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Thursday October 1, 2009
In This
Issue
Also This Month
Dr.
McGuire travels to Malaysia & China to give PCL Reconstruction
Instruction to Surgeons
Dr. McGuire is headed the Far East to give instructional
seminars on PCL reconstruction and Posterior Lateral Corner injuries.
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. This PCL technique utilizes the Tundra
ACL/PCL instrument set that was developed by Dr. McGuire in conjunction
with Smith & Nephew Orthopaedics and Endoscopy.
Dr. McGuire Welcomes Access
to our local hospitals for the convenience of our new and
current patients. 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.
Congratulations
to Alaska Orthopedic Specialists Alaska Women’s Run Team
Wendy Barton, Lara Breeding, Rachel Canning, Marci DeAvila
& Kris Kile.
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Appointment
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online.
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Position on Healthcare Reform
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. Please see the position statement from the Arthroscopy
Association of North America that we support in the effort to lower
costs and maintain the highest quality of care for our patients.
 Medical Device and
Diagnostic Industry Announces
its 30 Years/30 Devices Awards - The Headless Cannulated Bioabsorbable
Interference is Screw Selected - Dr. David McGuire - Inventor
The headless cannulated interference screw has replaced many
metal screws for anterior cruciate ligament (ACL) reconstruction surgery in
the knee. The titanium screw was released in 1991 and was followed by
a bioabsorbable screw three years later.  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). To
accelerate reincorporation rates, the screw has also been made with human
cortical and bovine bone as well. Surgeons are also now using the
screws for posterior cruciate, lateral collateral, and medial collateral
ligament procedures. 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.
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Tundra ACL/PCL Guide to be Showcased at Pamela Youde
Nethersole Eastern Hospital, Hong Kong
Smith & Nephew Endoscopy is sponsoring surgeon training
for posterior cruciate ligament (PCL) reconstruction in collaboration with
Dr. David McGuire. The Tundra ACL/PCL Guide
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  prepared
graft placed in anatomically created tunnels. A key PCL
reconstruction design feature is the backsplash located on the tip the
guide’s arm that protects
posterior structures during tunnel drilling. The coring
reamer (trephine) used to create the tibial tunnel for the graft, makes contact with the backsplash
at the end of the tunnel creation process. The externally guided
trephines used with backsplash do not require use of a guide pin.
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. The trephines also cut bone cleanly at the
tunnel apertures and such cleaner tunnel orifices facilitate easier graft
passage.
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