þÿ<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=Content-Type content="text/html; charset=unicode"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 12"> <meta name=Originator content="Microsoft Word 12"> <link rel=File-List href="word-index_files/filelist.xml"> <!--[if !mso]> <style> v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} </style> <![endif]--><!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>crystal limbaugh</o:Author> <o:LastAuthor>crystal limbaugh</o:LastAuthor> <o:Revision>8</o:Revision> <o:TotalTime>18</o:TotalTime> <o:Created>2009-10-04T05:38:00Z</o:Created> <o:LastSaved>2009-10-04T23:50:00Z</o:LastSaved> 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mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="3074"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body bgcolor=white background="http://www.akorthospec.com/newsletter/images/newsletter-bg.jpg" lang=EN-US link="#83BA7F" vlink="#83BA7F" style='tab-interval:.5in'> <div class=Section1> <div> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=806 style='width:604.5pt;mso-cellspacing:0in;margin-left:-3.0pt;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=806 style='width:604.5pt;padding:0in 0in 0in 0in'> <p class=MsoNormal align=center style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;text-align:center'><a href="http://www.akorthospec.com" target="_blank"><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes;text-decoration:none;text-underline:none'><img border=0 width=800 height=164 id="_x0000_i1034" src="http://www.akorthospec.com/newsletter/images/newsletter-banner.jpg" alt="http://www.akorthospec.com/newsletter/images/newsletter-banner.jpg"></span></a></p> </td> </tr> <tr style='mso-yfti-irow:1;height:765.9pt'> <td width=806 valign=top style='width:604.5pt;padding:0in 0in 0in 0in; height:765.9pt'> <p class=MsoNormal align=center style='mso-margin-top-alt:auto;margin-bottom: 12.0pt;text-align:center'><span style='font-size:13.5pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:white'>Dr. David McGuire - Newsletter<br> <font size="2" color="white">Already read it? <a href="http://www.akorthospec.com">Click here to visit our new website.</a></font></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=797 style='width:597.75pt;mso-cellspacing:0in;background:#E5E5E5;mso-shading: windowtext;mso-pattern:gray-10 auto;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes; height:742.5pt'> <td width=8 valign=top style='width:6.0pt;padding:0in 0in 0in 0in; height:742.5pt'></td> <td width=270 valign=top style='width:202.5pt;padding:0in 0in 0in 0in; height:742.5pt'> <div style='text-align:right'><br> <b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Thursday October 1, 2009</span></b><o:p></o:p></b></div> <div align=center style='text-align:center'><b><span style='font-size:10.0pt; mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=center> </span></b></div> <p><b><span style='font-family:"Arial","sans-serif";color:black'>In This Issue</span></b><b><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></b></p> <ul type=disc> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;mso-list:l0 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><a href="#position">Position on Healthcare Reform</a></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;mso-list:l0 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><a href="#devices">30 Devices / 30 Years</a></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;mso-list:l0 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><a href="#tundra">Tundra ACL/PCL Guide</a></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> </ul> <div> <div class=MsoNormal><b><span style='mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span></b></div> </div> <p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Also This Month</span></b><b><span style='mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></b></p> <p><b><span style='font-family:"Arial","sans-serif";color:black'>Dr. McGuire travels to Malaysia &amp; China to give PCL Reconstruction Instruction to Surgeons </span></b></p> <div> <p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Dr. McGuire is headed the Far East to give instructional seminars on PCL reconstruction and Posterior Lateral Corner injuries.&nbsp; The instruction and surgical demonstrations will be held on October 23 at the Pamela Youde Eastern Hospital in Hong Kong and again on Wednesday October 28 in Kuala Lumpur.&nbsp; This PCL technique utilizes the Tundra ACL/PCL instrument set that was developed by Dr. McGuire in conjunction with Smith &amp; Nephew Orthopaedics and Endoscopy.</span><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> <div><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span><b><span style='font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Dr. McGuire Welcomes Access</span></b><span style='mso-fareast-font-family:"Times New Roman"'> </span><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></div> </div> <p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>to our local hospitals for the convenience of our new and current patients.&nbsp; We have teamed up with diagnostic imaging and medical records in each facility to make your visit with the doctor smoother and more efficient by going online with Regional and Providence hospitals.</span></p> <p><b><span style='font-family:"Arial","sans-serif";color:black'>Congratulations to Alaska Orthopedic Specialists Alaska Women s Run Team</span></b></p> <p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Wendy Barton, Lara Breeding, Rachel Canning, Marci DeAvila &amp; Kris Kile.</span><b><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></b></p> <div><b><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span></b><b><span style='font-family:"Arial","sans-serif";color:black'>Forward<br> </span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Know someone who might be interested in this email? &nbsp;<u><a href="http://akorthospec.com/?p=617">Forward</a></u> this email to a friend.</span><b><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></b></div> <div><b><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span></b><b><span style='font-family:"Arial","sans-serif";color:black'>Meet the Doctor<br> </span></b><u><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'><a href="http://akorthospec.com/?page_id=5" target="_blank">Dr. David McGuire</a></span></u><b><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></b></div> <div><b><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span></b><b><span style='font-family:"Arial","sans-serif";color:black'>Make an Appointment<br> </span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Click <u><a href="http://akorthospec.com/?page_id=7" target="_blank">HERE</a></u> if you would like to request an appointment online.</span><b><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></b></div> </td> <td width=6 valign=top style='width:4.5pt;padding:0in 0in 0in 0in; height:742.5pt'></td> <td width=1 valign=top style='width:.75pt;background:black;padding:0in 0in 0in 0in; height:742.5pt'></td> <td width=6 valign=top style='width:4.5pt;padding:0in 0in 0in 0in; height:742.5pt'></td> <td width=498 valign=top style='width:373.5pt;padding:0in 0in 0in 0in; height:742.5pt'> <div> <a name=postion></a><br> <b><span style='font-family:"Arial","sans-serif"; color:#294373'>Position on Healthcare Reform</span></b><o:p></o:p> <div><strong><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'> <hr size=2 width="100%" align=left> </span></strong><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Alaska Orthopedic Specialists supports sensible healthcare system reform that maintains integrity of the doctor-patient relationship and allows you, in concert with your physician, to determine your treatment. &nbsp;Please see the position statement from the <a href="http://akorthospec.com/documents/AANAposition.pdf" target="_blank">Arthroscopy Association of North America</a> that we support in the effort to lower costs and maintain the highest quality of care for our patients.</span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><o:p></o:p></span></b></div> </div> <p><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp;</span></p> <div style='margin-top:5.0pt;margin-bottom:5.0pt'> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto'><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"> <v:stroke joinstyle="miter"/> <v:formulas> <v:f eqn="if lineDrawn pixelLineWidth 0"/> <v:f eqn="sum @0 1 0"/> <v:f eqn="sum 0 0 @1"/> <v:f eqn="prod @2 1 2"/> <v:f eqn="prod @3 21600 pixelWidth"/> <v:f eqn="prod @3 21600 pixelHeight"/> <v:f eqn="sum @0 0 1"/> <v:f eqn="prod @6 1 2"/> <v:f eqn="prod @7 21600 pixelWidth"/> <v:f eqn="sum @8 21600 0"/> <v:f eqn="prod @7 21600 pixelHeight"/> <v:f eqn="sum @10 21600 0"/> </v:formulas> <v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/> <o:lock v:ext="edit" aspectratio="t"/> </v:shapetype><v:shape id="Picture_x0020_2" o:spid="_x0000_s1034" type="#_x0000_t75" alt="http://www.akorthospec.com/newsletter/images/image003.jpg" style='position:absolute; margin-left:35pt;margin-top:0;width:75pt;height:100.5pt;z-index:1; visibility:visible;mso-wrap-style:square;mso-wrap-distance-left:7.5pt; mso-wrap-distance-top:0;mso-wrap-distance-right:7.5pt; mso-wrap-distance-bottom:0;mso-position-horizontal:right; mso-position-horizontal-relative:text;mso-position-vertical:absolute; mso-position-vertical-relative:line' o:allowoverlap="f" stroked="t"> <v:imagedata src="http://www.akorthospec.com/newsletter/images/image003.jpg"/> <w:wrap type="square" anchory="line"/> </v:shape><![endif]--><![if !vml]><img width=100 height=134 src="images/image003.jpg" align=right border="1" hspace=10 alt="http://www.akorthospec.com/newsletter/images/image003.jpg" v:shapes="Picture_x0020_2"><![endif]><a name=devices></a><strong><span style='font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#294373'>Medical Device and Diagnostic Industry <a href="http://www.devicelink.com/mddi/archive/09/06/002.html" target="_blank">Announces</a> its 30 Years/30 Devices Awards - The Headless Cannulated Bioabsorbable Interference is Screw Selected - &nbsp;Dr. David McGuire -&nbsp; Inventor</span></strong><strong><span style='font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'><o:p></o:p></span></strong></p> <div class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto'><strong><span style='font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <hr size=2 width="100%" align=left> </span></strong></div> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>The headless cannulated interference screw has replaced many metal screws for anterior cruciate ligament (ACL) reconstruction surgery in the knee. &nbsp;The titanium screw was released in 1991 and was followed by a bioabsorbable screw three years later. </span><!--[if gte vml 1]><v:shape id="Picture_x0020_3" o:spid="_x0000_s1033" type="#_x0000_t75" alt="http://www.akorthospec.com/newsletter/images/image001.jpg" style='position:absolute;margin-left:0;margin-top:0;width:104.25pt; height:69.75pt;z-index:2;visibility:visible;mso-wrap-style:square; mso-wrap-distance-left:7.5pt;mso-wrap-distance-top:7.5pt; mso-wrap-distance-right:7.5pt;mso-wrap-distance-bottom:7.5pt; mso-position-horizontal:left;mso-position-horizontal-relative:text; mso-position-vertical:absolute;mso-position-vertical-relative:line' o:allowoverlap="f" stroked="t"> <v:imagedata src="http://www.akorthospec.com/newsletter/images/image001.jpg"/> <w:wrap type="square" anchory="line"/> </v:shape><![endif]--><![if !vml]><img width=139 height=93 src="images/image001.jpg" align=left border="1" hspace=10 vspace=10 alt="http://www.akorthospec.com/newsletter/images/image001.jpg" v:shapes="Picture_x0020_3"><![endif]><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>The advantage of the bioabsorbable screw is that the body reabsorbs the polymer, replacing it with bone, so there is no need for a second surgery to remove the screw (as sometimes is the case when using metal screws). &nbsp;To accelerate reincorporation rates, the screw has also been made with human cortical and bovine bone as well. &nbsp;Surgeons are also now using the screws for posterior cruciate, lateral collateral, and medial collateral ligament procedures. &nbsp;Its use has led to the development of other cannulated interference screws and anchor devices for applications in the wrist, elbow, shoulder, hip, and ankle.<br> <a href="#top">Back to Top %²</a></span><b><span style='font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto'><b><span style='font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>&nbsp;</span></b></p> <div> <p><a name=tundra></a><strong><span style='font-family:"Arial","sans-serif"; color:#294373'>Tundra ACL/PCL Guide to be Showcased at Pamela Youde Nethersole Eastern Hospital, Hong Kong</span></strong><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> <div><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'> <hr size=2 width="100%" align=left> </span></div> <p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; color:black'>Smith &amp; Nephew Endoscopy is sponsoring surgeon training for posterior cruciate ligament (PCL) reconstruction in collaboration with Dr. David McGuire.&nbsp; The <u>Tundra <a href="http://akorthospec.com/?p=601" target="_blank">ACL/PCL Guide</a></u> was designed by Dr. McGuire to resolve problems associated with tibial tunnel misplacement during anterior cruciate ligament or PCL reconstruction. The split Achilles tendon allograft PCL reconstruction technique uses an anatomically </span><!--[if gte vml 1]><v:shape id="Picture_x0020_4" o:spid="_x0000_s1032" type="#_x0000_t75" alt="http://www.akorthospec.com/newsletter/images/image005.jpg" style='position:absolute;margin-left:50pt;margin-top:0;width:90pt; height:83.25pt;z-index:3;visibility:visible;mso-wrap-style:square; mso-wrap-distance-left:7.5pt;mso-wrap-distance-top:7.5pt; mso-wrap-distance-right:7.5pt;mso-wrap-distance-bottom:7.5pt; mso-position-horizontal:right;mso-position-horizontal-relative:text; mso-position-vertical:absolute;mso-position-vertical-relative:line' o:allowoverlap="f" stroked="t"> <v:imagedata src="http://www.akorthospec.com/newsletter/images/image005.jpg"/> <w:wrap type="square" anchory="line"/> </v:shape><![endif]--><![if !vml]><img width=120 height=111 src="images/image005.jpg" align=right border="1" hspace=10 vspace=10 alt="http://www.akorthospec.com/newsletter/images/image005.jpg" v:shapes="Picture_x0020_4"><![endif]><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>prepared graft placed in anatomically created tunnels. &nbsp;A key PCL reconstruction design feature is the backsplash located on the tip the guide s arm that <u><a href="http://www.akorthospec.com/newsletter/images/25.jpg" target="_blank">protects posterior structures</a></u> during tunnel drilling.&nbsp; The coring reamer (trephine) used to create the tibial tunnel for the graft, makes <u><a href="http://akorthospec.com/?p=606" target="_blank">contact with the backsplash</a></u> at the end of the tunnel creation process.&nbsp; The externally guided trephines used with backsplash do not require use of a guide pin.&nbsp; Using guide pins and cannulated reamers that drill over the guide pins, produce significant injury risk to the posterior vein, artery, and nerve during PCL reconstruction.&nbsp; The trephines also cut bone cleanly at the tunnel apertures and such cleaner tunnel orifices facilitate easier graft passage.<br> <a href="#top">Back to Top %²</a></span><u><span style='font-size:10.0pt; font-family:"Arial","sans-serif";color:#83BA7F'><br> <br style='mso-special-character:line-break'> <![if !supportLineBreakNewLine]><br style='mso-special-character:line-break'> <![endif]></span></u><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </div> </td> <td width=8 valign=top style='width:6.0pt;padding:0in 0in 0in 0in; height:742.5pt'></td> </tr> </table> </div> </td> </tr> <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes;height:18.75pt'> <td width=806 style='width:604.5pt;padding:0in 0in 0in 0in;height:18.75pt'> <p class=MsoNormal align=center style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;text-align:center'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><br> Alaska Orthopaedic Specialists<br> 4100 Lake Otis Parkway, Suite 320, Anchorage, AK 99508 - Ph: (907)&nbsp;562-4142</span><span style='font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <br> <br> <font size="2">To unsubscribe or add a new email address, please visit the <a href="http://akorthospec.com/?page_id=630"><strong>SUBSCRIBE</strong></a> page of our site. Thank you.</font></span></p> </td> </tr> </table> </div> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp;</span></p> </div> </div> <script type="text/javascript"> var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); </script> <script type="text/javascript"> try { var pageTracker = _gat._getTracker("UA-4636316-29"); pageTracker._trackPageview(); } catch(err) {}</script> </body> </html>