External recognition
Part of the AAHKS-recognized program group.
AAHKS lists 116 active recognized adult reconstruction fellowship programs, including the Atlanta Adult Reconstruction Fellowship at Arthritis and Total Joint Specialists.
AAHKS-recognized adult reconstruction fellowship
Atlanta Arthroplasty Fellowship
A one-year, junior-partner experience inside Total Joint Specialists: more than 1,000 expected primary cases, more than 200 expected revision cases, infection, fracture, robotics, outpatient joint replacement, private-practice preparation, research, and progressive autonomy earned through preparation.
AAHKS recognition
Recognized by the national hip and knee fellowship standard.
AAHKS recognition means the fellowship has been reviewed against the adult reconstruction fellowship standards used across the national match ecosystem. The AAHKS-recognized program list includes the Atlanta Adult Reconstruction Fellowship at Arthritis and Total Joint Specialists.
Common standards
Structure beyond local reputation.
The AAHKS Fellowship Recognition Program sets a common standard for adult reconstruction fellowship training and a formal process for recognizing adherence to that standard.
Match relevance
Recognition matters for applicants.
AAHKS states that recognition is required for adult reconstruction programs participating in the Orthopaedic Match beginning in 2026.
TJS difference
Recognized structure plus an operating fellowship.
The recognition gives applicants external confidence; the TJS page explains the daily reality: high-volume operating, revision exposure, anterior hip, ASC systems, research, and private-practice preparation.
The curriculum, published
The full 50-week curriculum is open to every fellow.
Every week of the year has a topic, AAHKS FOCAL videos, and core readings — organized on the AAHKS FOCAL framework and published openly. Our fellows use it to know what to learn, read, and watch each week; fellows anywhere are welcome to use it too.
The year
Not a residency extension. A real arthroplasty immersion.
Fellows are expected to know their patients, arrive with a surgical plan, understand implant choices and alternatives, and earn progressive autonomy through reliability, judgment, and technical performance.
THA and TKA every week.
Routine primary hip and knee arthroplasty is the foundation, with attention to indications, templating, soft-tissue balance, and reproducible execution.
Failure analysis before reconstruction.
Revision exposure includes instability, infection, bone loss, fracture, severe deformity, custom implants, and bailout planning before incision.
Modern outpatient arthroplasty.
Fellows see the protocols, patient selection, perioperative flow, and recovery systems behind ambulatory and same-day joint replacement.
Robotics and computer assistance.
The year includes robotic and computer-assisted surgery as tools for planning, execution, alignment, and feedback, not as marketing decorations.
Indications are learned in clinic.
Clinic is where fellows build independent assessment, non-operative strategy, optimization judgment, and patient communication.
Research is part of the job.
Fellows participate in weekly research meetings and are expected to author and submit at least two scholarly works.
Brandon Naylor, DOProgram Director
Tom Bradbury, MDAssociate Director
Alexis Alva, MDEducation Director
Research
Arthroplasty Research Engine
Total Joint Specialists is often thought of as a community fellowship, but the practice is committed to arthroplasty research in a big way. Supported by research assistants and clinical staff, Dr. George Guild and Dr. Tom Bradbury lead a team that publishes an average of 15 papers per year.
Guild and Bradbury research leadership
Fellows join the research team, not the sidelines.
We know some fellows are eager to stop practicing academics and writing papers. But arthroplasty is a lifelong pursuit of finding the truth in our field. You will be an active part of the arthroplasty research team and will write at least two papers during the fellowship year.
15
Average papers per year from the TJS research team.
2+
Fellow papers expected during the year.
Volume and progression
Arthroplasty is about touches and repetition.
We are not just training your brain; we are training your hands and your touch so that what you do is reproducible every single case. The more touches you get, the more your hands learn what to feel and how to feel.
>1,000
Expected primary THA and TKA cases across the fellowship year.
>200
Expected revision hip and knee cases, including instability, infection, bone loss, fracture, and failed arthroplasty workups.
ASC
Same-day and outpatient joint replacement flow, including patient selection, protocols, team handoffs, and recovery systems.
OR
Active operating experience with faculty coaching, increasing complexity, and attention to efficiency, safety, and communication.
The TJS standard
This is an operating fellowship.
Applicants should expect to operate. The year is built around real primary and revision hip and knee surgery, with faculty in the room coaching judgment, sequence, efficiency, exposure, reconstruction, and complication management.
You will be in the cases.
The fellowship is designed for active operative participation across primary joints, revisions, infection, fracture, ASC arthroplasty, and complex reconstruction.
More case, more judgment, more repetition.
Faculty coaching helps fellows move through exposure, preparation, implantation, closure, revision strategy, and full-case flow with increasing confidence.
Come ready for the case in front of you.
Review imaging, indication, implants, sequence, and backup plans so time in the OR is spent operating, not catching up.
Coaching happens at the field.
Fellows get direct feedback on tissue handling, efficiency, decision-making, communication, and how to become the surgeon people want beside them.
Anterior hip and anterior revision
Deep anterior hip experience, including revision through the anterior interval.
The fellowship gives applicants meaningful exposure to anterior hip replacement as a high-volume primary workflow and as a revision strategy. Fellows learn the approach as an operating discipline: patient selection, positioning, fluoroscopy, exposure, implant execution, complication avoidance, extensile options, and when to choose a different route.
Primary anterior hip
Repetition with precision.
Fellows work through setup, table and leg management, interval development, acetabular and femoral preparation, fluoroscopic checks, implant positioning, stability, closure, and same-day recovery flow.
Anterior revision
Revision thinking without abandoning the interval.
Exposure includes selected anterior revision scenarios such as liner and head exchange, cup revision, instability, failed components, fracture-risk planning, and extensile decision-making.
Failure analysis
The approach follows the problem.
Fellows learn to diagnose why a hip failed, how bone loss and implant position change the plan, and when anterior, posterior, extensile, or combined strategies are safest.
ASC application
Anterior hip in a real outpatient system.
The experience connects surgical technique to patient selection, anesthesia, blood management, therapy handoffs, discharge criteria, and recovery expectations in a high-volume ASC model.
Published technique
Anterior revision is taught as a reproducible technical problem.
The fellowship's anterior revision exposure is anchored by faculty experience with extensile anterior techniques, including the inside-out anterior osteotomy of the proximal femur for selected revision hip arthroplasty scenarios.
Mahmood S, Muffly BT, Bradbury TL. The "Inside-Out" Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty. Arthroplasty Today. 2023;24:101219. doi:10.1016/j.artd.2023.101219
12-by-12 efficiency
Your technique and time will be tracked case by case because surgical efficiency is a surgical competency.
The 12-by-12 framework monitors the fellow's progress across the year for primary hip and knee replacement. It is not speed for speed's sake; it is a way to make preparation, room flow, technical sequence, tissue handling, implant execution, closure, and team communication visible.
Sequence, exposure, reconstruction.
Faculty track progression in setup, exposure, femoral and acetabular preparation, component positioning, leg-length and offset restoration, stability, closure, and elapsed time.
Exposure, balance, alignment, flow.
Fellows are monitored on exposure, bone cuts, gap assessment, ligament balance, trialing, cement or fixation workflow, closure, and elapsed time.
Measured feedback loop.
Time and skill progress are reviewed with faculty so the fellow can see where preparation, technical sequence, or team communication needs to improve.
12-by-12 paper
True OR efficiency requires radical time transparency.
The fellowship uses the same operating philosophy described in the 12-by-12 paper: make time visible, make the sequence measurable, and treat efficient surgery as a learned clinical skill.
DeCook C, Statton J. 12 by 12: Obtaining True OR Efficiency with Radical Time Transparency and Operational Excellence. Journal of Orthopaedic Experience & Innovation. 2022;3(1). doi:10.60118/001c.31769
Case-by-case tracking
Primary hip and knee progress becomes visible.
00:06:09Exposure
00:09:03Acetabulum or bone preparation
00:05:03Trialing and implant workflow
ReviewTechnique, sequence, team flow, closure
Conferences and expectations
The fellow leads the room, not just the slide deck.
Weekly x-ray conference, quarterly M&M, journal club, didactics, PAC clinic, rounding, call, case logs, and research are integrated into the training year.
- Weekly x-ray conference: fellows prepare and lead a one-hour case discussion around diagnosis, options, literature, operative plan, pitfalls, and backup strategy.
- Quarterly M&M: fellows identify major complication cases with faculty and review ASC complication numbers in a structured format.
- Journal club and didactics: fellows evaluate the question, study design, statistics, limitations, and clinical impact instead of passively reading papers.
- PAC clinic and rounding: fellows learn protocols, optimization, lab review, postoperative care, and practical care-team leadership.
Three services in four-month blocks.
Rotations expose fellows to different arthroplasty philosophies, techniques, technologies, and practice models.
High-volume TJS and ACJRF service.
Playbook faculty include Jon Minter, Chase Dean, Brandon Naylor, George Guild, and Charlie DeCook.
Urban and regional reconstruction.
Northside Atlanta, Duluth, and Gwinnett services broaden the fellow's case mix and faculty exposure.
Community arthroplasty leadership.
Land and Seng services add another model for building durable adult reconstruction practice.
Practice management
Prepared for the OR, the clinic, and the business of private practice.
TJS fellowship training includes the operating model behind a successful adult reconstruction practice: patient access, clinic conversion, optimization, ASC throughput, team leadership, complication response, outcomes review, referral relationships, and professional reputation.
- Clinic-to-surgery discipline: fellows learn how consult quality, imaging review, documentation, optimization, and patient education shape surgical readiness.
- ASC operations: fellows see how case selection, anesthesia planning, implant logistics, turnover, discharge criteria, and recovery protocols create reliable outpatient arthroplasty.
- Team leadership: fellows practice communicating with APPs, nurses, techs, schedulers, therapists, and administrators as a future practice partner.
- Private-practice readiness: fellows learn how to build trust with patients, referring clinicians, hospitals, surgery centers, industry partners, and the local community.
Knee philosophy lab
Every knee philosophy. Every knee approach. Every knee technology.
Led by Dr. George Guild of The Knee Society, fellows are exposed to every knee philosophy, every knee approach, and every knee technology. The goal is not to memorize one template; it is to understand how experts think when the anatomy, ligaments, deformity, technology, and patient goals all point in different directions.
George Guild, MD
Knee Society perspective inside a high-volume operating year.
Fellows compare alignment strategy, exposure, balancing, implants, robotics, and revision-minded primary decision-making across faculty who do not all solve knees the same way.
Alignment strategies
Mechanical, kinematic, restricted, and functional thinking.
Fellows compare when to restore native anatomy, when to stay inside safer alignment boundaries, and how deformity, ligament quality, bone loss, and patient goals change the plan.
Subvastus approach
Quadriceps-sparing exposure as a deliberate tool.
Exposure choices include subvastus and other tissue-respecting approaches, with attention to visualization, extensile options, component execution, and recovery tradeoffs.
Robotics and planning
Technology as feedback, not autopilot.
Robotic and computer-assisted platforms are used to connect preoperative planning, intraoperative data, soft-tissue assessment, and final implant execution.
Revision mindset
Primary knees are taught with the failure modes in mind.
Instability, stiffness, malrotation, infection, fixation failure, polyethylene wear, and bone loss are used to teach why primary decisions matter.
National landscape
There are incredible fellowships around the country. We built this to be different.
AAHKS listed 116 recognized adult reconstruction fellowship programs in January 2026. There are incredible fellowships around the country; we purposely built this fellowship to be different from the rest by publishing the operating standard, the expected volume environment, and the private-practice preparation that define the TJS year.
What most pages make clear
- One-year fellowship structure and SF Match participation.
- Program director, coordinator, faculty list, and position count.
- Broad exposure to primary and revision arthroplasty.
- Research, conferences, and journal club language.
What TJS makes impossible to miss
- The fellow is treated as a junior partner in a high-performing adult reconstruction practice.
- Progressive autonomy is earned through preparation, reliability, judgment, and technical performance.
- The case spectrum includes primary, complex revision, infection, fracture, deformity, limb salvage, robotics, computer assistance, and ASC-based joint replacement.
- By graduation, the fellow should be ready to perform routine primary THA/TKA, execute complex revision strategies, lead a multidisciplinary care team, and function as an arthroplasty partner.
Faculty
A fellowship faculty built from a joint-replacement-only practice.
The playbook identifies Brandon Naylor, DO as Program Director; Tom Bradbury, MD as Associate Director; Alexis Alva, MD as Education Director; and George Guild, MD as Research Director.
Brandon Naylor, DO
Program Director
Tom Bradbury, MD
Associate Director
Alexis Alva, MD
Education Director
George Guild, MD
Research Director
Charlie DeCook, MD
Fellowship faculty
Robert Wood, MD
Fellowship faculty
Adam Land, MD
Fellowship faculty
Jon Minter, DO
Fellowship faculty
Chase Dean, MD
Fellowship faculty
Sam Vojdani, MD
Fellowship faculty
Brian Seng, DO
Fellowship faculty
Where our fellows are now
Fellowship alumni.
Since 2020, the Atlanta Arthroplasty Fellowship has graduated eight surgeons now in practice across the country — in private groups and hospital systems from Nebraska to the Carolinas — with a growing cohort of current and incoming fellows behind them. Here is where the TJS year has taken them.
8 alumni in practice
6 states
Graduating classes since 2020
3 incoming for 2026–27
Brad A. Webb, DO
Class of 2020–21
ResidencyKettering Health / Grandview Medical Center — Dayton, OH
NowNebraska Orthopaedic Center — Lincoln, NE
Jimmy Raley, MD
Class of 2021–22
ResidencyMedical College of Georgia, Augusta University — Augusta, GA
NowSportsMed Alabama — Huntsville / Madison / Decatur, AL
Jordan Paynter, MD
Class of 2021–22
ResidencyAugusta University Medical Center (MCG) — Augusta, GA
NowErlanger Medical Center — Chattanooga, TN
TJS gave me an incredible volume of experience and the confidence to go straight into practice. I learned tips and tricks from multiple surgeons and combined the best of them.
Ryan Harrell, DO
Class of 2022–23
ResidencyNorthwell Health — Plainview, NY
NowNovant Health Brunswick Medical Center — Supply, NC
William “Gaines” Cumbie, DO
Class of 2023–24 · First SF match class
ResidencyCleveland Clinic — Cleveland, OH
NowGeorgia Bone & Joint (Piedmont) — Fayetteville / Newnan, GA
Neal Huang, MD
Class of 2023–24 · First SF match class
ResidencyUT Chattanooga College of Medicine — Chattanooga, TN
NowLowcountry Orthopaedics & Sports Medicine — Charleston, SC
Playing pickleball against Dr. Bradbury and Dr. DeCook after finishing 14 primary joints by lunchtime — a unique experience you won’t get anywhere else.
Charles Long, MD
Class of 2024–25
ResidencyUniversity of Louisville — Louisville, KY
NowPardee Orthopedics & Sports Medicine — Hendersonville, NC
Anthony Kamson, DO
Class of 2024–25
ResidencyUPMC Pinnacle (Community Osteopathic) — Harrisburg, PA
NowPinnacle Orthopaedics (Wellstar) — Hiram / Marietta, GA
Current fellows · 2025–26
In the operating year now
Breydan Wright, MD
Mayo Clinic — Rochester, MN
Taylor Den Hartog, MD
University of Iowa — Iowa City, IA · incoming: Des Moines Orthopaedic Surgeons
Incoming · 2026–27
Matched and on the way
John Whitaker, MD
University of Louisville — Louisville, KY
Jonathan Rasio, MD
Medical College of Wisconsin — Milwaukee, WI
Ryan Weegens, MD
University of Louisville — Louisville, KY
Come see it for yourself
Visit for a day. Visit for a week. See what we are really about in Atlanta.
There is no expectation of a visit to match here. But we encourage applicants to come see the program in person: watch the pace, meet the team, understand the ASC model, and see a different way of tackling the arthroplasty profession.
Regardless of where you match, we want you exposed to a new way of thinking about adult reconstruction. We would be honored if you want to come pay us a visit.
See the rhythm of clinic, surgery, conference, and team communication inside a high-volume arthroplasty practice.
Follow the operating fellowship more deeply across primary joints, revision work, ASC flow, and faculty coaching.
A visit is not required and does not define your application. It is simply the clearest way to understand the culture.
Application path
Apply through the adult reconstruction match.
The fellowship participates in the national adult reconstruction fellowship ecosystem. Applicants should use SF Match and the AAHKS fellowship directory for current application dates, interview timing, and listing details.
Sources used for this page: TJS Fellowship Playbook 2026-27; AAHKS Fellowship Recognition Program; AAHKS-recognized program list updated January 12, 2026; AAHKS fellowship directory; AAHKS Adult Reconstruction Fellowship Match; Inside-Out anterior osteotomy paper; 12-by-12 efficiency paper; The Knee Society; Jon Minter, DO public provider profile.