Bone and Joint Decade Canada Goes International

James P. Waddell, M.D., FRCSC
Coordinator, Canadian National Action Network
for the Bone and Joint Decade

The International Steering Committee of the Bone and Joint Decade met on the Gold Coast of Australia on October 13^th & 14^th, 2007. This meeting was preceded, as has been the case in the last three years, by a patients' meeting to address patient-centered issues of significance to the Bone and Joint Decade. Colleen Maloney was present for the patient meeting and participated fully in the Bone and Joint Decade meeting that followed. She was a great representative for Canada and added to our presence at the event.

Care Models to Consider
highlights from the Halifax symposium

Michael J. Dunbar M.D., FRCSC, PhD
Halifax, NS

Eric Bohm, M.D., FRCSC
Winnipeg, MB

Ted Rumble, M.D., FRCSC
Toronto, ON

At this year's symposium at the Annual Meeting in Halifax, speakers presented on a variety of models of health care delivery that have been shown effective in significantly improving patient access.

Prudential Outlooks

Wilfred J. Hahn
Cet e-mail est protégé contre les robots collecteurs de mails, votre navigateur doit accepter le Javascript pour le voir

An experienced market technician once gave us this portfolio advice several decades ago: "Put half your money into a strip coupon, the other half into gold bullion. That way, no matter what happens - an inflationary spiral or a deflation - at least one half of your portfolio will prosper to allow you to retire without worries."

Planifiez dès maintenant votre participation à la Réunion annuelle de Québec

Doug Thomson, Directeur général
Association Canadienne, d'Orthopédie

Pierre Mercier, MD, FRCSC
Président, Comité organisateur de l'ACO

La 2^e Réunion annuelle conjointe de l'American Orthopaedic Association (AOA) et de l'Association Canadienne d'Orthopédie (ACO) aura lieu du 4 au 7 juin 2008, à Québec (Québec). Tout comme ce fut le cas pour la première Réunion annuelle conjointe de l'AOA et de l'ACO, organisée à Victoria en 2002, cette réunion promet d'être une manifestation éducative et sociale unique en son genre.

Les adjoints au médecin :
Le temps est venu

Doug Thomson, directeur
Association Canadienne d'Orthopédie

Les adjoints au médecin (AM) donnaient déjà un coup de main aux chirurgiens à l'époque où la Bretagne régnait sur les océans et Napoléon, sur les champs de bataille européens, donc dès que les pertes risquaient d'être importantes.

Serez-vous au congrès annuel de l'American Academy of Orthopaedic Surgeons (AAOS), à San Francisco?

Ne manquez pas la réception de l'Association Canadienne d'Orthopédie!

L'Association Canadienne d'Orthopédie
à l'occasion du 75^e congrès annuel de l'AAOS
à San Francisco (Californie)
donne une

réception

le jeudi 6 mars 2008

de 18 h à 22 h

aux salons 5 et 6
du San Francisco Marriott
55 Fourth Street
San Francisco, CA  64103

Introduction
The unstable total knee arthoplasty represents a difficult clinical problem. Dr. Markku Nousiainen and Dr. Jamie Howard will debate the indications, advantages and disadvantages of using a condylar constrained implant versus a rotating hinged implant.

Treatment Options for the Unstable Total Knee Arthroplasty - Condylar Constrained

Markku T. Nousiainen, B.A.(Hons.), M.S., M.D., FRCSC
Toronto, ON

One of the most common causes of failure in total knee arthroplasty relates to instability. Instability may develop at any time after the index procedure. Although the causes for instability are varied, they must be identified prior to performing a successful revision procedure. Causes include component loosening and/or wear, bone loss, improper component size or position, prosthesis or bone fracture, collateral ligament failure, or extensor mechanism dysfunction. These problems can lead to malalignment of the biomechanical axis of the limb and/or imbalance between the patellar and femoral components and/or the femoral and tibial components.

The Use of Rotating Hinges in Unstable Total Knee Arthroplasty

James L. Howard M.D., MSc, FRCSC
London, ON

Instability is an important cause of failure following total knee arthroplasty. Recent literature has identified that instability is one of the most common reasons for revision total knee arthroplasty, accounting for approximately 25% of all revision cases^3,12.

Introduction
Anterior curciate ligament reconstruction in the adolescent has always been a controversial intervention because of the risk of physeal injury. Drs. Debra Bartley, Mark L. Burman, and Chantal Janelle will discuss the advantages and disadvantages of the transphyseal reconstruction, the physeal sparing reconstruction, and the conservative approach respectively.

ACL Tears in Children
Physeal Sparing Reconstruction

Mark L. Burman M.D., FRCSC
Assistant Professor
Division of Orthopaedics, Department of Surgery
Sports Medicine Group
McGill University
Montreal, QC

ACL injury in children with significant skeletal growth remaining poses a unique surgical challenge to the orthopaedic surgeon. While adolescents nearing skeletal maturity can usually be treated as their adult counterparts, concern for damage to the physes around the knee makes this younger group of patients a challenge.

ACL Tears in Children
Transphyseal Reconstruction

Debra Bartley, M.D., FRCSC
London, ON

The adolescent with an anterior cruciate ligament (ACL) injury approaching skeletal maturity presents little controversy among surgeons. The risk of growth arrest causing a significant LLD or angular deformity is low and therefore adult ACL reconstructive techniques are considered safe and appropriate^3,4,9,12. Transphyseal reconstruction of the ACL in the skeletally immature athlete remains a subject of debate. The potential risks associated with damage to the physis, including leg length discrepancy (LLD) and angular deformity, lead most surgeons to look for alternative methods of reconstruction. However, transphyseal reconstruction methods are supported in recent literature without a significant incidence of complications leading to growth disturbance. The small number of complications reported have been attributed to correctible technical issues.

ACL Tears in Children
Conservative Management

Chantal Janelle M.D., FRCSC
Assistant Professor, Department of Surgery
Montreal Children Hospital & Shriners Hospital for Children
McGill University
Montreal, QC

Anterior cruciate ligament (ACL) tears in children are increasingly recognized. Shea et al reported an analysis of 8215 insurance claims filed on behalf of six million soccer players (5-18 y.o.). There was a significant increase in ACL injury at the age of 11-12 years¹.

Dear Members of the COA,

We are writing to inform you that in the forthcoming years, the health care sector in Canada could be facing a shortage of Registered Orthopaedic Technologists. This shortage will have a direct impact on your group since your Fracture Clinics will be facing a resulting staffing crisis of qualified Orthopaedic Technologists.

Dear Editor,

RE:    A COA Member's Journey through Orthopaedics and the Manitoba Provincial Election, May 23, 2007 (Ed - Bulletin #78, Fall 2007, pg. 14-15)

A number of exciting initiatives exist in orthopaedic surgery in Manitoba with developments over the last couple of years.

Rapport financier 2007 de la Fondation Canadienne d'Orthopédie

Le round d'endurance,
celui où on reprend l'avantage

Doug Thomson, directeur,
et Kevin J. Orrell, MD, FRCSC,
président du conseil d'administration de la Fondation Canadienne d'Orthopédie

Dans le numéro de mai 2002 du Bulletin, nous avions fait un parallèle avec la boxe pour décrire le rapport financier très austère publié par la Fondation pour l'exercice 2001. Cette dernière venait en effet d'encaisser un déficit de plus de 600 000 $. À l'époque, nous avions déclaré être esquintés, mais encore debout. En fait, nous tenions à peine debout.

Lauréats des prix et bourses de recherche pour 2007

Angelique Berg, directrice générale
Fondation Canadienne d'Orthopédie

Debbie Gates
Collaboration spéciale, Fondation Canadienne d'Orthopédie

La Fondation Canadienne d'Orthopédie est fière d'annoncer les lauréats de ses prix et bourses de recherche pour 2007. Le nombre de projets financés dépend du succès pendant l'année des programmes de collecte de fonds de la Fondation, dont le plus important est la campagne Hip Hip Hourra!

Des dons pour la vie
Programmes de dons de bienfaisance pour les orthopédistes et leurs patients

John F. Brown,
de John Brown Insurance,
à Toronto (Ontario),
pour la Fondation Canadienne d'Orthopédie

Introduction de Belinda Chun, agente de prospection
Fondation Canadienne d'Orthopédie

On entend souvent dire qu'on ne donne pas à une cause, mais à ceux qui la défendent.

Comme vous le savez, la population canadienne compte près de 10 millions de baby-boomers, soit des personnes nées entre 1946 et 1964. Les baby-boomers entament aujourd'hui la soixantaine et présentent un certain nombre de problèmes musculaires, articulaires et osseux en raison d'une prévention inadéquate, d'accidents ou simplement du vieillissement.

ABC Fellowship Tour 2007

Alastair Younger, M.D., FRCSC
University of British Columbia
Vancouver, BC

John Antoniou, M.D., FRCSC
McGill University
Montreal, QC

We couldn't believe our good fortune last year when we learned that we were selected to be the 2007 ABC fellows from Canada. Time passed quickly, and after making arrangements and a few phone calls to our fellow travellers from the United States over the Winter and Spring, we finally were able to meet the rest of the fellows in London on April 15^th. We were greeted by Peter Kaye and David Adams from the British Orthopaedic Association and were introduced to the rest of the ABC fellows: Dr. Brian Donley from Cleveland (foot and ankle), Dr. Connie Chu (Pittsburgh - basic science), Dr. Steve Frick (Charlotte - paediartics), Dr. Alan Hilibrand (Rothman institute - spine) and Bill Ricci (St. Louis - trauma).

Introducing the 2008 Anica Bitenc Fellow

We are pleased to introduce Dr. Denis Trsek from Croatia as the 2008 Anica Bitenc fellow. Dr. Trsek will begin his tour of Canadian orthopaedic centres in June next year and will attend the 2008 COA Annual Meeting in Quebec City.

The Anica Bitenc fellowship is sponsored by Dr. Igor Bitenc and hosts one fellow per year on a rotational basis from Slovenia, Croatia and Serbia. To learn more about the goals and origins of this fellowship, visit the eBulletin article called "The Anica Bitenc Fellowship - Learning from colleagues abroad" in Issue 76 in the COA Bulletin section on our web site: http://www.coa-aco.org/. Here's a direct link to copy into your browser:

http://www.coa-aco.org/en/coa_bulletin/issue_76/the_anica_bitenc_fellowship.html

Promote Your Fellowships Through the COA

If you are looking to promote your centre's fellowship programmes, free advertising space in the COA Bulletin is indeed available.  A ¼ page is offered at no charge to Association members who would like to promote the orthopaedic fellowship opportunities in their centres.  We recommend a 100 word summary along with a hospital or university logo.  Privileged rates are also offered to members who would like to secure space larger than a ¼ page.  Please contact Cynthia Vezina: Cet e-mail est protégé contre les robots collecteurs de mails, votre navigateur doit accepter le Javascript pour le voir   or 514 874-9003 x 3 for details. 

University of Manitoba Fellowships:

The Section of Orthopaedic Surgery at the University of Manitoba offers fellowship training programmes in four orthopaedic subspecialty areas:

• Arthroplasty - University of Manitoba Joint Replacement Group
• Winnipeg Spine Programme
• Sports Medicine and Upper Extremity Reconstruction
• Trauma

University of Ottawa Shoulder Fellowship

The University of Ottawa Shoulder Fellowship will provide an intensive one-year clinical and research experience focusing on all aspects of shoulder pathology. Clinical training will include advanced arthroscopic and open reconstructive technique.

Dr. Robert Noel (Bob) Lofthouse
December 25, 1917 - September 18, 2007

Passed away peacefully at Arbour Creek, Hamilton.

Dr. Borna Meisami-Fard
May 28, 1967 - July 1, 2007

Father, husband, son, brother, and a true Friend, Dr. Borna Meisami-Fard joined Eternity in our hearts on 1 July 2007.