Fellows are exposed to a wide variety of challenging lower limb arthroplasty reconstruction techniques in both the complex primary and revision setting around the hip and knee. There is also the opportunity to gain exposure in the management of the Young Adult Hip, metastatic disease around the hip, and pelvic / acetabular work.

An average week encompasses two arthroplasty fellow clinics (alongside consultant clinics), two all-day arthroplasty theatre lists and one all-day acute arthroplasty / trauma list. Previous fellows have performed over 120 primary and over 70 revisions in the 12-month period.

The Fellow would be expected to attend the local and regional revision MDTs (the Trust is a nationally appointed Major Revision Centre, and revision network hub covering the Tees Valley and North Yorkshire). They would be expected to take part in research and quality improvement projects. The department is a national exemplar for orthopaedic research and is linked to the South Tees Academic Centre for Surgery from which numerous NIHR studies have been developed, led and delivered. The successful candidate would be expected to deliver on several projects for publication.

Acute and complex work is carried out at the James Cook University Hospital site in Middlesborough. High volume / low complexity work is carried out at The Friarage Hospital site in Northallerton. This has recently been assigned as one of the new elective surgical hubs, with a purpose-built £40 million theatre complex due to open in early 2025. The arthroplasty service is gearing up for this expansion with the recent introduction of robotic-assisted surgery.