific fellowship programs.

Clinical Experience

Fellows rotate for four months each with Andrew Parr, MD, at IU Health Methodist Hospital in Indianapolis; with Leonard Buller, MD, and Kevin Sonn, MD, at IU Health Saxony Hospital in Fishers; and with Michael Meneghini, MD, at Union Health Hospital in Terre Haute. 

While completing rotations in Indianapolis and Fishers, fellows also have the opportunity to see patients at the Richard L. Roudebush VA Medical Center.

Under the supervision of Meneghini or Parr throughout the fellowship year, fellows are responsible for inpatient and outpatient musculoskeletal care emphasizing evidence-based decision-making. Training includes didactic lectures, case presentations, critical reviews of peer-reviewed journals, weekly indications conferences and an extensive surgical and office experience with various faculty surgeons. The opportunity for clinical and basic science research is offered and encouraged throughout the fellowship.

Professional Development

Lower extremity reconstruction surgery fellows are encouraged to attend the annual American Association of Hip and Knee Surgeons meeting held annually in Dallas, Texas. They are also encouraged to attend other educational courses focused on hip and knee reconstruction, including the annual Contemporary Approaches to Adult Hip and Knee Reconstruction course hosted at IU Health Saxony Hospital. Weekly conferences are held on Wednesdays and Fridays, and the annual Garceau-Wray Lectureship represents the education conference at the time of resident and fellow graduation.

Attendance at the monthly IU School of Medicine Lower Extremity and Adult Reconstruction (LEAR) Journal Club, Quarterly Cadaver Lab and Quarterly Indiana Statewide Joint Council is expected. Fellows in this program must present a research project complete with data analysis and conclusion, of high-quality methodology and content with subsequent submission to a peer-reviewed journal for publication. Several social events occur throughout the academic year, and fellows are encouraged to attend.


All applicants for the Lower Extremity Adult Reconstruction Fellowship must apply for open positions exclusively through the San Francisco Match. The fellowship match is sponsored by the American Association of Hip and Knee Surgeons (AAHKS), the Hip Society and the Knee Society. The registration and match are administered by the San Francisco Matching Program (SF Match), designed to be a transparent, unbiased match process. The match takes place in April, one year before the active start date, and after the application and interview process has ended and confidential rank lists are sent to the SF Match.

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GME Inclusive Excellence Open House for Residency and Fellowship Applicants

Explore IU School of Medicine’s residency & fellowship programs in our virtual open house. Engage with leaders, residents, and fellows to learn more about our commitment to inclusive excellence. 


Teaching Faculty

Fellows will have the opportunity to work alongside some of the most talented hip and knee surgeons in the state. 
12212-Parr, J. Andrew

J. Andrew Parr, MD

Assistant Professor of Clinical Orthopaedic Surgery

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11262-Meneghini, R. Michael

R. Michael Meneghini, MD

Adjunct Clinical Professor of Orthopaedic Surgery

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44741-Buller, Leonard

Leonard T. Buller, MD

Associate Professor of Clinical Orthopaedic Surgery

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40436-Sonn, Kevin

Kevin A. Sonn, MD

Assistant Professor of Clinical Orthopaedic Surgery

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