AO Foundation Annual Report 2003

!/ &OUNDATION

!NNUAL 2EPORT

INSIGHT

#ONTENTS

-ESSAGE FROM THE 0RESIDENT

-ESSAGE FROM THE #HAIRMAN OF THE "OARD OF $IRECTORS

!/ 6ISION

4RUSTEE -EETING 2EPORT

-ANAGING "ODIES OF THE !/ &OUNDATION

!CADEMIC #OUNCIL "OARD OF $IRECTORS %XECUTIVE -ANAGEMENT

4HE WORLD WIDE !/ .ETWORK

2ESEARCH )NSTITUTE

2ESEARCH &UND

$EVELOPMENT

!/4+ %XPERT 'ROUPS

!/ )NTERNATIONAL

0UBLISHING

-EDIA 3ERVICES

)NTERNATIONAL 2ELATIONS

#LINICAL )NVESTIGATION $OCUMENTATION

#RANIOMAXILLOFACIAL

!/3PINE

6ETERINARY

&INANCE AND #ORPORATE $EVELOPMENT

!NNUAL 2EPORT

-ESSAGE FROM THE 0RESIDENT )N THIS PAST YEAR AFTER ) LEFT THE CHAIRMANSHIP OF THE 5NIVERSITY $EPARTMENT !MSTERDAM ) GAINED A LOT OF TIME WHICH ALLOWED ME TO CONCENTRATE MAINLY ON THE !/ PRESIDENCY ) HAD THE UNIQUE OPPORTUNITY TO CO WORK IN MY FUNCTION WITH A NEW POWERFUL TEAM OF FRIENDS ' 3TRASSER THE NEWLY ELECTED #%/

- 2AUH THE #HAIRMAN OF THE !/6!

NOT TO FORGETTING h-R !/v 5 *ANN lNANCIAL DIRECTOR AND EXPERIENCED CONSULTANT TO THE PRESIDENT ) HAD THE FULL SUPPORT OF THE !/6! INCLUDING THE PRODUCERS 4HE NEWLY CREATED PRESIDENTIAL TEAM FORMED BY 0 -ATTER

PAST PRESIDENT * +ELLAM AS PRESIDENT ELECT AND MYSELF

ASSISTED BY ' 3TRASSER AND - 2AUH IS A USEFUL INSTITUTION TO PROlT FROM EACH OTHERS EXPERIENCE TO IDENTIFY ISSUES AND TO FAMILIARIZE THE LEADERSHIP OF THE !/ WITHOUT FUNCTIONING AS A DECISION MAKING BODY 4HE 4RUSTEE -EETING ON #RETE WAS HELD FROM *UNE

CHAIRED BY MYSELF AND ATTENDED BY 4RUSTEES 4HE WISH OF THE 4RUSTEES TO GET BETTER INFORMATION DURING THE TIME BETWEEN MEETINGS COULD BE FULlLLED )N4RUST IS AN UPDATE TO THE 4RUSTEES FROM THEIR PRESIDENT )N&ORM FROM THE #HAIRMAN OF THE "OARD OF $IRECTORS 4HE !CADEMIC #OUNCIL MET FOUR TIMES AND CAME TO THE CONCLUSION THAT OUR SCIENTIlC APPROACH NEEDS TO BE FOCUSED

BASED ON CLEARLY DElNED CLINICAL PROBLEMS 4HE !C# CERTAINLY NEEDS SOME RESTRUCTURING AND WE WILL INTEGRATE THE RESULTS OF THE GENERAL STRATEGY PROCESS IN THE FUTURE STRUCTURE OF THIS IMPORTANT BODY 4HE !C# SHOULD BE MORE EFlCIENT AND ABLE TO EXERCISE A CONSTITUTIONAL CONTROL FUNCTION WITH REGARD TO THE ACADEMIC GOALS 4HE !/ 3TEERING "OARDS HAD MORE MEETINGS THAN EVER AND DID AN EXCELLENT JOB lNISHING THEIR STRATEGY PROCESS ) HAD THE OPPORTUNITY TO ATTEND DIFFERENT STEERING BOARD MEETINGS AND IT WAS INTERESTING FOR ALL PARTICIPANTS OF THE STRATEGY WORKSHOPS TO KNOW WHAT WE HAVE AND WHAT WE WANT 4HE !/ +NOWLEDGE 3ERVICES WAS DISPERSED BUT SHOULD BE NOW ON TRACK TO BE EFlCIENTLY MANAGED AS A SERVICE TO THE !/ #OMMUNITY n ANOTHER CONTRIBUTION TO IMPROVE WORLD WIDE PATIENT CARE -INIMAX &RACTURE &IXATION THE BOOK BASED ON (ARDI 7EBER S MANUSCRIPT WAS EDITED IN A REALLY SHORT TIME BY !/ 0UBLISHING AND PRINTED BY 4HIEME ) HAD THE OPPORTUNITY DURING THE $AVOS !/ COURSES TO HAND IT OVER TO (ARDI S WIDOW !LICE

2 -ARTI HANDS OVER THE BOOK h-INIMAXv TO (ARDI 7EBER S WIDOW !LICE

-AURICE % -Ã LLER OUR FOUNDING FATHER STARTED THE REALIZATION OF HIS DREAM TO BUILD A MUSEUM IN "ERN FOR THE FAMOUS ARTIST 0AUL +LEE 4HE #ENTER 0AUL +LEE WILL ALSO BE A MEETING CENTER FOR ARTISTS AND SCIENTISTS INCLUDING THE !/ &OUNDATION /FlCIAL !/ REPRESENTATIONS ARE ONE PART OF THE FUNCTION OF THE PRESIDENT ) HAD THE OPPORTUNITY TO BE PRESENT AT THE MEETINGS OF !/ !USTRIA !/ 'ERMANY AND PARTICIPATED AT THE !LUMNI MEETINGS IN *APAN AND .ORTH !MERICA ,ISTENING TO THEIR SUGGESTIONS AND CONCERNS IS AN IMPORTANT INPUT AND CONTRIBUTES TO THE FUTURE DEVELOPMENT OF OUR FOUNDATION "EING A SO CALLED EVALUATOR AND OPPONENT AT THE INSTALLATION OF A PROFESSORSHIP IN /SLO .ORWAY WAS ANOTHER HIGHLIGHT OF MY REPRESENTATIVE FUNCTION 4EACHING ACTIVITIES WERE MY ONLY OFlCIAL FUNCTION WITHIN THE !/ ORGANIZATION BEFORE MY ELECTION IN /SLO ) WENT ON ACCEPTING THE INVITATION OF WORLD WIDE COURSE ORGANIZERS TO GIVE LECTURES COMBINING THE FUNCTION OF PRESIDENCY WITH EDUCATION )N ) PARTICIPATED AT TEN COURSES AND SYMPOSIA IN THE .ETHERLANDS 3WITZERLAND )TALY 53! AND *APAN PRESENTING MORE THAN TWENTY DIFFERENT LECTURES &URTHERMORE ) WAS INVOLVED IN THE ORGANIZATION OF TWO EVENTS IN THE .ETHERLANDS AND 3WITZERLAND 7HEN ) lNISH MY PRESIDENCY IN *UNE AT THE 4RUSTEE -EETING IN 6ENICE ) AM CONVINCED THAT THE WELL STRUCTURED INITIATIVE OF THE STRATEGY PROCESS AND THE ALREADY INITIATED REGIONALIZATION WILL STRENGTHEN THE !/ AS AN INDEPENDENT SCIENTIlC ORGANIZATION )MPROVED COMMUNICATION WILL CONTRIBUTE TO THE EXPANSION OF THE !/ NETWORK REALIZING OUR MISSION TO IMPROVE PATIENT CARE IN TRAUMA AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM /UR STRATEGY WILL CONTRIBUTE TO SOLVING THE PROBLEMS STILL EXISTING WITHIN !/ 'ERMANY !FTER THE REORGANIZATION OF THE !/ STRUCTURES 'LOBAL 3YNTHES IS NO THREAT BUT A UNIQUE OCCASION TO BENElT MUTUALLY WHILE RETAINING AN ACCEPTABLE DEGREE OF INTER DEPENDENCE

2 -ARTI 0RESIDENT OF THE !/ &OUNDATION

!NNUAL 2EPORT

-ESSAGE FROM THE #HAIRMAN WAS MY lRST YEAR AS #HAIRMAN OF THE "OARD OF $IRECTORS !/6! ) AM PROUD AND HONORED TO BE IN THIS POSITION AND ) HOPE THAT ) HAVE BEEN ABLE TO GIVE GOOD GUIDANCE AND BEST PRACTICE LEADERSHIP 4HE !/6! HAD lVE MEETINGS THREE IN :URICH ONE IN #RETE

AND ONE IN $AVOS 7E ADDRESSED AND RESOLVED SOME IMPORTANT ADMINISTRATIVE AND ORGANIZATIONAL ISSUES OF THE FOUNDATION IN A POSITIVE AND CONSTRUCTIVE SPIRIT 4HE FOLLOWING MILESTONES AND HEADLINES ARE WORTH MENTIONING IN THIS REPORT )N *ANUARY WE APPOINTED ' 3TRASSER AS THE #%/ (E STARTED AT THE BEGINNING OF -ARCH WITH THE AGREED PRIORITIES TO GIVE LEADERSHIP TO THE )4 PROJECTS AND TO INITIATE A STRATEGY PROCESS )N -AY WE INSTALLED THE "IOTECHNOLOGY !DVISORY "OARD "!"

AN INTERNATIONAL GROUP OF NON !/ LEADING BIOTECH SPECIALISTS WITH THE OBJECTIVE OF EXTENDING OUR RESEARCH NETWORK INTO THE lELD OF BIOTECHNOLOGY WITH A FOCUS ON BONE CARTILAGE AND DISCS 4HREE PROJECTS HAVE BEEN CHOSEN AND A SECOND CALL IS UNDER WAY )N *UNE WE lNALLY APPROVED THE 3PINE 4EMPLATE CREATING !/3PINE AS AN ORGANIZATION WITH ITS OWN RESEARCH AND EDUCATIONAL ACTIVITIES INCLUDING FELLOWSHIPS 4HE !/3PINE )NTERNATIONAL "OARD WITH - !EBI #HAIRMAN 0 0AVLOV * / $OWD - *ANSSEN - DE +LEUVER $ 3CHLENZKA , 6IALLE

% 7OODARD AND * 7EBB 0AST #HAIRMAN WAS ELECTED AND 2EGIONAL !/3PINE "OARDS IN %UROPE !SIA 0ACIlC ,ATIN !MERICA AND .ORTH !MERICA WERE CONlRMED 4HE NEW ORGANIZATION WAS CONFRONTED WITH NUMEROUS STRUCTURAL AND PROCEDURAL CHALLENGES BUT THE PROGRESS SO FAR IS IMPRESSIVE !LSO IN *UNE WE WERE INFORMED ABOUT 3TRATEC S INTENTION TO DIVERT -EDIVISION 4HE !/6! DECIDED NOT TO ACQUIRE THE COMPANY BUT TO ASSIST AND SUPPORT THE USERS OF -EDIVISION EQUIPMENT IN A SMOOTH TRANSITION TO THE NEW OWNER 0RAXIM 4HE RESULTS SO FAR HOWEVER HAVE BEEN DISAPPOINTING 7E THEREFORE MIGHT HAVE TO REVISIT THE ISSUE IN THE ONGOING YEAR )N !UGUST WE WERE INFORMED ABOUT THE ACQUISITION OF THE OSTEOSYNTHESIS PART OF -ATHYS -EDICAL ,TD BY 3YNTHES 3TRATEC )NC 7E WERE VERY PLEASED BY THIS MOVE WHICH MAY SIMPLIFY MANY ASPECTS OF OUR SCIENTIlC INDUSTRIAL PARTNERSHIP HOWEVER

WE HAVE NOT YET RESUMED OUR CONTRACT NEGOTIATIONS WHICH WE PUT ON HOLD IN /CTOBER 4HE FORTHCOMING NEGOTIATIONS WILL BE CHALLENGING FOR BOTH PARTIES BECAUSE MANY ESTABLISHED PRINCIPLES AND PROCEDURES HAVE TO BE ADAPTED TO THE REALITIES OF TODAY AND THE NEEDS OF TOMORROW

- 2AUH

)N 3EPTEMBER THE !/6! SPENT A WHOLE DAY IN A RETREAT 7E ANALYZED THE PRIORITIES FOR CHANGE AND THE NEEDS FOR FUTURE RESOURCE ALLOCATION 3IX PROJECTS WERE IDENTIlED FOUR OF THEM ARE ADDRESSED BY THE STRATEGY PROCESS 4HE OTHER TWO THE LEGAL STRUCTURE OF THE !/ &OUNDATION AND THE REDElNITION OF ELECTION AND ROLE OF THE 'OVERNING "ODIES ARE BEING TREATED SEPARATELY !LL YEAR ROUND BEST PRACTICE &OUNDATION GOVERNANCE WAS HIGH ON OUR LIST 4HE COMMITTEES OF THE !/6! FOR 2EMUNERATION AND !UDIT WORKED EFlCIENTLY 4HE #ODE OF %THICS WAS AGREED AND SIGNED BY ALL MEMBERS 4HE RELATIONSHIP BETWEEN THE &OUNDATION AND THE 'ERMAN !/ WAS OF PERMANENT CONCERN THROUGHOUT THE WHOLE YEAR 4HE DELEGATES OF BOTH SIDES HELD NUMEROUS MEETINGS WITHOUT MUCH SUCCESS 4HE !/6! IS DEDICATED TO RESOLVING THIS RELATIONSHIP PROBLEM AS SOON AS POSSIBLE WITHOUT LOSING THE SUPPORT OF THE MANY DEDICATED 'ERMAN !/ MEMBERS WHO ARE SO ACTIVE AND ENGAGED IN INTERNATIONAL ASSIGNMENTS !ND lNALLY ) WANT TO REPORT THE PERSONNEL CHANGES AT THE TOP LEVEL % *OHNSON SUCCEEDED , -URPHY AT THE END OF AS MEMBER OF THE !/6! %RIC WAS A GUEST FROM *UNE ONWARDS , +INZL DID NOT STAND FOR REELECTION AS #HAIRMAN OF THE 2ESEARCH "OARD . 3Ã DKAMP WAS ELECTED AS SUCCESSOR WITH EFFECT FROM $ECEMBER WAS AN INTERESTING CHALLENGING AND SUCCESSFUL YEAR ) AM CONVINCED THAT THE ONGOING YEAR AND THE FUTURE WILL HAVE THE SAME CHARACTERISTICS )F WE STICK TO OUR MISSION

WHICH IS

hTO FOSTER AND EXPAND OUR NETWORK OF HEALTHCARE

PROFESSIONALS IN EDUCATION RESEARCH DEVELOPMENT AND CLINICAL INVESTIGATION TO ACHIEVE MORE EFFECTIVE PATIENT CARE WORLD WIDE h

) AM VERY POSITIVE ABOUT OUR FUTURE DEVELOPMENT

- 2AUH #HAIRMAN OF THE "OARD OF $IRECTORS

!NNUAL 2EPORT

,IVING UP TO THE !/ 6ISION 7HEN THE !/ WAS ESTABLISHED IN BY OUR FOUNDERS THEY WERE A SMALL GROUP OF VISIONARY INDIVIDUALS 4ODAY THE !/ HAS GROWN INTO A LARGE INTERNATIONAL ORGANIZATION OF CONSIDERABLE COMPLEXITY AND SIGNIlCANT DIVERSITY 4HE COLLECTIVE BRAINPOWER OF OUR NETWORK MEMBERS IN THE DIFFERENT PARTS OF THE WORLD IS AN ENORMOUS ASSET FOR OUR !/ &OUNDATION 4O MAINTAIN hUNITÏ DE DOCTRINEv IN A CHANGING WORLD TO ESTABLISH A COMMON UNDERSTANDING AND TO CREATE A SHARED SENSE OF DIRECTION THE !/ HAS ADAPTED ITS STRATEGY TO TODAY S NEEDS !FTER SEVERAL MONTHS WITH THE !/ ' 3TRASSER IN HIS ROLE AS #%/ WAS ASSIGNED BY THE !/6! TO THE TASK OF DESIGNING AND EXECUTING AN INTEGRATED STRATEGY PROCESS THAT INVOLVES THE GOVERNANCE BOARDS AND OPERATIONAL BODIES OF THE !/ ORGANIZATION 4HE AIM WAS TO ARRIVE AT A COMMON SET OF ORGANIZATIONAL OBJECTIVES AND A UNIlED UNDERSTANDING OF WHO WE ARE WHAT WE STAND FOR AND WHERE WE ARE GOING ACROSS THE !/ ORGANIZATION WORLD WIDE

4HE PROCESS WAS APPROVED BY THE !/6! IN *UNE THE ACTUAL WORK OF lLLING IT WITH CONTENT WAS STARTED AT THE !/6! RETREAT IN 3EPTEMBER )N THE 5ETLIBERG RETREAT THE !/6! INITIATED THE SIX STRATEGIC INITIATIVES MENTIONED IN - 2AUH S REPORT &OUR OF THESE INITIATIVES WERE TAKEN UP IN THE STRATEGY PROCESS -ANAGE EXPAND AND FOSTER THE !/ NETWORK 0LAN AND AUDIT DELIVERABLES $IFFERENTIATE !/ REPUTATION AND 3YNTHES BRANDING $EVELOP A MODEL CONTRACT FOR OUT OF 3YNTHES PARTNERSHIPS

4HE STRATEGY PROCESS NEEDS EVERYONE S INVOLVEMENT AND IS A CONTINUOUS PROCESS *UST AS THE ENVIRONMENT IN WHICH WE LIVE AND WORK CONTINUOUSLY CHANGES WE MUST CONSTANTLY REACT TO NEW DEVELOPMENTS AND ANTICIPATE CHANGE WHENEVER POSSIBLE

4HE ANNUAL STRATEGY PROCESS WILL HELP US ENSURE THAT WE SYSTEMATICALLY ADDRESS ALL THE IMPORTANT ISSUES AT THE RIGHT LEVEL AND AGREE ON OUR PRIORITIES OVER THE NEXT lVE YEARS )T WILL ASSIST US TO ACHIEVE MORE CLARITY REGARDING ROLES AND RESPONSIBILITIES LEADING TO BETTER AND MORE PROFESSIONAL GOVERNANCE OF OUR COMPLEX ORGANIZATION

h/UR VISION IS EXCELLENCE IN THE SURGICAL MANAGEMENT OF TRAUMA AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM

v

4RUSTEE -EETING

4RUSTEE -EETING 4HE "OARD OF 4RUSTEES OF THE !/ &OUNDATION MET IN #RETE 'REECE 4HE TH ANNUAL MEETING OF THE "OARD OF 4RUSTEES OF THE !/ &OUNDATION WAS HELD FROM *UNE AT THE #APSIS "EACH (OTEL IN #RETE 'REECE OUT OF 4RUSTEES ATTENDED THE MEETING WHICH WAS CHAIRED BY 2 -ARTI 0RESIDENT OF THE !/ &OUNDATION

* +ELLAM 0RESIDENT %LECT INTRODUCED THE FOLLOWING NEW 4RUSTEES ELECTED IN / . .AGI )NDIA * ! " #AMPBELL 3OUTH !FRICA $ 0OITOUT &RANCE 7 3HIN #HO +OREA ' 2EYNOSO 0ERU % DE 3ANTIS )TALY ' 3ANCHEZ !NICETO 3PAIN * 'UERRERO 6ENEZUELA % 4ÚNDEVOLD $ENMARK ) (ARRIS !USTRALIA - 7ANG #HINA * %RIK -ADSEN .ORWAY

2 -ARTI 0RESIDENT OF THE !/ &OUNDATION WELCOMES THE 4RUSTEES

2 -ARTI 0RESIDENT OF THE !/ &OUNDATION - 2AUH #HAIRMAN OF THE "OARD OF $IRECTORS !/6! ' 3TRASSER #%/ AND 5 *ANN $IRECTOR &INANCE !DMINISTRATION REPORTED THEIR RESPECTIVE ISSUES TO THE "OARD OF 4RUSTEES DURING THE ADMINISTRATIVE MEETING 3UBSEQUENTLY % *OHNSON WAS ELECTED AS A NEW MEMBER OF THE "OARD OF $IRECTORS !/6! AND 0 -ANSON WAS RE ELECTED " !LPERT WAS RE ELECTED AS A MEMBER OF THE !CADEMIC #OUNCIL !C# % 1UEIPO DE ,LANO 3PAIN WAS APPOINTED HONORARY MEMBER OF THE "OARD OF 4RUSTEES ' 3TRASSER #%/ OF THE !/ &OUNDATION REPORTS TO THE PLENARY SESSION

4HE FOLLOWING PERSONS WERE ELECTED AS NEW 4RUSTEES IN % 3 "ERSUSKY !RGENTINA * "ORELLI 53!

9 2 #HEN 4AIWAN 4 #LIFFORD 53! & DE LA (UERTA -EXICO ! $URANDEAU &RANCE 3 &ERNANDEZ #HILE 0 (OFFMEYER 3WITZERLAND $ -ARCHESI 3WITZERLAND 2 -OSHEIFF )SRAEL

* + / $OWD 'REAT "RITAIN 2 & 0ESANTEZ #OLOMBIA % 2AMOS -EXICO . 3CHWARZ !USTRIA - 3HINDO *APAN + - 3TàRMER 'ERMANY 6 6ÏCSEI !USTRIA - 6RAHAS 53! + 7ENDA 'ERMANY

,IVELY DISCUSSION IN THE PLENARY SESSION

!NNUAL 2EPORT

3CIENTIlC PRESENTATIONS (IGHLY QUALIlED GUEST SPEAKERS AS WELL AS VARIOUS 4RUSTEES LED TO LIVELY DISCUSSIONS DURING THE MEETING ! MODERN VIEW OF 7OLFF S LAW 3 2 "UCHMANN 4HE BALANCE BETWEEN OPERATIVE AND CONSERVATIVE FRACTURE CARE # VAN DER 7ERKEN 2ECOMMENDATIONS AND PROGRESS MADE IN THE !/ &OUNDATION IN THE PAST FOUR YEARS 0 2EGAZZONI )NTERNATIONAL ORTHOPEDICS #ONTRASTS CHALLENGES - !EBI 3TATE OF THE ART OF INTERNAL lXATION WITH BIODEGRADABLE IMPLANTS IN THE CRANIOMAXILLOFACIAL SKELETON # ,INDQVIST 3TATE OF THE ART IN GENE THERAPY # %VANS 4HE FUTURE ROLE OF A 4RUSTEE * +ELLAM &ROM THE ROUND HOLE TO THE $#0 HOLE TO THE ,# $#0

TO THE 0# &IX TO THE ,#0 HOLE 3 0ERREN /PEN SOURCE FORMAT ! &ERNANDEZ

4HE BREAKOUT SESSIONS SHOWED ONCE MORE THE EFFECTIVENESS OF SMALL GROUPS OF EXPERTS 4HE RESEARCH SESSION ADDRESSED THE ISSUES OF MUSCULOSKELETAL STEM CELLS ( 2EDL FUNCTIONAL ADAPTATION OF TISSUES ! 'OODSHIP EXPRESSION OF LUBRICIN CONTROLLED

BY MECHANICAL CONDITIONS - !LINI AND THE INTERACTION OF CELLS AND SURFACES WITH IMPLANT MATERIALS ' 2ICHARDS

.ORTH !MERICAN 3TEERING #OMMITTEE SESSION

6IRTUAL REALITY TOOLS IN SURGICAL PLANNING ( & :EILHOFER

MINIMALLY INVASIVE PERCUTANEOUS OSTEOSYNTHESIS 2 "ABST AND IMAGING SURGERY WERE ISSUES OF THE DEVELOPMENT SESSION 4HE EDUCATION SESSION WAS DEDICATED TO EDUCATIONAL EMPOWERMENT OF PHYSICIANS * 'REEN E UNIVERSITY AT 3YNTHES 53! 3 3CHWARTZ AND E LEARNING FOR SURGICAL TRAINING 6 (OLLIDAY 4HE CLINICAL INVESTIGATION DOCUMENTATION SESSION DEVOTED ITS ATTENTION TO RANDOMIZED CONTROLLED TRIALS IN ORTHOPEDIC SURGERY - "HANDARI COHORT STUDIES " +OPJAR

COST EFFECTIVENESS OF ORTHOPEDIC SURGERY " (ANSON AND CRITICAL EVALUATION OF CASE STUDIES ! SUMMARY REPORT OF THE BREAKOUT SESSIONS WAS GIVEN TO THE PLENARY THE DAY AFTER 4HE BREAKOUT SESSIONS WERE FOLLOWED BY REGIONAL LUNCHES

WHICH GAVE THE OPPORTUNITY OF MEETING COLLEAGUES FROM THE GEOGRAPHICAL NEIGHBORHOOD

%UROPEAN ,UNCH ROUND

h

4HE SCENERY AND CULTURE OF THE ISLAND OF #RETE CONTRIBUTED TO THE REAL !/ FAMILY SPIRIT AS IN THE EARLY DAYS

v

2 -ARTI

!NNUAL 2EPORT

/UTGOING 4RUSTEES

! DIVERSIlED SOCIAL PROGRAM ENRICHED THE OFlCIAL MEETING )T INCLUDED A VISIT TO THE -INOAN 0ALACE IN +NOSSOS THE RELICTS OF THE CIVILIZATION OF "# AND A SUBSEQUENT DINNER AT THE ANCIENT VILLAGE OF !ROLITHOS ON 4HURSDAY 4HE ARCHEOLOGICAL MUSEUM IN )RAKLIØN REPRESENTED ANOTHER CULTURAL HIGHLIGHT /N &RIDAY A BARBECUE DINNER TOOK PLACE ON THE PROTECTED AND UNINHABITED $IA )SLAND 4HE MEETING ENDED WITH A CHARMING GALA BANQUET IN THE GARDEN OF THE #APSIS "EACH (OTEL ON 3ATURDAY 4HE TH ANNUAL MEETING IS SCHEDULED FOR *UNE

IN 6ENICE )TALY

4RUSTEE -EETING #RETE *UNE

4HE FOLLOWING OUTGOING 4RUSTEES WERE HONORED AND BECAME 3ENIOR 4RUSTEES $ &RITSCHY 3WITZERLAND & , 'ARCIA -EXICO ' (IERHOLZER 'ERMANY * % & (OULTON 'REAT "RITAIN + ! -AYO 53! ( 2ESCH !USTRIA # 3ANCINETO !RGENTINA $ 3ARAGAGLIA &RANCE $ 3CHARPLATZ 3WITZERLAND - 3OMARRIVA #HILE ( 3TEIN )SRAEL 2 3ZYSZKOWITZ !USTRIA

!NNUAL 2EPORT

-ANAGING "ODIES OF THE !/ &OUNDATION 3TATUS AS PER $ECEMBER

!CADEMIC #OUNCIL !C# 2 -ARTI 0RESIDENT 0 -ATTER 0AST 0RESIDENT * +ELLAM 0RESIDENT %LECT 4 2àEDI 0RESIDENT !/) ! 0ACE 0RESIDENT !/!!

- 2AUH #HAIRMAN !/6! ' 3TRASSER #%/ % 3CHNEIDER $IRECTOR !2) . (AAS #HAIRMAN !/4+ - !EBI 3PINE * !UER 6ET

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"OARD OF $IRECTORS !/6!

- 2AUH #HAIRMAN

2 -ARTI 0RESIDENT

* +ELLAM 0RESIDENT %LECT 2 "RÚNNIMANN 3TRATEC

* 'ERRY 3YNTHES 53!

% *OHNSON

2 -ATHYS JUN -ATHYS !'

0 -ANSON

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* 1UINTERO

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5 *ANN !DVISORY -EMBER 5 7EBER -INUTES

!CADEMIC #OUNCIL !C#

"OARD OF $IRECTORS !/6!

!/ %XECUTIVE -ANAGEMENT !/%- ' 3TRASSER #%/ " (ANSON 5 *ANN - 0ICCIRILLO 4 2àEDI % 3CHNEIDER 0 3CHREITERER . 3UHM 3 2ICHARDS -INUTES !/ %XECUTIVE -ANAGEMENT !/%-

!NNUAL 2EPORT

4HE WORLD WIDE !/ .ETWORK

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!NNUAL 2EPORT

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!/ 2ESEARCH )NSTITUTE

!/ 2ESEARCH )NSTITUTE !2) 4HE MISSION OF !/ 2ESEARCH IS TO EXPAND THE BOUNDARIES OF KNOWLEDGE TO SOLVE CLINICAL PROBLEMS AND IMPROVE PATIENT CARE IN THE AREA OF TRAUMA AND MUSCULOSKELETAL DISORDERS 4HE !/ 2ESEARCH "OARD TOGETHER WITH THE SCIENTIlC STAFF OF THE )NSTITUTE HAS DEVELOPED RESEARCH PROGRAMS IN ORDER TO MEET THIS NEED 4HE PROGRAMS INCLUDE BOTH BASIC AND APPLIED RESEARCH THAT WILL PROVIDE SCIENTIlC EVIDENCE FOR FURTHER DEVELOPMENT "UT THIS IS NOT ENOUGH 4HE )NSTITUTE IS EXPECTED TO INVESTIGATE SPECIlC QUESTIONS RELATED TO DIFFERENT DEVICES PROCEDURES OR TECHNOLOGY POSED BY CLINICIANS AND INDUSTRY 4HESE QUESTIONS ARE ADDRESSED BY A SEPARATE PROGRAM WHICH STRESSES FAST AND EFlCIENT STATE OF THE ART SOLUTIONS TO PARTICULAR PROBLEMS 7ITH THE COMBINATION OF THESE PROGRAMS THE !/ 2ESEARCH )NSTITUTE WILL CARRY OUT ORIGINAL FUTURE ORIENTED RESEARCH AND CONTINUE TO SUPPORT THE MEMBERS OF THE !/ &OUNDATION IN THEIR OWN RESEARCH ENDEAVOURS

"IOMATERIALS AND 4ISSUE %NGINEERING 0ROGRAM 4HIS PROGRAM FOCUSES ON THREE MAJOR RESEARCH AREAS

BIORESORBABLE POLYMERS BONE SUBSTITUTES AND CARTILAGE REGENERATION WITH THE AIM OF DEVELOPING BIOLOGICAL APPROACHES FOR RESTORING FUNCTIONALITY TO BONE AND CARTILAGE 'OAL 4O DEVELOP RESORBABLE SCAFFOLDS AND NEW RESORBABLE BIODEGRADABLE IMPLANT MATERIALS FOR THE PURPOSE OF REGENERATING CORTICAL AND CANCELLOUS BONE DEFECTS 'OAL 4O GAIN UNDERSTANDING OF PROBLEMS ASSOCIATED WITH CARTILAGE REPAIR IN A TISSUE ENGINEERING APPROACH

#ALCIUM PHOSPHATE CRYSTALS FORMED ON BIODEGRADABLE POLYURETHANE BONE SUBSTITUTE SCAFFOLDS

-ECHANO "IOLOGY 0ROGRAM 4HE FOCUS IN MECHANO BIOLOGY IS ON THE TISSUES AND HOW THEY ARE PRODUCED MAINTAINED AND ADAPTED BY CELLS AS A RESPONSE TO THEIR BIOPHYSICAL ENVIRONMENT )N LINE WITH THIS APPROACH

THIS PROGRAM IS CURRENTLY ACTIVE IN THREE AREAS OF RESEARCH 'OAL 4O lND AND EXPLORE MECHANICAL CHEMICAL AND OR BIOLOGICAL TECHNOLOGIES FOR BETTER IMPLANT ANCHORAGE IN OSTEOPOROTIC BONE 'OAL 4O UNDERSTAND THE BASIC MECHANISMS AND IMPLICATIONS OF INTERVERTEBRAL DISC DEGENERATION AND TO DEVELOP LONG TERM FUNCTIONAL TREATMENTS

.EW TERPOLYMER METHYLENE BLUE

'OAL 4O ELUCIDATE MECHANO TRANSDUCTION MECHANISMS IN FRACTURE HEALING FOR THE PURPOSE OF ACCELERATING BONE REGENERATION AND TREATING COMPLICATIONS THEREOF

"IO 0ERFORMANCE OF -ATERIALS AND $EVICES 0ROGRAM 4HIS MAINLY APPLIED PROGRAM INVESTIGATES CELL TISSUE AND BACTERIAL REACTIONS TO BIOMATERIALS IN VITRO IN VIVO AND EX VIVO 3ERVICES ARE PROVIDED IN HISTOLOGY LIGHT AND ELECTRON MICROSCOPY AND PROlLOMETRY TO SUPPORT THE OTHER !2) RESEARCH GROUPS AND EXTERNAL PARTNERS 'OAL 4O INVESTIGATE IMPLANT SURFACE MODIlCATIONS CONTROLLING CELL AND SOFT TISSUE ADHESION "IOMECHANICAL TEST OF AN ,#0 2ECONSTRUCTION 0LATE APPLIED TO A HUMAN DISTAL HUMERUS WITH AN INTRA ARTICULAR SUPRACONDYLAR FRACTURE MODEL

'OAL 4O EVALUATE OSSEOINTEGRATION OF BIOMATERIALS AND IMPLANTS 'OAL 4O INCREASE IMPLANT INFECTION RESISTANCE

!NNUAL 2EPORT

%FFECTS OF MECHANICAL LOADING ON THE METABOLIC ACTIVITY OF CHONDROCYTES SEEDED ONTO BIORESORBABLE SCAFFOLDS 4O IMPROVE THE FORMATION OF A FUNCTIONAL CARTILAGE CONSTRUCT

CHONDROCYTES WERE ENCAPSULATED IN A lBRIN GEL WITHIN A BIO DEGRADABLE POLYURETHANE SCAFFOLD AND SUBJECTED TO IN VITRO MECHANICAL CONDITIONS &IBRIN ENCAPSULATION OF CELLS RESULTED IN A HIGHER SEEDING EFlCIENCY AND A MORE EVEN DISTRIBUTION OF CELLS )N ADDITION ACCUMULATION OF PROTEOGLYCANS AND COLLAGEN WAS IMPROVED IN lBRIN CONTAINING CONSTRUCTS #HONDROCYTES ENCAPSULATED IN lBRIN HAD A SIGNIlCANTLY HIGHER EXPRESSION OF COLLAGEN )) AND AGGRECAN M2.! AND A LOWER EXPRESSION OF COLLAGEN ) M2.! -ECHANICAL STIMULATION DID NOT FURTHER IMPROVE THE M2.! EXPRESSION OF MATRIX PROTEINS (OWEVER SURFACE MOTION SIGNIlCANTLY INCREASED THE M2.!

AND PROTEIN LEVELS OF LUBRICIN AN IMPORTANT BOUNDARY LUBRICANT

AND THE SYNTHESIS OF HYALURONAN

#ONTRACT 2ESEARCH 3UPPORT 0ROGRAM 4HE #ONTRACT 2ESEARCH AND 3UPPORT 0ROGRAM RENDERS RESEARCH SERVICES WITHIN AND OUTSIDE THE !/ 2ESEARCH )NSTITUTE 4HE PERSONNEL HAVE THE KNOWLEDGE AND EXPERIENCE TO ASSIST RESEARCHERS IN A MODULAR MANNER STARTING WITH PROJECT DESIGN AND ENDING WITH DATA ANALYSIS AND PUBLICATION 4HE INVESTIGATIONS ARE TYPICALLY OF AN APPLIED NATURE AND ARE CONDUCTED WITHIN A FAIRLY SHORT TIME FRAME UNDER A CLEARLY DElNED CONTRACT 4HE SERVICES PROVIDED INCLUDE SURGERY

ANIMAL CARE MECHANICAL TESTING &% ANALYSIS #4 ANALYSIS

STATISTICS LITERATURE MACHINE SHOP AND GENERAL LABORATORY SUPPORT AS WELL AS CONSULTATION ON SPECIlC AREAS OF EXPERTISE 'OAL 4O SUPPORT THE FOCUS lELD RESEARCH PROGRAMS OF THE !/ 2ESEARCH )NSTITUTE 'OAL 4O ANSWER QUESTIONS FROM !/ #LINICIANS AND 3YNTHES 0RODUCERS TO IMPROVE FRACTURE lXATION DEVICES OR SURGICAL PROCEDURES

'OAL 4O INSPECT NEW TECHNOLOGIES OF POTENTIAL RELEVANCE TO THE !/ &OUNDATION

4HE ACCELERATION OF FRACTURE HEALING IN SHEEP BASED ON ADENOVIRAL GENE TRANSFER OF "-0 4HIS STUDY EVALUATED THE EFFECT OF LOCAL APPLICATION OF ADENO VIRAL VECTOR CODING FOR "-0 !D "-0 IN A LARGE ANIMAL MODEL OF FRACTURE HEALING %FFECTIVE GENE TRANSFER WITH TRANSGENE EXPRESSION UP TO WEEKS WAS OBSERVED 4HE LOCAL INJECTION OF !D "-0 LED TO A SMALLER CALLUS P

LOWER TORSIONAL STRENGTH P AND LOCAL CLUSTERS OF INmAMMATORY CELLS AFTER WEEKS !LTHOUGH GENE TRANSFER OFFERS AN ALTERNATIVE TO THE APPLICATION OF GROWTH FACTORS IN SHEEP ADENOVIRAL VECTORS EVOKED AN INmAMMATORY REACTION WHICH MAY HAVE LED TO DELAYED FRACTURE HEALING !LTERNATIVE VECTORS ARE REQUIRED

'OAL 4O PROVIDE A RESEARCH ENVIRONMENT AND SUPPORT CAREER DEVELOPMENT FOR CLINICIANS

3ELECTED 0ROJECTS )N VIVO DEGRADATION AND TISSUE REACTION TO INTERNAL lXATION DEVICES FROM NEW BIORESORBABLE TERPOLYMERS OF LACTIDES ! PILOT STUDY 4HERE IS A NEED FOR NEW BIORESORBABLE POLYMERS WITH SHORTER RESORPTION TIMES AND ACCEPTABLY MILD TISSUE REACTION &IVE NEW LACTIDE TERPOLYMERS WERE DEVELOPED AND THE IN VIVO DEGRADATION AND TISSUE REACTION TO THESE POLYMERS CHARACTERIZED 4HE DEGRADATION PATTERN AND TISSUE REACTIONS DIFFERED DEPENDING ON THE IMPLANT MATERIAL AND LOCATION 4HE RATE OF DEGRADATION OF ALL THE MATERIALS WAS SIGNIlCANTLY HIGHER IN MUSCLE THAN IN BONE )N SOFT TISSUE AT SIX MONTHS OF IMPLANTATION ABOUT OF THIS MATERIAL WAS REPLACED WITH lBROUS TISSUE 4HE ACCELERATED DEGRADATION AND THE ABSENCE OF INmAMMATORY REACTIONS INDICATES THAT THE POLYMERS USED IN THE STUDY OFFER NEW POSSIBILITIES FOR THE PREPARATION OF BIORESORBABLE IMPLANTS WITH A CONTROLLED DEGRADATION RATE

-ICRO ROUGH STAINLESS STEEL PLATE SURFACE IMAGED WITH LASER PROlLOMETRY A SCANNING ELECTRONIC MICROSCOPY B AND AFTER WEEK IMPLANTATION ON A RABBIT TIBIA C !LTHOUGH BONE GROWTH IS NOT OBSERVED ON CONVENTIONAL ELECTROPOLISHED STAINLESS STEEL PLATE SURFACES MICRO ROUGH SURFACES CAN PROMOTE GOOD OSTEOINTEGRATION WITH THE SAME STEEL ,ASER PROlLOMETRY A

SCANNING ELECTRON MICROSCOPY B AND AFTER WEEKS IMPLANTATION ON A RABBIT TIBIA C

!/ 2ESEARCH )NSTITUTE

%FFECTS OF CYCLIC COMPRESSION ON INTERVERTEBRAL DISC METABOLISM !NABOLIC COLLAGEN !

COLLAGEN !

AGGRECAN AND CATABOLIC --0 --0 !$!-4S M2.! GENE EXPRESSION OF THE INTERVERTEBRAL DISC WITH DYNAMIC LOADING WAS CHARACTERIZED IN A RAT TAIL MODEL 4HERE WERE BOTH FREQUENCY AND TIME DEPENDENCIES IN THE NUCLEUS UNDER -0A LOADING WITH ANABOLIC GENES STIMULATED AT (Z AND CATABOLIC GENES AT (Z 2ESPONSES WERE OBSERVED WITHIN HOURS AND REACHED MAXIMUM RESPONSE AFTER TWO HOURS OF LOADING )N THE ANNULUS ALL FREQUENCIES UP REGULATED CATABOLIC M2.! AT -0A AND INCREASED WITH LOADING DURATION 'ENE EXPRESSION OF THE ANNULUS WAS MORE DEPENDENT ON THE MAGNITUDE OF APPLIED STRESS AND RESPONDED MORE SLOWLY

INCREASING WITH LOAD DURATION UP TO FOUR HOURS

#ANNULATED SOLID AND SLOTTED 4!. )- NAILS FOR THE RABBIT TIBIA USED TO COMPARE INFECTION RESISTANCE

4ENDON DAMAGE AND ADHESION TO IMPLANT SURFACES IN VITRO CELL BIOLOGY STUDIES )N VITRO CELLULAR AND MOLECULAR INTERACTIONS OF CULTURED lBROBLASTS WITH STAINLESS STEEL 33 COMMERCIALLY PURE TITANIUM #P4I AND 4ITANIUM !LUMINIUM .IOBIUM ALLOY 4!. WERE INVESTIGATED 33 WAS CONSIDERABLY SMOOTHER ROUGHNESS AVERAGE OF Â&#x203A;M THAN #P4I AND 4!. BOTH Â&#x203A;M #P4I HAD A RUGGED IRREGULAR SURFACE WHILE 4!. WAS @MICRO SPIKED #ELL SPREADING ON 4!. WAS SIGNIlCANTLY LOWER COMPARED TO #P4I AND 33 P ! DEPRESSION OF PROLIFERATION WAS OBSERVED FOR CELL CULTURES ON 4!. COMPARED TO #P4I AND 33 3IX GENES WERE COMMONLY UP REGULATED IN CELLS CULTURED ON BOTH #P4I AND 33 INCLUDING --0 AN ENZYME USED TO REMODEL EXTRACELLULAR MATRIX AND ASSOCIATED WITH WOUND HEALING

4HE "IOTECHNOLOGY !DVISORY "OARD "!" "!"

CREATED IN AS A GROUP OF INDEPENDENT EXPERTS IN THE lELD OF BIOTECHNOLOGY AND RELATED MEDICAL RESEARCH

HAS ESTABLISHED A WORLD WIDE OPEN BIOTECHNOLOGY 2 $ PROGRAM IN TARGETED CLINICAL lELDS OF BONE HEALING n TRAUMA DEFECTS n #-& ACCELERATION FUSION n SPINE AND CARTILAGE AUGMENTATION STIMULATION n ORTHOPEDICS GROWING CARTILAGE

DISC n #-& AND DISC REPLACEMENT n SPINE ! lRST GROUP OF RESEARCH PROJECTS WILL START AFTER PEER REVIEW IN !PRIL /THER NEWLY FUNDED RESEARCH PROJECTS WILL FOLLOW IN 3EPTEMBER !/& "!" WILL CONTINUE SUPPORTING HIGH STANDARD 2 $ TO EVALUATE CLINICAL IMPLEMENTATION OF NEW BIOTECHNOLOGICAL APPROACHES TO THERAPY AND TO IMPROVE THE TRANSFER OF USEFUL RESULTS FROM SCIENCE TO CLINIC

!N IN VIVO EXPERIMENTAL COMPARISON OF INFECTION RESISTANCE IN 4!. UNREAMED SOLID

CANNULATED AND SLOTTED )- NAILS !LTHOUGH CANNULATED NAILS ARE EASIER TO INSERT THAN SOLID NAILS

IT WAS SUSPECTED THAT THEY MAY BE LESS RESISTANT TO INFECTION 4HIS WAS INVESTIGATED IN A RABBIT TIBIAL MODEL INOCULATED WITH 3TAPHYLOCOCCUS AUREUS AND IMPLANTED WITH THREE DIFFERENT NAIL TYPES SOLID 3.

CANNULATED #. AND HOLLOW SLOTTED (. 4HE #. WAS SIMILAR IN RESISTANCE TO INFECTION COMPARED TO THE (. VS BUT WAS SIGNIlCANTLY LESS RESISTANT COMPARED TO THE 3.

P 4HE )$ FOR THE 3.

GROUP WAS X #&5 #OLONY &ORMING 5NITS X #&5 FOR THE (. GROUP AND X #&5 FOR THE #. GROUP )NmUENCE OF ,#0S ON THE BIOMECHANICAL BEHAVIOR IN DISTAL HUMERUS FRACTURE lXATION 4HE BIOMECHANICAL STABILITY OF DISTAL HUMERUS FRACTURES !/ # lXED WITH ,OCKING #OMPRESSION 0LATES ,#0S WAS COMPARED TO THAT WITH #ONVENTIONAL 2ECONSTRUCTION 0LATES #20S IN "-$ MATCHED GROUPS OF HUMAN CADAVER HUMERI -ECHANICAL TESTING WAS PERFORMED UNDER STATIC LOAD IN EXTENSION AND mEXION AND CYCLIC LOAD IN mEXION 4HE STUDY DEMONSTRATED HIGHER STIFFNESS VALUES IN ,#0S ! LOWER RATE OF FAILURE IN CYCLIC TESTING OF ,#0S COMPARED TO #20S WAS SEEN )T WAS FOUND THAT BOTH IMPLANTS WERE STABLE IN BONES OF HIGH "-$ BUT #20S STARTED FAILING IN MEDIUM BONE QUALITY OF "-$ G CM ,#0S FAILED ONLY IN VERY LOW BONE QUALITY OF "-$ G CM

!/ 2ESEARCH &UND

!/ 2ESEARCH &UND !/2& 4HE PROJECTS OF THE !/2& ARE SCREEND BY AN INDEPENDENT PEER REVIEW BOARD WITH MEMBERS CURRENTLY CHAIRED BY / 4RENTZ )TS MISSION IS TO PROVIDE SEED MONEY TO YOUNG RESEARCHERS AND NOT TO BE A SOURCE OF ONGOING FUNDING FOR ESTABLISHED LABORATORIES 4HE !/ 2ESEARCH &UND CONTINUES TO BE VERY POPULAR WITH ITS GRANTS TO INNOVATIVE INVESTIGATORS 4HE BUDGET PROVIDED BY THE !/ &OUNDATION IN WAS #(& MILLION INCLUDING SPINE APPLICATIONS )N THE COMMISSION MEMBERS REVIEWED APPLICATIONS REQUESTING SUPPORT OF OVER #(& MILLION PROJECTS WITH A TOTAL FUNDING OF #(& MILLION WERE APPROVED RESULTING IN AN APPROVAL RATE OF 4HESE lGURES ALSO INCLUDE SECOND AND THIRD YEAR SUPPORT FOR RESPECTIVELY PROJECTS 4HE LIST AND THE ABSTRACTS OF THE PROJECTS FUNDED IN BY THE !/2& ARE AVAILABLE ONLINE WWW AOFOUNDATION ORG AORF !S A RULE THE GRANT PER STUDY PER YEAR SHOULD NOT EXCEED THE AMOUNT OF #(& 3ALARIES FOR THE PRINCIPAL INVESTIGATOR ARE NOT SUPPORTED AND NO OVERHEAD CONTRIBUTIONS ARE MADE TO THE SUBMITTING INSTITUTIONS !DDITIONAL FUNDING FROM OTHER SOURCES MUST BE DISCLOSED !PPLICATIONS ARE ESPECIALLY WELCOME FOR RESEARCH IN THE AREAS OF OSTEOSYNTHESIS IN OSTEOPOROTIC BONE MINIMALLY INVASIVE SURGERY COMPUTER ASSISTED SURGERY OF THE LOCOMOTOR SYSTEM

TREATMENT OF DEFECTS BONE SUBSTITUTE INDUCTORS ETC LOCKED SCREW lXATION IMPLANTS NON METALLIC IMPLANT MATERIALS AND CLINICAL OUTCOME $EADLINES FOR RESEARCH GRANT APPLICATIONS ARE -ARCH AND !UGUST !PPLICATION FORMS MAY BE OBTAINED FROM THE OFlCE OF THE !/ 2ESEARCH &UND IN $Ã BENDORF OR VIA THE !/ &OUNDATION 7EB SITE WWW AOFOUNDATION ORG AORF 'EOGRAPHICAL DISTRIBUTION OF PROJECTS FUNDED

$ !) $ & $ & !

( &* $ ! "! "!

!

& $ ! %

'%&$ ! !

# !

0ROJECTS SUPPORT BY AREA 3UBJECT

"IOLOGICAL 4ISSUE REACTION "ONE HEALING 4RANSPLANTATION 4OTAL "IOLOGICAL

.UMBER OF PROJECTS

!MOUNT

IN #(&

"IOMECHANICAL "IOMECHANICAL lXATION "IOMECHANICAL JOINTS "IOMECHANICAL GENERAL 4OTAL "IOMECHANICAL

"IOMATERIALS -ETALLURGY

-ECHANICS AND PHYSICS

)MPLANT DEVELOPMENT

#LINICAL

/RGANS 3PECIES -AXILLOFACIAL 3PINE

4OTAL /RGANS 3PECIES

#!/3 $ RECONSTRUCTION

4OTAL

2ESEARCH GRANTS 'EOGRAPHICAL DISTRIBUTION #OUNTRY

.UMBER OF PROJECT

!MOUNT IN #(&

53!

'ERMANY

'REAT "RITAIN 3WITZERLAND (ONGKONG #ANADA 4HE .ETHERLANDS !USTRALIA &INLAND 3PAIN

!/ $EVELOPMENT )NSTITUTE

!/ $EVELOPMENT )NSTITUTE !$) !$) HAS HAD AN EXCITING YEAR /UR NEW HEAD . 3UHM TOOK UP HIS POSITION IN -AY (E IS A REGISTERED SURGEON AND A PHYSICIST 4O PROVIDE !$) WITH AN ESSENTIAL CLINICAL LINK HE IS STILL INTEGRATED IN THE 4RAUMA $EPARTMENT AT 5NIVERSITY (OSPITAL "ASEL (EAD 0 2EGAZZONI !$) COLLABORATORS NOW HAVE THE . 3UHM OPPORTUNITY TO ATTEND hLIVE SURGERYv IN $AVOS AND IN "ASEL ON A REGULAR BASIS 4HEREBY

WE ARE STRENGTHENING OUR CLINICAL IN HOUSE COMPETENCE TO DEVELOP NEW CONCEPTS THAT SOLVE CLINICAL PROBLEMS )N WE CELEBRATED OUR TEN YEAR JUBILEE !$) WAS ESTAB LISHED IN AS AN ENGINEERING GROUP WITH THE GOAL OF IMPLEMENTING RESEARCH IDEAS AND DEVELOPING PROJECTS WITH A FAR REACHING HORIZON 4HE !$) WORKS IN CLOSE COLLABORATION WITH THE !/ )NSTITUTES THE !/ 4ECHNICAL #OMMISSION !/4+

THE PRODUCT DEVELOPMENT DEPARTMENTS OF OUR INDUSTRIAL PARTNERS AND MANY HIGHLY MOTIVATED SURGEONS 7E ARE ESPECIALLY GRATEFUL FOR THE CONTINUOUS SUPPORT OF OUR FOUNDING PERSONS 2 &RIGG 3 - 0ERREN AND ( * 7YSS $ESPITE TEN YEARS OF SUCCESSFUL CONTRIBUTION WE FELT THE !$) STRUCTURE NEEDED TO BE ADAPTED TO THE CHANGED DEMANDS

$EVELOPMENT 3ERVICES OF OUR RESOURCES ARE ALLOCATED TO DEVELOPMENT SERVICES )N THIS GROUP WORKED ON PROJECTS THREE OF THEM WITH INVOLVEMENT OF 0RODUCERS AND FOUR WITH INVOLVEMENT OF AN %XPERT 'ROUP %' )N ORDER TO ILLUSTRATE THE TASKS AND RESPONSIBILITIES OF THIS GROUP WE WOULD LIKE TO INVITE YOU TO ACCOMPANY 2 -ATTHYS 2OMANO THROUGH A TYPICAL WEEK (E IS ONE OF THE TWO PROJECT MANAGERS IN THIS GROUP -ONDAY !T THE END OF THE WEEK

2OMANO WILL ATTEND AN %' MEETING ,AST ADAPTATIONS OF THE PRELIMINARY AGENDA NEED TO BE lXED IN CLOSE COLLABO RATION WITH . 3Ã DKAMP

THE #HAIRMAN OF THIS %' 4UESDAY 4HE ENGINEERING GROUP OF !$) HOLDS ITS COORDINATION MEETING .EW PROJECT IDEAS ARE DISCUSSED AND DEVELOPMENT RESOURCES ARE ALLOCATED TO SPECIlC TASKS 7EDNESDAY 2OMANO INTENDS TO PRESENT HIS hLOCKING CLAMPv IDEA AT THE %' MEETING ,AST MODIlCATIONS OF THE PROTOTYPES NEED TO BE DONE

.EW !$) STRUCTURE

#ONCEPT $EVELOPMENT OF OUR DEVELOPMENT RESOURCES ARE NOW FOCUSED ON ONE MAJOR PROJECT THAT IS UNDERTAKEN BY THE CONCEPT DEVELOPMENT GROUP 4HE TASK OF THIS GROUP IS TO hINTERFACEv SOLVE A CLINICAL PROBLEM BY COMBINATION OF STANDARD INSTRUMENTS AND IMPLANTS WITH NEW TECHNOLOGIES OR MATERIALS 4HE DEMOGRAPHIC CHANGE AND RELATED INCREASE OF FRACTURES IN THE ELDERLY WAS IDENTIlED AS ONE OF THE MAJOR MEDICAL PROBLEMS OF THE FUTURE #ONSEQUENTLY THE CONCEPT DEVELOPMENT GROUP IS CURRENTLY WORKING ON NEW CONCEPTS TO REDUCE CUT OUT RATES AFTER OSTEOSYNTHESIS OF PROXIMAL FEMORAL FRACTURES IN OSTEOPOROTIC BONE

4HURSDAY 4HE DRAWINGS OF A NEW INSTRUMENT ARE NOW lNISHED 4HE $ VIEWS OF THE INSTRU MENT ARE REVIEWED AND POSSIBLE IMPROVEMENTS ARE DISCUSSED &RIDAY 3ATURDAY 4HE %' MEETING IS HELD 2OMANO WRITES THE MINUTES OF THE MEETING AND RECEIVES FEEDBACK ON HIS IDEAS -ONDAY 4HE RESULTS OF THE %' MEETING ARE BRIEmY PRESENTED TO ALL !$) COLLABORATORS AT THE WEEKLY MEETING /PEN QUESTIONS AND POSSIBLE TASKS FOR THE !$) ARE DISCUSSED IN DETAIL WITH 0 "Ã SCHER (EAD OF %NGINEERING !$)

!/ $EVELOPMENT )NSTITUTE

$EVELOPMENT %NVIRONMENT !$) S DEVELOPMENT ENVIRONMENT IS SUBJECT TO MAJOR CHANGE )N WHEN !$) WAS NAMED hPROTOTYPE WORKSHOPv THE INFRASTRUCTURE WAS DOMINATED BY THE MACHINE WORKSHOP )N THE MEANTIME !$) IS ON ITS WAY TO COMPLEMENTING THIS STRUCTURE

BY THE TWO INITIATIVES $ATABASE OF HUMAN #4 SCANS AND !PPLICATION &ACILITY $ATABASE OF HUMAN #4 SCANS 4HE lRST STEP IN THIS DIRECTION WAS UNDERTAKEN WITH THE #4 DATABASE PROJECT 4HE DESIGN OF ANATOMICAL PRESHAPED IM PLANTS REQUIRES MORPHOLOGICAL BONE DATA &% !NALYSIS AND ANATOMICALLY PRECISE $ BONE MODELS FOR ANIMATION 2ECENT TECHNOLOGICAL PROGRESS IN THE lELD OF #4 SCANNERS AND IN THE lELD OF CONVERSION SOFTWARE OF #4 DATA OFFERS NEW POSSIBILITIES FOR THE HANDLING OF ANATOMICAL DATA AND IMPLANT DATA WITH DESIGN SOFTWARE 4HE POSSIBILITY OF CONVERTING ANATOMICAL #4 DATA INTO THREE DIMENSIONAL #!$ DATA AND THEIR VIRTUAL MANIPULATION CREATES A UNIQUE DEVELOPMENT TOOL THAT IS NOW AVAILABLE WITHIN THE !/ NETWORK 4HE PROJECT GOAL IS TO ESTABLISH A DATABASE THAT IS CATEGORIZED INTO ANATOMICAL REGIONS AND CONTAINS SPECIlC PATIENT INFORMATION BASED ON CADAVERIC BONES 7E EXPECT THE DEVELOPMENT OF ANATOMICAL PRE SHAPED IM PLANTS TO BECOME FASTER AND EVEN MORE PRECISE "Y THE END OF THIS YEAR WE EXPECT TO HAVE #4 DATASETS AND VIRTUAL THREE DIMENSIONAL DATASETS OF FEMORA HUMERI AND TIBIAE IN OUR DATABASE 4HE TYPE AND NUMBER OF DATASETS AVAILABLE WILL CONTINUOUSLY BE INCREASED OVER THE COMING YEARS 4HE #4 DATABASE PROJECT WAS PRESENTED AT THE !/ #OURSES TO OUR COMMUNITY AND WAS VERY WELL RECEIVED

#ONCEPT $EVELOPMENT #UT OUT IS A PROBLEM FOR VARIOUS TYPES OF IMPLANTS

!PPLICATION &ACILITY )N /CTOBER THE -INIMAL )NVASIVE 0ERCUTANEOUS /STEOSYNTHESIS -)0/ WORKING GROUP HAD A VERY FRUITFUL MEETING IN $AVOS "ESIDES PROJECT PRESENTATIONS AND DISCUSSIONS THE -)0/ GROUP TOOK THE OPPORTUNITY TO PRACTICE hHANDS ONv WITH VARIOUS PROTOTYPES AND MODELS ON HUMAN CADAVERIC MATERIAL !T THE SAME TIME THE !$) WORKSHOP ADAPTED THE PROTOTYPES AND MODELS ACCORDING TO THE SUGGESTIONS MADE BY THE SURGEONS 4HIS FORMAT OF A HANDS ON %' MEETING WAS FOUND TO BE EXCELLENT AND IN FACT

BECAME THE STARTING POINT OF A SECOND !$) INFRASTRUCTURE PROJECT CALLED h!PPLICATION &ACILITYv "Y THE END OF THIS YEAR WE PLAN TO OFFER THIS SERVICE ON A REGULAR BASIS AND AT SHORT NOTICE TO ALL %'S WITHIN THE 4+ 3YSTEM AND TO OUR PRODUCERS

"ONE MODELS INCLUDED IN THE #4 DATABASE

-)0/ MEETING WITH HANDS ON SESSION

!/ 4+ %XPERT 'ROUPS

!/ 4ECHNICAL #OMMISSION !/4+ AND %XPERT 'ROUPS $EVELOPMENT CLINICAL TESTING AND PROVIDING THE EDUCATIONAL MATERIAL FOR NEW INSTRUMENTS AND IMPLANTS ARE HANDLED WITHIN THE !/ &OUNDATION BY AN ORGANIZATION OF MEDICAL TECHNICAL COMMITTEES n THE 4+ 3YSTEM 4HE 4+ 3YSTEM CONSISTS OF SPECIALTY %XPERT 'ROUPS AND THE 4ECHNICAL #OMMISSION !/4+ /VERALL THE 4+ 3YSTEM HAD MEETINGS AND WORKED ON OVER PROJECTS IN

,"%'

-)0/

3HOULDER %'

%X&IX

%LBOW

0AEDIATRIC

3PINE

!DVISORY "OARD .!

0ELVIC %'

!DVISORY "OARD %5

!/4+ !/4+ 3PINE

&OOT !NKLE %'

2ECON STRUCTIVE

6ETERINARY

4+ /FFICE

-ECHANICAL 4ESTING

-ATERIALS

.ON -ETALLIC -ATERIALS

-&%'

%NDOSCOPY

+NEE %'

.AVIGATION

(AND %'

4ENDON 2EPAIR

#OMPUTER !SSISTED 3URGERY

7RIST .ON "RIDGING

.EW 0RODUCTS IN

0 2EGAZZONI ,"%' AND $ (ELFET !/4+

4HE !/4+ IS THE GUIDING AND ADMINISTRATIVE BOARD OF THE 4+ 3YSTEM AND THE ONLY BODY WITHIN THE !/ &OUNDATION EMPOWERED TO APPROVE NEW DEVICES AND TECHNOLOGIES )N THE !/4+ APPROVED NEW PRODUCTS FOR SPINE

FOR TRAUMA FOR CRANIOMAXILLOFACIAL AND TWO FOR VETERINARY SURGERY )N SPINE THE !RCH &IXATION 3YSTEM FOR ,AMINOPLASTY WAS INTRODUCED THE 3YN#AGE &AMILY EXTENDED AND CERVICAL AS WELL AS THORACOLUMBAR PLATES DEVELOPED )N TRAUMA SURGERY THE COMBINATION HOLE HAS NOW BEEN INCORPORATED INTO MOST SYSTEMS 4HE %XTERNAL &IXATOR &AMILY WAS COMPLETED AND THE CHANGE FROM (EX TO 3TARDRIVE¸ CONTINUED )N #-& SURGERY ALMOST ALL SYSTEMS WERE ENHANCED &OR MORE DETAILED INFORMATION ON THESE NEW TECHNOLOGIES

PLEASE LOOK AT THE BI ANNUAL BROCHURE h.EW 0RODUCTS FROM !/ $EVELOPMENTh

!NNUAL 2EPORT

$EVELOPMENT IN 3PINE 4OGETHER WITH THE !/ 3PINE /RGANIZATION A NEW STRUCTURE FOR DEVELOPMENT AND APPROVAL OF SPINAL PRODUCTS TECHNOLOGIES WAS FOUNDED $EVELOPMENT IS DONE WITHIN ADVISORY BOARDS WHICH WILL REmECT THE DIFFERENT REGIONAL NEEDS APPROACHES AND REGULA TORY AFFAIRS ! SPECIAL BOARD CALLED !/4+ 3PINE CONSISTING OF MEMBERS OF THE ORIGINAL !/4+ TOGETHER WITH SPINE SPECIALISTS IS COORDI NATING THE ONGOING SPINAL DEVELOPMENTS IN THE DIFFERENT ADVISORY BOARDS AND ENSURES WORLD WIDE TEACHING 4HE !/4+ 3PINE ALSO APPROVES SPINAL PRODUCTS FOR MARKET RELEASE 4HIS NEW APPROACH REmECTS THE NEEDS OF THE SPINE SPECIALTY

INCORPORATES REGIONAL DIFFERENCES AND FOSTERS INTERNATIONAL EXCHANGE

#RANIOMAXILLOFACIAL )NNOVATIONS

4HE !/4+ 3PINE AFTER ITS lRST MEETING

0RIZES IN 3PECIAL ATTENTION WAS PAID TO INNOVATIONS IN THE AREA OF BIOTECHNOLOGY 4HEREFORE " VON 2ECHENBERG $6- WAS HONORED WITH THE !/ 2ECOGNITION 0RIZE FOR HER OUTSTAN DING CONTRIBUTION TO THE DEVELOPMENT AND IMPLEMEN TATION OF THE NEW BIOTECHNOLOGY ORGANIZATION OF THE !/

4HE CRANIOMAXILLOFACIAL EXPERT GROUP WAS PARTICULARLY ACTIVE .EW IMPLANTS AND INSTRUMENTS WERE DEVELOPED ACCORDING TO CLINICAL NEEDS 3TATE OF THE ART TECHNOLOGIES IN ENDOSCOPIC AND NAVIGATED SURGERY ARE WELL ADVANCED 4ISSUE ENGINEERING

SOMETHING OTHER SPECIALTIES ARE EXPECTING IN AN UNKNOWN FUTURE IS ALREADY IN CLINICAL PRACTICE

2EGIONALIZATION 2EGIONALIZATION WILL BE ONE OF THE CHALLENGES IN THE FUTURE OF THE !/ &OUNDATION 3EVERAL INITIATIVES HAVE BEEN STARTED ALSO IN THE 4+ 3YSTEM )N THE !/4+ WILL HOLD REGIONAL EXCHANGE MEETINGS WITH !/ %AST !SIA AND !/ ,ATIN !MERICA 3ESSIONS ON EXISTING IMPLANTS BUT ALSO FOR THE DEVELOPMENT OF NEW ONES WHICH ARE ADAPTED TO THE DIFFERENT ANATOMIES AND OR SOCIO ECONOMIC SITUATIONS OF THESE REGIONS WILL BE HELD 4HESE MEETINGS WILL BE A lRST STEP ONLY IN THE FUTURE INVOLVEMENT OF MORE SURGEONS FROM ALL PARTS OF THE WORLD IN THE 4+ 3YSTEM

4HE !/4+ CHAIRMAN AT AN EXCHANGE MEETING IN (ONG +ONG

#ONCLUSION /UTLOOK )N THE 4+ 3YSTEM FULlLLED ITS HIGH EXPECTATIONS !GAIN THE MEDICALLY GUIDED COOPERATION BETWEEN SURGEONS AND ENGINEERS INTRODUCED BY - % -Ã LLER PROVED TO BE VERY PRODUCTIVE &OR WE CAN EXPECT A LOT OF NEW CLINICALLY BENElCIAL PRODUCTS AS WELL AS AN INSPIRING EXCHANGE OF MANY SURGEONS AND EXPERTS FROM ALL AROUND THE WORLD . (AAS AND - % -Ã LLER FOUNDER OF THE !/4+

!/ )NTERNATIONAL

!/ )NTERNATIONAL !/) !/ )NTERNATIONAL HAS FORMULATED ITS MISSION SEE BOX AND DElNED DURING SEVERAL WORKSHOPS ITS GOALS IN EDUCATION FACULTY DEVELOPMENTS AND TEACHING AS WELL AS IN PROVIDING UP TO DATE TEACHING MATERIAL THAT WILL BE DELIVERED THROUGH DIFFERENT CHANNELS #OMMUNICATION WITHIN THE !/ COMMUNITY NETWORK WILL HAVE TO BE IMPROVED WHICH WILL REQUIRE STRUCTURAL ADAPTATIONS BETWEEN THE DIFFERENT BODIES

!/ %DUCATION 7HILE CONVENTIONAL LEARNING IN !/ #OURSES WITH ITS UNIQUE WORKSHOPS AND FACE TO FACE TEACHING WILL REMAIN THE BACK BONE OF !/ %DUCATION THERE IS A RISING DEMAND FOR MORE INTERACTIVITY AND DISTANT LEARNING POSSIBILITIES 7E HAVE THEREFORE STARTED A MAJOR E,EARNING PROJECT ! 7EYMANN

WHICH WILL PROVIDE THREE DIFFERENT FORMATS OF ON LINE INFORMATION ACCORDING TO DIFFERENT NEEDS 4HE h!/ #ASE 3ERIESv DESCRIBES IN DETAIL THE TREATMENT ALGORITHM OF A SPECIlC CASE INCLUDING STEP BY STEP DESCRIPTION OF THE OPERATION 4HE INTERACTIVE h!/ #OURSE #OMPANIONv HELPS THE READER TO LEARN AND UNDERSTAND E G THE -Ã LLER !/ CLASSIlCATION WHILE THE h!/ "RIElNGv CONCENTRATES ON NEW OPERATIVE TECHNIQUES AND PRINCIPLES 7E INTEND TO OFFER THE lRST E,EARNING MODULES TO A WIDER PUBLIC BY THE MIDDLE OF

4 2Ã EDI 0RESIDENT !/ )NTERNATIONAL

0 DE "OER %DUCATIONAL !DVISOR !/)

7E HAVE BEEN MOST FORTUNATE TO BE ABLE TO GET REGULAR ADVICE FROM 0 DE "OER FROM 9ORK 5+ WHO AGREED TO WORK PART TIME FOR !/) AS OFlCIAL %DUCATIONAL !DVISOR CONCENTRATING ON FACULTY DEVELOPMENT AND THE PREPARATION OF THE SYLLABUS AND &ACULTY 3UPPORT +IT

!/) -ISSION /UR MISSION IS TO CONTINUOUSLY SET STANDARDS IN POST GRADUATE MEDICAL EDUCATION AND TO FOSTER THE SHARING OF SURGICALLY GUIDED EXPERTISE IN A WORLD WIDE NETWORK OF HEALTHCARE PROFESSIONALS TO IMPROVE PATIENT CARE IN TRAUMA AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM

!/ #OURSES $ESPITE SOME UNCONTROLLABLE EVENTS SUCH AS THE WAR IN )RAQ AND 3!23 HAVE FORCED US TO CANCEL MORE THAN !/ ACTIVITIES WORLD WIDE ONLY SOME OF WHICH COULD BE POSTPONED TO LATER THIS YEAR .EVERTHELESS THE OVERALL NUMBER OF COURSES HAS AGAIN INCREASED SLIGHTLY AND THE DEMAND FOR COURSES IS STILL GROWING )N COURSES SURGEONS WERE TRAINED

BY AN INTERNATIONAL FACULTY OF SENIOR TEACHERS 4HIS DOES NOT INCLUDE THE MANY LOCAL FACULTIES AND TABLE INSTRUCTORS

3CREEN SHOT E,EARNING

4HE OTHER TOOL THAT SHOULD IMPROVE INTERACTIVITY DURING THE !/ #OURSES IS THE AUDIENCE RESPONSE SYSTEM !23 4HIS WIRELESS ANSWERING SYSTEM WAS INTRODUCED FOR THE lRST TIME IN $ECEMBER IN $AVOS WHEN ALL COURSES MADE USE OF IT 7HILE THE OVERALL ACCEPTANCE BY THE PARTICIPANTS WAS VERY GOOD THE MANY POSSIBILITIES OF THE SYSTEM HAVE NOT YET BEEN FULLY APPLIED

4HE ACTIVE CONTRIBUTION OF ALL FACULTY MEMBERS WAS AGAIN HIGHLY APPRECIATED 4HE LIMITS TO MEET ALL DEMANDS USUALLY LIE IN THE AVAILABILITY OF THE COURSE MATERIAL FOR THE PRACTICAL EXERCISES ESPECIALLY IF TOPICS SUCH AS PELVIC SURGERY HAND OR FOOT AND ANKLE ARE TO BE COVERED &URTHERMORE THE REQUESTS TO HAVE MORE CADAVER LABS IS CAUSING CONSIDERABLE LOGISTICAL CHALLENGES $UE TO THE RATHER UNSTABLE POLITICAL ENVIRONMENT IN MANY PARTS OF THE WORLD THE RECRUITMENT OF INTERNATIONAL FACULTY HAS ALSO BECOME MORE DIFlCULT /NE WAY TO SOLVE SOME OF THESE PROBLEMS IS TO OFFER COMBINED REGIONAL COURSES PRINCIPLE

ADVANCED /20 SPECIALITIES ON hNEUTRAL TERRITORYv WHICH ALLOWS THE PARTICIPATION OF DIFFERENT NATIONALITIES AND A LARGER INTERNATIONAL FACULTY

!NNUAL 2EPORT

!/) 3YMPOSIA !/) HAS AGAIN ENABLED SPECIAL GUEST SPEAKERS TO ATTEND INTERNATIONAL /RTHOPEDIC 4RAUMA -EETINGS AS !/ DELEGATES 4WO BY NOW QUITE POPULAR !/) 3YMPOSIA WERE ORGANIZED IN

ONE DURING THE ANNUAL MEETING OF THE 'ERMAN 3URGICAL 3OCIETY IN -AY IN -UNICH AND ONE AT THE COMBINED MEETING OF THE 'ERMAN !CCIDENT 3OCIETY AND /RTHOPEDIC !SSOCIATION IN .OVEMBER IN "ERLIN - 'UBSER 2 -ARTI AND # 'UBSER

!/ &ELLOWSHIPS 4HE !/ FELLOWSHIP PROGRAM ALSO SUFFERED FROM 3!23 AND THE )RAQ WAR AS A NUMBER OF FELLOWS WERE NOT ABLE TO TRAVEL OR COULD NOT BE RECEIVED BY THEIR HOST CLINIC 7E HOPE THAT MOST OF THE CANCELLED APPOINTMENTS CAN BE RENEWED AT A LATER DATE ! NEW BROCHURE DESCRIBES IN DETAIL WHAT A FELLOW CAN EXPECT AND ALSO WHAT IS EXPECTED OF HIM 7E ARE NOW REQUESTING THAT THE FELLOW KEEPS A hLOGBOOKv WHERE ALL THE ACTIVITIES n /2 ATTENDANCES ETC ARE REGISTERED ON A DAILY BASIS IN ORDER TO GET A BETTER OVERVIEW FOR OUR RECORDS 7E HOPE TO IMPROVE THEREBY THE SELECTION CRITERIA OF THE HOST CLINICS AS WELL )N "ANGKOK 4HAILAND A -EMORANDUM OF 5NDERSTANDING WAS SIGNED WITH THE "HUMIBOL !DULYADEJ (OSPITAL TO BECOME AN !/ 4EACHING (OSPITAL TO RECEIVE !/ &ELLOWS DOCTORS AND /2 NURSES ON A REGULAR BASIS AND TO EXCHANGE RESEARCH AND TRAINING EXPERIENCE 3IMILAR AGREEMENTS EXIST ALREADY WITH OTHER INSTITUTIONS IN !SIA !USTRALASIA AND ,ATIN !MERICA #OUNTRY OF /RIGIN

(%#$ "

' " ! %

% " )$' &' % &' (&'%

(OST #LINICS

! #

!

)N $ECEMBER DURING THE TH AND TH COURSE WEEKS DIFFERENT !/ COURSES WERE FULLY BOOKED PARTICIPANTS AND FACULTY )N ADDITION THE h!/ 3PECIAL #OURSES v

COMPOSED OF TWO COURSES h#OMPREHENSIVE +NEE #OURSEv AND h#OMPREHENSIVE #RANIOMAXILLOFACIAL #OURSEv WERE ORGANIZED AS PILOT COURSES 4HE INCREASING IMPORTANCE OF RADIOLOGICAL AND OPTICAL IMAGING FOR ORTHOPEDIC SURGERY WAS THE REASON FOR THE NEED FOR THIS NEW TYPE OF COURSES &OR THE lRST SERIES THE ANATOMICAL REGIONS KNEE AND MAXILLOFACIAL WERE CHOSEN WHICH MEANS THAT SEVERAL COMPREHENSIVE COURSES WILL BE NECESSARY IN FUTURE TO COVER THE WHOLE BODY ! NEW FEATURE WAS n AS ALREADY MENTIONED n THE BROAD AVAILABILITY OF THE !23 TO IMPROVE INTERACTIVITY WITH THE FA CULTY 5NFORTUNATELY THE $AVOS CONGRESS HOUSE LACKS THE REQUIRED NUMBER OF ADEQUATE ROOMS TO HOLD THE VERY IMPOR TANT AND ATTRACTIVE SMALL GROUP DISCUSSIONS 4HESE HAVE AT PRESENT STILL TO BE LOCATED IN THE BASEMENT OF THE BUILDING !NOTHER NEW PROJECT CONCERNED A DIFFERENT METHOD OF COURSE EVALUATION )NSTEAD OF HANDING QUESTIONNAIRES TO ALL PARTI CIPANTS A SMALL GROUP OF RANDOMLY SELECTED PARTICIPANTS PER COURSE WERE INTERVIEWED BY TWO ESPECIALLY ASSIGNED SENIOR FACULTY MEMBERS BEFORE DURING AND AT THE END OF THE COURSE ! lNAL AND FOURTH INTERVIEW WILL TAKE PLACE AFTER A FEW MONTHS 4HE INFORMATION RECEIVED WITH THIS KIND OF A MORE FOCUSED EVALUATION HAS PROVEN TO BE MORE VALUABLE

ESPECIALLY IF THE SENIOR OBSERVERS AND INTERVIEWERS ARE WELL PREPARED FOR THEIR TASK #-% CREDIT POINTS HAVE AGAIN BEEN RECOGNIZED FOR ALL $AVOS COURSES BY THE %UROPEAN 5%-3 "OARD AND A NUMBER OF OTHER COUNTRIES AROUND THE WORLD SO THAT ALMOST OF THE COURSE PARTICIPANTS ARE ABLE TO GET #-% CREDITS

" $

$AVOS #OURSES

- AND # 'UBSER WHO HAVE BEEN RESPONSIBLE FOR THE !/ #OURSE SECRETARIAT FOR YEARS THIS YEAR RECEIVED THE " ' (ARDY 7EBER 0RIZE FOR %DUCATION WHICH WAS GIVEN TO THEM BY THE &OUNDATION 0RESIDENT 2 -ARTI AT THE $AVOS COURSE OPENING CEREMONY

!/ )NTERNATIONAL

!/ !LUMNI !SSOCIATION !/!!

7HILE WE HAVE RECEIVED NEW APPLICATIONS FOR !LUMNI MEMBERSHIP CLOSE TO MEMBERS HAD TO BE CANCELLED FROM OUR LIST AS THEY HAD NOT PAID THEIR DUES IN SPITE OF SEVERAL REMINDERS 4HE TOTAL NUMBER OF !/ !LUMNI REACHED

BY THE END OF -ORE IMPORTANT IS THE FOUNDING OF lVE NEW ,OCAL #HAPTERS IN "ULGARIA )RELAND 3LOVENIA

3RI ,ANKA AND 5RUGUAY AS WELL AS AN !/!! GROUP IN 0O LAND SO THAT WE NOW CAN COUNT !LUMNI #HAPTERS 7E WELCOME THESE NEW NATIONAL GROUPS AND ARE LOOKING FORWARD TO THEIR CONTRIBUTIONS TO !/ EDUCATION AND !/ ACTIVITIES !/ !LUMNI SHOULD BE THE SOURCE OF LOCAL FACULTY AND TABLE INSTRUCTORS AND ARE AS SUCH ALREADY A STEP UP ON THE CAREER LADDER OF THE !/ #OMMUNITY 7E ARE ALSO WELCOMING THE NEWLY FOUNDED /20 !/ !LUMNI #HAPTER THAT JUST STARTED ITS ACTIVITIES DURING THE $AVOS !/ #OURSES IN $ECEMBER ! 0ACE THE )NTERNATIONAL !LUMNI 0RESIDENT ATTENDED A NUMBER OF EVENTS IN *APAN 0OLAND 3WITZERLAND AND #RETE 4HE PREPARATION OF TWO BIG !/!! EVENTS HAS STARTED !/!! !SIA WILL HAVE A REGIONAL SYMPOSIUM IN #HIANGMAI 4HAILAND FROM -AY AND !/,!4 WILL ORGANIZE THE RD ,ATIN !MERICAN !/!! 3YMPOSIUM IN 0UNTA #ANA $OMINICAN 2EPUBLIC FROM 3EPTEMBER

/PERATING 2OOM 0ERSONNEL /20 !CTIVITIES )N &EBRUARY AFTER THE VERY SAD AND UNEXPECTED PASSING AWAY OF ! -URPHY HER NEWLY APPOINTED ASSISTANT 3 "Ã&#x2039;UERLE

AGREED TO STEP DIRECTLY INTO THE CHALLENGES OF THE /20 DIRECTORSHIP 3HE IMMEDIATELY GOT INVOLVED IN DIFFERENT COURSES ALL OVER THE WORLD 4HE ENGAGEMENT OF NURSES IN TEACHING OCCURS ON A DIFFERENT LEVEL )T HAS BECOME EVIDENT THAT ONE OF THE MAJOR TASK IS TO SEARCH FOR MOTIVATED AND TALENTED LOCAL /20 FACULTY 4HE /20 FACULTY WILL NEED TRAINING AND SUPPORT TO TEACH AS A TEAM WITH THE SURGEONS RESPONSIBLE FOR NATIONAL /20 COURSES /NE CONSTRAINT IS THE LANGUAGE IN SOME COUNTRIES AS IT CANNOT BE EXPECTED THAT ALL NURSES UNDERSTAND %NGLISH

4HE PARTICIPANTS OF THE !/ /20 !LUMNI ,EADERSHIP SEMINAR

/20 %XECUTIVE #OMMITTEE

!/ /20 !LUMNI #HAPTER /N $ECEMBER THE !/ /20 !LUMNI #HAPTER WAS OFlCIALLY RATIlED BY THE %XECUTIVE #OMMITTEE OF THE !/!!

4HIS REINFORCES THE COMMITMENT OF THE !/ &OUNDATION AND THE WIDER !/ #OMMUNITY TO SUPPORT AND RECOGNIZE THE VALUE AND IMPORTANCE OF /20 %DUCATION WORLD WIDE )T HAS TAKEN SEVERAL MONTHS TO lNALIZE THE BY LAWS THAT WILL GIVE THE /20 !LUMNI #HAPTER ITS GUIDELINES AND DIRECTIONS DElNING THE MEMBERSHIP CRITERIA THE APPLICATION PROCESS AND THE BENElTS FOR ITS MEMBERS 4HE lRST %XECUTIVE #OMMITTEE WAS NOMINATED FOR A TERM OF THREE YEARS WITH # #ONNOLLY !USTRALIA AS CHAIRPERSON

$ 2USSEL 53! AND 2 &ORNAZZARI #HILE AS MEMBERS AT LARGE AND 3 "Ã&#x2039;UERLE THE $IRECTOR OF /20 %DUCATION OF THE !/ &OUNDATION AS EX OFlCIO MEMBER

!/ /20 !LUMNI ,EADERSHIP 3EMINAR

$ECEMBER IN $AVOS $URING THE $AVOS !/ #OURSES THE lRST !/ /20 ,EADERSHIP 3EMINAR WITH PARTICIPANTS FROM COUNTRIES TOOK PLACE 4HE FOUR INTENSIVE DAYS OF THIS SEMINAR WERE DIRECTED BY 3 "Ã&#x2039;UERLE AND $ 0ITTS 4HE GOAL WAS TO ESTABLISH THE !/ /20 !LUMNI #HAPTER AND TO DEVISE AND IMPLEMENT A STRATEGY FOR THE DISSEMINATION OF !/ DEVELOPMENTS IN EDUCATIONAL PROGRAMS AND TEACHING ACTIVITIES 4HE EVENT WAS HIGHLY APPRECIATED BY THE PARTICIPANTS BUT MORE TIME COULD HAVE BEEN SPENT ON ELABORATING IMPORTANT AND STILL UNRESOLVED ISSUES !LL AGREED THAT THE FORMATION OF THE /20 !LUMNI #HAPTER WOULD HELP IN THE DEVELOPMENT OF /20 COURSES AND IT WOULD ALSO BE THE PLATFORM TO COMMUNICATE AND TO LEARN FROM EACH OTHER

/20 7EBSITE 4HE /20 WEBSITE WWW AOFOUNDATION ORG AOI ORP HAS BEEN UP DATED AND NOW PROVIDES /20 WITH A PLATFORM FOR WIDER COMMUNICATION EXCHANGE OF IDEAS AND BURNING ISSUES %SPECIALLY THE MEMBERS AREA PROVIDES EDUCATIONAL SUPPORT FOR SETTING UP COURSE PRESENTATIONS AND OTHER ACTIVITIES

!/ 0UBLISHING

!/ 0UBLISHING "UILDING UP THE FUTURE BOOKSHELF )N A MAJOR PART OF THE !/ 0UBLISHING RESOURCES WERE INVESTED INTO BUILDING UP THE FUTURE PRODUCT PORTFOLIO -ORE THAN TEN NEW BOOK PROJECTS WERE INITIATED AND CONTENT CONCEPTS WERE DEVELOPED TOGETHER WITH CONTRIBUTORS FROM THE !/ NETWORK !T THE SAME TIME !/ 0UBLISHING HAS BEEN ABLE TO STRENGTHEN ITS TEAM AND HAS STARTED TO BUILD UP A FRAMEWORK TO ASSIST EDITORS AND AUTHORS IN THEIR WORK &URTHERMORE A CLEAR STRATEGY FOR FUTURE !/ BOOKS HAS BEEN ESTABLISHED h!/ 0RINCIPLESv BOOKS PROVIDE THE BASICS FOR A WIDE AUDIENCE WHILE h!/ -ANUALSv DELIVER CASE BASED STEP BY STEP INFORMATION h!/ (ANDBOOKSv WILL BE THE POCKET SIZED QUICK REFERENCE SERIES AND h!/ -ASTERS #ASESv COVER SPECIlC TOPICS FROM A PERSONAL AND SENIOR POINT OF VIEW

! MASTER S LEGACY !S AN EXCEPTIONAL OPPORTUNITY !/ 0UBLISHING WAS HANDED OVER A MANUSCRIPT FROM !/ PIONEER "ERNHARD (ARDI ' 7EBER THAT WAS lNISHED A SHORT TIME BEFORE HE UNEXPECT EDLY PASSED AWAY 5NDER THE GUIDANCE OF 2 -ARTI !/ 0UBLISHING TOOK THIS OPPORTUNITY TO PUBLISH THE lRST !/ -ASTERS #ASES BOOK h-INIMAX &RACTURE &IXATIONv WITHIN ONLY SIX MONTHS 4HE BOOK WAS RELEASED AND PRESENTED TO THE PUBLIC AT THE $AVOS #OURSES IN $ECEMBER

!/ $IALOGUE 5NDER THE EDITORSHIP OF - 4ILE TWO ISSUES OF !/ $IALOGUE WERE PUBLISHED 4HEY WERE RECEIVED VERY POSITIVELY BY THE !/ COMMUNITY )N /CTOBER THE EXPERIENCED !/ $IALOGUE PROJECT COORDINATOR - 3PÃ&#x2039;TI LEFT !/ 0UBLISHING HER SUCCESSOR WILL BE NAMED IN

0&X- !SIAN EDITIONS AVAILABLE 4HE BOOK h!/ 0RINCIPLES OF &RACTURE -ANAGEMENTv WAS TRANSLATED INTO THREE NEW LANGUAGES *APANESE +OREAN AND #HINESE ! NEW EDITION OF THE #$ 2/- h!/ )MAGE #OLLECTIONv

PROVIDING THE PICTURES AND ILLUSTRATIONS OF THE !/ 0RINCIPLES BOOK IN TWO DIFFERENT RESOLUTIONS WAS LAUNCHED IN THE SUMMER )N *UNE THE %DITORS IN #HIEF OF THE 0&X- DECIDED TO SET UP THE TEAM FOR THE NEXT COMPLETELY REVIEWED AND REVISED EDITION OF h!/ 0RINCIPLES OF &RACTURE -ANAGEMENTv

! NEW JOURNAL /RTHOPEDIC 4RAUMA $IRECTIONS /4$ !T THE BEGINNING OF THE YEAR A GROUP LED BY " (ANSON #)$ DEVELOPED THE CONCEPT FOR A SUCCESSOR PRODUCT OF h!/ 2ECOMMENDED ,ITERATUREv 4HE NEW h/RTHOPEDIC 4RAUMA $IRECTIONSv A BIMONTHLY JOURNAL CONTAINS THREE %VIDENCE 2EPORTS ON hHOT TOPICSv IN ORTHOPEDIC TRAUMATOLOGY %ACH %VIDENCE 2EPORT IS COMPOSED OF SHORT BULLET STATEMENTS AND CLEAR ATTRACTIVE lGURES THAT ARE EASY TO DIGEST AND DIFlCULT TO FORGET 4HE REPORTS SUMMARIZE THE LATEST ARTICLES FROM MAJOR JOURNALS hSIDE BY SIDEv SO THE READER CAN COMPARE AND CONTRAST THEM &URTHERMORE TWO hEXPERTSv CRITICALLY COMMENT AND EVALUATE THE ARTICLES IN THE SECTION h#LINICAL NOTESv 4HE MAJOR CHALLENGE FOR !/ 0UBLISHING FOR THE YEARS TO COME WILL BE TO SET UP AN ATTRACTIVE PORTFOLIO AND FRAMEWORK FOR OUR AUTHORS AND EDITORIAL TEAMS AND TO MEET THE HIGH DEMANDS OF THE READERS AS WELL AS TO BUILDING UP CREDIBILITY AND REPUTATION

!/ -EDIA 3ERVICES

-EDIA 0RODUCTION AND 3ERVICES )N THE YEAR THE MAIN EMPHASIS WAS PLACED ON IMPROVING OUR SERVICES AND PRODUCTIONS 4HE NUMBER OF ORDERS AND PROJECTS INCREASED CONSIDERABLY AND COULD BE HANDLED IN A SHORTER TIME 4HE BROADER DIVERSITY OF KNOW HOW AND THE mEXIBILITY OF THE TEAM HELPED TO EXPAND OUR ADVISORY SERVICES "Y APPROACHING THE PRODUCTION OF MEDIA MATERIALS AND PROJECT REALIZATION WITH FORESIGHT OUR SOLUTIONS HAVE BECOME INDEPENDENT OF THE MEDIUM AND IMMEDIATELY APPLICABLE TO VARIOUS COMMUNICATION CHANNELS

3ERVICES !FTER A PERIOD OF RESTRUCTURING AND TECHNOLOGICAL ADAPTATION IN WE WERE ABLE TO CONCENTRATE LAST YEAR ON SERVICES AND PRODUCTIONS IN ORDER TO OFFER ALL OUR CLIENTS OUR BEST PERFORMANCE 7HILE CARRYING OUT OUR DAILY CORE BUSINESS WE HAVE BEEN ABLE TO IDENTIFY SEVERAL ASPECTS THAT WILL GIVE RISE TO NEW PROCESSES AND INTERRELATED VALUE ADDED OUTPUT CHAINS IN THANKS TO AN OVERALL OPENNESS TO CHANGE PARADIGMS

0RODUCTION OF MEDIA ELEMENTS !N ESSENTIAL STEP FORWARD WAS THE ESTABLISHMENT OF THE NEW VIDEO DATABASE MAKING THE VIDEOS AVAILABLE IN A DIGITALIZED FORM IN HOUSE AND TO EXTERNAL !/ STAKEHOLDERS .OW THE BASIC ELEMENTS CAN BE USED IN DIFFERENT APPLICATIONS 4O IMPROVE THE MANAGEMENT OF ALL ILLUSTRATIONS

THE SPECIlCATIONS FOR AN !/ IMAGE DATABASE WERE EVALUATED

"Y COMBINING THE RELEVANT ACTIVITIES INTO A SINGLE h!SSEMBLING AND 0RODUCTIONh DIVISION WE HAVE BEEN ABLE TO CONCENTRATE FULLY ON lNALIZING THE PRODUCTS IN PRINT OR IN ELECTRONIC FORM

h1UALITY IS NOT A MATTER OF CHANCE v .OW THE WORK IN MOST AREAS IS BASED ON THE APPLICATION OF DIGITAL EQUIPMENT 6ARIOUS ADAPTATIONS IN TERMS OF HARDWARE AND SOFTWARE HAVE BEEN CARRIED OUT IN ORDER TO OPTIMIZE PROCEDURES $ESPITE THE TECHNOLOGY MOST ACTIVITIES ARE INmUENCED BY THE INDIVIDUAL COLLABORATOR AND DEPEND UPON THEIR DEDICATION 0RODUCTION PROCESSES CAN BE FURTHER ENHANCED BY THE KNOWLEDGE AND EXPERIENCE OF THE INDIVIDUAL TEAM MEMBER AND BY CONTINUOUS FURTHER DEVELOPMENT 4HEREFORE ISSUES RELATED TO QUALITY ASSURANCE WILL CONTINUE TO CHALLENGE US IN THE FUTURE AND MUST BE DElNED APPROPRIATELY IMPLEMENTED AND MONITORED

!

" ! ! ! " !

" ! ! !

$!

0RODUCT MANUFACTURE

! ! " !

" !

4HE NEW SOLUTIONS WILL BE IMPLEMENTED IN IN CONJUNCTION WITH THE NEW PLATFORM OF THE PROJECT +NOWLEDGE 3ERVICES

!

! # ! ! ! !

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! "!

)NTERNATIONAL 2ELATIONS

3OCIO %CONOMIC #OMMITTEE 3%# BEGAN WITH A GREAT LOSS FOR THE 3%# AND THE !/ &OUNDATION WHEN !NNE -URPHY PASSED AWAY 3HE HAD BEEN OUR h%XECUTIVE $IRECTORv AND SUCCESSFULLY NURSED MANY IDEAS AND PLANS OVER YEARS )N SHE WOULD HAVE SEEN MOST OF THEM BECOMING REALITY

!SIA AND !USTRALASIA 4HE FELLOWSHIP PROGRAM IS WORKING WELL * #ROSER AND " 4WADDLE ORGANIZED 0RINCIPLES OF &RACTURE -ANAGEMENT WORKSHOPS IN &IJI AND 0APUA .EW 'UINEA 4HESE ACTIVITIES WILL BE EXPANDED TO OTHER PARTS OF THE 0ACIlC 2IM COUNTRIES ACCORDING TO NEED ASSESSMENTS

,ATIN !MERICA # 0ACCOLA S 5NIT IN 2IBEIRAO 0RETO "RAZIL HOSTED THE ND FELLOW OF THE WELL ESTABLISHED PROGRAM ! 0RINCIPLES #OURSE

PRIMARILY AIMED AT PAST FELLOWS ALLOWED THE MENTORS AND TUTORS TO EVALUATE THE BENElTS OF THE FELLOWSHIP PROGRAM !LL INVOLVED WERE SATISlED WITH THE OUTCOME AND 3%# EXPANDED THE PROGRAM TO #OLUMBIA WHERE 2 0ESANTEZ WILL BE THE PROJECT LEADER

!FRICA :AMBIA 3%# SPONSORED THE ORTHOPEDIC AND TRAUMA TRAINING OF * -UNTHALI AND - #HOWA AT THE 5NIVERSITY 4EACHING (OSPITAL IN ,USAKA "OTH OBTAINED THEIR - -ED /RTHOPEDICS 7E CONGRATULATE THEM -ALAWI !N /20 7ORKSHOP WAS HELD IN "LANTYRE /CTOBER TO

!N ENTHUSIASTIC GROUP OF NURSES FROM THE SOUTHERN PART IT IS ONE OF THE POOREST COUNTRY IN THE WORLD PARTICIPATED 3%# ALSO SUPPORTS THE BUILDING OF A TEACHING FACILITY FOR ORTHOPEDIC CLINICAL OFlCERS FOR NON DOCTORS TRAINED TO GIVE PRIMARY ORTHOPEDIC AND TRAUMA SUPPORT IN AN ENVIRONMENT OF ONLY VERY BASIC FACILITIES 4HE PROSPECTIVE STUDY BY * (ARRISON "LANTYRE ON THE SAFETY OF /2)& IN ()6 POSITIVE PATIENTS WAS SCRUTINIZED BY !/#)$ 3%# WILL CONTINUE TO SUPPORT THIS VERY IMPORTANT WORK , -BEKEANE #HOKOTHO HAS BEEN CHOSEN AS BURSAR TO TRAIN AS AN ORTHOPEDIC SURGEON IN THE TEACHING UNITS IN "LANTYRE

#HANGES IN THE 3%# 0 - $ESAI WAS ELECTED NEW MEMBER TO REPRESENT )NDIA AND THE !SIAN 3UBCONTINENT 7ELCOME AND CONGRATULATIONS TO HIM 3 "Ã&#x2039;UERLE $IRECTOR OF /20 %DUCATION !/ )NTERNATIONAL WAS APPOINTED EX OFlCIO MEMBER TO THE 3%# TEAM 7ELCOME ALSO TO HER

4HE 3%# n THE h3OCIAL #ONSCIENCEv OF THE !/ &OUNDATION IN CAME CLOSER TO ITS STATED GOALS THAN EVER AND IS GRATEFUL TO BASE ITS ACTIVITIES ON THE WHOLEHEARTED SUPPORT OF THE !/ &OUNDATION

/20 PARTICIPANTS IN FRONT OF THE NON GOVERNMENTAL HOSPITAL "LANTYRE -ALAWI

%AST #ENTRAL 3OUTHERN !FRICAN /RTHOPEDIC !SSOCIATION %#3!/!

3%# HAS BECOME INVOLVED IN THIS TWO YEAR OLD %#3!/! AS SPONSOR OF TEACHING EVENTS AND FELLOWSHIPS 7ELL ESTABLISHED 3OUTH !FRICAN TEACHING UNITS WILL HOST TRAINEES FROM THE COUNTRIES INVOLVED FOR PARTS OF THEIR TRAINING 5GANDA )N CO OPERATION WITH %#3!/!

3%# ORGANIZED A WORKSHOP ON 0RINCIPLES OF &RACTURE -ANAGEMENT .OVEMBER TO

PARTICIPANTS ENGAGED IN LIVELY DISCUSSIONS AND THE FACULTY MEMBERS LEARNED A LOT ABOUT FRACTURE TREATMENT IN AN ENVIRONMENT OF RESTRICTED RESOURCES ! TYPICAL ORTHOPEDIC WARD IN A GOVERNMENTAL HOSPITAL ANYWHERE IN !FRICA

#LINICAL )NVESTIGATION $OCUMENTATION

!/ #LINICAL )NVESTIGATION AND $OCUMENTATION !/#)$ 4HE YEAR WAS CHARACTERIZED BY AN INCREASE IN THE ACTIVITIES OF !/#)$ IN ALL ITS CORE AREAS AND BY THE DEVELOPMENT OF NEW AREAS OF ACTIVITY 4HIS WAS ESPECIALLY TRUE FOR THE INITIATION OF NEW STUDIES

COORDINATION OF TASKS IN THE WORKING GROUPS FOR THE VARIOUS CLASSIlCATION PROJECTS AND THE START OF SYSTEMATIC TRAINING OF ORTHOPEDIC SURGEONS IN THE lELD OF h%VIDENCE "ASED /RTHOPEDIC 3URGERYh %"/3 4HE INCREASE IN VOLUME AND INTENSITY OF THE ACTIVITIES OF THE !/#)$ IS EXPRESSED IMPRESSIVELY BY THE CLEAR RISE IN THE NUMBER OF ARTICLES PUBLISHED IN SCIENTIlC JOURNALS BY !/#)$ OR WITH THE SUPPORT OF !/#)$

#LINICAL 3TUDIES )N OUR DEPARTMENT SUPERVISED IMPLANT RELATED CLINICAL STUDIES WHICH WERE INITIATED MOSTLY BY THE !/ EXPERT GROUPS AND OR BY OUR PRODUCERS )N ADDITION !/#)$ HAS CO ORDINATED TWO STUDIES REQUESTED BY NON !/ CLIENTS CENTERS IN %UROPE .ORTH AND 3OUTH !MERICA !SIA AND !USTRALIA PARTICIPATED IN THESE STUDIES /VERALL THE DATA SETS AND RADIOGRAPHS FROM APPROXIMATELY PATIENTS WERE DOCUMENTED AND EVALUATED AS PART OF THESE STUDIES )N TWO CLINICAL STUDIES WERE COMPLETED

0UBLICATIONS

.UMBER OF PUBLICATIONS

3ERVICES AND 0ROJECTS

#ONSERVATIVE TREATMENT OF DISTAL RADIUS FRACTURES CONTROL GROUP OF A COMPARATIVE COHORT STUDY )N THE CONTEXT OF THIS PROSPECTIVE STUDY

PATIENTS AT ONE CENTER 9ORK 5+ WERE RECRUITED AND FOLLOWED UP OVER A PERIOD OF MONTHS PUBLICATION OF THE RESULTS IS PLANNED FOR 0ROXIMAL &EMORAL .AIL IMPROVED 0&.I #ASE SERIES PATIENTS WERE INCLUDED IN THIS MULTICENTER STUDY AND WERE FOLLOWED UP OVER A PERIOD OF MONTHS $ATA ANALYSIS HAS BEEN COMPLETED THE RESULTS WERE SUBMITTED TO THE %UROPEAN *OURNAL OF 4RAUMA %*4

!CCEPTED )N PRESS PEER REVIEWED

0UBLISHED !/ $IALOGUE 0ROCEEDINGS ETC

0UBLISHED PEER REVIEWED

9EAR

h!NALYSIS OF OUR QUESTIONNAIRE FROM THE !/ #OURSES IN $AVOS IN AND OF THE MANY REQUESTS WE HAVE RECEIVED FROM OUTSIDE CLEARLY SHOWS THAT THERE IS A STRONG DESIRE ON THE PART OF CLINICALLY ACTIVE SURGEONS FOR TRAINING AND WELL FOUNDED SCIENTIlC WORK /UR DEPARTMENT SEES THIS AS ONE OF ITS MAIN FOCI FOR THE COMING YEAR AND WILL BE CONCENTRATING ITS ATTENTION ON THIS CHALLENGE v

" (ANSON

)N RECOGNITION OF THE POLITICAL AND SOCIO ECONOMIC CHANGES TAKING PLACE WITHIN THE HEALTHCARE SYSTEM IN TERMS OF INCREASING OUTGOINGS COMBINED WITH UNCHANGING OR DIMINISHING RESOURCES MODULES TO ASSESS EFlCIENCY AND COSTS WERE INTEGRATED INTO THE STUDIES FOR THE lRST TIME IN )T IS PLANNED THAT THESE MODULES SHOULD BE FURTHER DEVELOPED AND IMPLEMENTED ON A REGULAR BASIS IN FUTURE STUDIES )N THIS CONTEXT A PIONEER PROJECT FOR COST BENElT ANALYSIS OF OPERATIVE VERSUS NON OPERATIVE FRACTURE TREATMENT WAS COMMENCED IN #HILE ON THE REQUEST OF !/ ,ATIN !MERICA AND THE (OSPITAL DEL 4RABAJADOR 3ANTIAGO #HILE

!NNUAL 2EPORT

%XTERNAL REQUEST

(AVING FOCUSSED ON THE STRUCTURE OF THE #LASSIlCATION 4ASK &ORCE AS A CENTRAL ISSUE IN * +ELLAM AND , !UDIGÏ WERE ABLE TO SUPERVISE CLASSIlCATION PROJECTS IN THE AREAS OF PAEDIATRIC FRACTURES FOOT AND ANKLE FRACTURES AND FRACTURES IN THE CRANIOMAXILLOFACIAL REGION IN THE YEAR UNDER REVIEW !NOTHER IMPORTANT SCIENTIlC PROJECT UNDERTAKEN BY THIS 4ASK &ORCE WAS A STUDY OF THE CLASSIlCATION OF SOFT TISSUE INJURIES ASSOCIATED WITH TRAUMA AND BASED ON OBJECTIVELY MEASURABLE

CLINICAL CRITERIA /NE ARTICLE HAS BEEN PUBLISHED SO FAR ON THE CLASSIlCATION OF PAEDIATRIC FRACTURES /UR DEPARTMENT WILL CONCENTRATE ON ADDITIONAL CLASSIlCATION PROJECTS IN THE COMING YEARS

.UMBER OF REQUESTS

#LASSIlCATION 4ASK &ORCE

2EQUEST TYPES /THER

4EACHING ACTIVITES $ATA IMAGES

#LINICAL )NVESTIGATION ,ITERATURE SEARCH

-ETHODOLOGIAL 3UPPORT 'ENERIC $OCUMENTATION

9EAR

-

-

%XTERNAL 2EQUESTS !CTIVITIES RELATING TO h%XTERNAL 2EQUESTSh ALSO COMPRISE A VERY IMPORTANT PART OF THE WORK OF OUR DEPARTMENT SINCE THE REQUESTS CLEARLY REmECT THE NEEDS OF SURGEONS WORKING IN THE CLINICS 4HE PERCENTAGE OF EXTERNAL REQUESTS TO BE DEALT WITH ROSE BY IN COMPARISON TO THE PREVIOUS YEAR TO REACH A TOTAL OF REQUESTS

3TUDY NURSE NETWORK 7E ARE AWARE THAT THE PARTICIPATION IN CLINICAL STUDIES IS AN ADDITIONAL BURDEN WITHIN THE DAILY ROUTINE OF THE HOSPITAL 4HEREFORE WE ARE CONSTANTLY SEARCHING FOR WAYS TO SUPPORT THE CLINICIANS WORKING WITH THE !/#)$ AS BEST WE CAN 4HESE ACTIVITIES INCLUDE THE DEVELOPMENT OF A NETWORK OF h3TUDY NURSESv 4HE TWO YEARS OF EXPERIENCE THAT WE HAVE ALREADY GAINED WITH THIS NETWORK SHOW THAT THE QUALITY OF DATA AND THE TRANSFER OF DATA HAS CLEARLY IMPROVED 4HIS NETWORK HELPS US TO ENSURE EXCELLENT QUALITY OF DATA !S PART OF THIS PROJECT

ALL THE STUDY NURSES WORKING WITH !/#)$ WERE INVITED TO A MEETING IN $AVOS IN THE SUMMER !T THIS TWO DAY MEETING

THE WORK OF THE !/#)$ WAS PRESENTED IN DETAIL TO THE PARTICIPANTS TRAINING WAS GIVEN IN CORRECT DATA RECORDING AND TRANSFER IN ACCORDANCE WITH 'OOD #LINICAL 0RACTICE '#0

AND JOINT PROJECTS WERE DISCUSSED 4HE FEEDBACK FROM ALL PARTICIPANTS WAS EXCELLENT AND WE ARE PLANNING TO HOLD MORE EVENTS OF THIS KIND AND TO MAKE THEM AN INTEGRAL PART OF OUR WORK ! FURTHER STEP TOWARDS THE OPTIMIZATION OF DATA PROCESSING IS THE PLANNED INTRODUCTION OF A DECENTRALIZED PROCEDURE FOR ELECTRONIC DATA RECORDING 2EMOTE DATA ENTRY WHICH SHOULD BE REALIZED IN 4HE NECESSARY PREPARATORY STEPS HAVE ALREADY BEEN TAKEN BY ! .EBEL AND 4 (àTTL

3TUDY NURSE MEETING

!/ #LINICAL )NVESTIGATION AND $OCUMENTATION

!/#)$ IN .ORTH !MERICA 4HE "RANCH /FlCE THAT WAS PLANNED IN HAS NOW BEEN ESTABLISHED AND OUR TWO COLLEAGUES BASED THERE - "HANDARI AND * (E HAVE BEEN ACTIVELY SUPERVISING THOSE .ORTH !MERICAN CENTERS THAT ARE PARTICIPATING IN OUR STUDIES

!/ $ECEMBER #OURSES IN $AVOS

4HE !/#)$ 4EAM

3TRATEGY WORKSHOP AND SUMMARY ,OOKING BACK OVER THE YEAR WE CAN STATE THAT THE DEMANDS ON OUR DEPARTMENT ARE GROWING AND THE TASKS ARE BECOMING MORE DIVERSE /UR EFFORTS CENTER UPON PA TIENT WELFARE AND SUPPORT FOR THE SURGEONS COLLABORATING WITH !/#)$ 7E SEE OURSELVES AS A SERVICE FACILITY AND WISH TO MEET THE NEEDS OF OUR PARTNERS BY OUR CONTRIBUTION WITH THE HIGH STANDARD OF %"/3 7ITH THIS PURPOSE IN MIND WE HELD A 3TRATEGY 7ORKSHOP IN .OVEMBER AT WHICH THE STRATEGIC GOALS FOR THE COMING YEARS WERE DElNED IN COLLABORATION WITH OUR CLINICIAN COLLEAGUES 7E HOPE THAT WE WILL BE ABLE TO REACH THESE GOALS WITH THEIR HELP AND THUS MAKE THE CONTRIBUTION TO SCIENTIlC PROGRESS THAT IS EXPECTED OF US IN THE lELD OF TRAUMATOLOGY

)N AS IN THE PREVIOUS YEAR THE !/ #OURSES IN $AVOS WERE ONE OF THE HIGHLIGHTS OF THE WORK OF OUR DEPARTMENT !/#)$ HAD ITS OWN BOOTH AT THE COURSES FOR THE SECOND TIME WHERE SURGEONS FROM ALL OVER THE WORLD ATTENDING THE COURSES COULD GATHER INFORMATION ON THE ACTIVITIES OF !/#)$

WHERE ITS ONGOING PROJECTS COULD BE PRESENTED AND WHERE IT WAS POSSIBLE TO PRESENT THE PARTICIPANTS WITH THE RESULTS OF THE QUESTIONNAIRE FROM THE PREVIOUS YEAR 4HE RESULTS HAVE

IN THE MEANTIME BEEN PUBLISHED IN h!CTA /RTHOPAEDICA 3CANDINAVIAh WWW AOFOUNDATION ORG AOQA CID 7E WERE ABLE TO USE THE PLATFORM OF THE !/ #OURSES IN TO PERFORM A SURVEY AMONG THE PARTICIPANTS WITH REGARD TO THEIR KNOWLEDGE OF v%VIDENCE "ASED /RTHOPEDIC 3URGERYh %"/3 SURGEONS FROM COUNTRIES PARTICIPATED IN THE SURVEY AND WE WILL BE ABLE TO MAKE THE RESULTS AVAILABLE TO THE SURGEONS IN TIME FOR THE !/ #OURSES

4RAINING !CTIVITIES %"/3 )N AND ON THE INITIATIVE OF !/#)$ A TRAINING SESSION WAS HELD FOR THE lRST TIME AS AN OFlCIAL PART OF THE !/ #OURSES IN $AVOS TO ADDRESS ISSUES RELEVANT TO METHODOLOGY IN THE PREPARATION AND IMPLEMENTATION OF CLINICAL STUDIES AND TO FOCUS ON CRITICAL READING AND APPRAISAL OF SCIENTIlC ARTICLES 4HESE SESSIONS ABOUT EVIDENCE BASED RESEARCH HELD AS hBREAKFAST COURSESh WERE RESTRICTED TO PARTICIPANTS !CCORDING TO A QUESTIONNAIRE COMPLETED AT THE END OF THE COURSE ALL THE PARTICIPANTS JUDGED THE EVENT TO BE EXCELLENT AND EMPHASIZED THAT TRAINING SESSIONS OF THIS NATURE SHOULD BE GIVEN HIGH PRIORITY AND BE HELD MORE FREQUENTLY )N ADDITION OUR DEPARTMENT HELD A TWO DAY WORKSHOP ON THESE SAME TOPICS AT A 3WISS 2ESIDENTS #OURSE ON THE INVITATION OF !/ 3WITZERLAND "OTH COURSES SHOWED THAT THE CLINICIANS FEEL A GROWING NEED FOR ACTIVITIES IN THIS AREA

!/ #RANIOMAXILLOFACIAL

!/ #RANIOMAXILLOFACIAL #-& 4HE ABSOLUTE HIGHLIGHT OF THE YEAR WAS THE )NTERNATIONAL &ACULTY 2ETREAT OF THE !/ #-& 'ROUP FROM *ULY TO IN -ARBELLA !LTOGETHER WE HAD FACULTY MEMBERS PARTICIPATING )N ADDITION TO THE &ACULTY MEMBERS THE !/ &OUNDATION WAS REPRESENTED BY - 2AUH AND ' 3TRASSER %IGHT PERSONS WERE PRESENT FROM THE PRODUCERS SIDE 4HE ECHO AFTER THIS MEETING WAS EXCELLENT AND VERY CONVINCING )T IS CERTAIN THAT THIS MEETING SERVED NOT ONLY TO ENLARGE THE SCIENTIlC AND CLINICAL EXCHANGE BUT ALSO WAS QUITE IMPORTANT ON THE LEVEL OF FRIENDSHIP BETWEEN THE INTERNATIONAL GROUPS )T WAS AN IMPORTANT CHANCE TO INFORM EACH OTHER ABOUT THE ACTIVITIES IN THE WORLD )T ALSO HELPED US TO UNDERSTAND THAT DEPENDING ON THE INDIVIDUAL SOCIO ECONOMIC CONDITIONS WORK IN THE VARIOUS AREAS OF THE WORLD IS QUITE DIFFERENT )T IS EXTREMELY IMPORTANT TO HAVE THIS INFORMATION IN ORDER TO LET THE FACULTY MEMBERS FROM THE VARIOUS AREAS OF THE WORLD UNDERSTAND HOW IMPORTANT IT IS TO ADAPT TEACHING ACTIVITIES TO THE LOCAL CIRCUMSTANCES /N THE OCCASION OF THIS )NTERNATIONAL &ACULTY 2ETREAT THE ANNUAL )#%3# MEETING AND ONE OF THE TWO ANNUAL %#%3# MEETINGS WERE HELD 4HE #HAIRMAN OF THE )NTERNATIONAL #-& 3TEERING #OMMITTEE FOCUSED MAINLY ON THE COORDINATION OF ALL THE TEACHING ACTIVITIES OF THE VARIOUS EDUCATIONAL GROUPS

LIKE THE .ORTH !MERICAN %UROPEAN ,ATIN !MERICAN THE %AST !SIAN AND THE &AR %AST !SIAN %DUCATION GROUPS &URTHER EFFORTS WERE MADE TO ENLARGE THE EDUCATIONAL ACTIVITIES IN !USTRALIA AND 3OUTH !FRICA

%DUCATION )N THE FOLLOWING YOU WILL lND A LIST OF THE VARIOUS COURSES AND SEMINARS THAT WERE ORGANIZED WORLD WIDE .INE INTERNATIONAL CRANIOMAXILLOFACIAL COURSES THREE WORKSHOPS TWO SEMINARS

THREE LECTURE TOURS AND SIX !/ $ELEGATIONS AT NATIONAL CONGRESSES 3IX COURSE ACTIVITIES HAD TO BE CANCELLED FOR POLITICAL OR HEALTH 3!23 REASONS

&ELLOWSHIPS FELLOWS SPENT A FELLOWSHIP IN NINE CLINICS 4HEY CAME FROM NINE DIFFERENT COUNTRIES )NDIA #OLUMBIA

THE 0HILIPPINES )RAN "AHRAIN *APAN 53!

3PAIN AND !USTRALIA

)NTERNATIONAL &ACULTY 2ETREAT OF THE !/ #-& 'ROUP *ULY TO IN -ARBELLA

v/F COURSE IT MEANS A GREAT EFFORT TO ORGANIZE AND lNANCE AN )NTERNATIONAL &ACULTY 2ETREAT BUT ) AM SURE THE PAY BACK WILL BE HIGHER v

* 0REIN

#OURSE 6IDEOS - %HRENFELD HAS COORDINATED ALL THE EFFORTS AROUND THE PRODUCTION OF NEW COURSE VIDEOS 4HESE NEW VIDEOS ARE NEEDED IN ORDER TO BE ABLE TO STREAMLINE THE BASIC COURSES WORLD WIDE AND AS MATERIAL TO BE INCORPORATED INTO THE NEW !/ #-& -ANUAL 6OLUME ONE

-ANUAL 4HE SECOND EDITION OF THE #-& -ANUAL IS ON ITS WAY 4HE NEW EDITION WILL COME OUT IN TWO VOLUMES VOLUME ONE FOR BASIC EDUCATION IN TRAUMA AND VOLUME TWO ON TUMOR SURGERY RECONSTRUCTION AND CRANIOFACIAL SURGERY

&RACTURE #LASSIlCATION !FTER A lRST MEETING WITH .ORTH !MERICAN AND %UROPEAN PARTICIPATION IN !USTIN 4EXAS FROM -ARCH TO

INTENSIVE WORK HAS BEEN GOING ON TO ESTABLISH AN h!/ COMPATIBLEv FRACTURE #-& CLASSIlCATION

0ROJECTS 7ORK IS IN PROGRESS ON THE STRUCTURE AND FORM OF PUBLICATION OF A #-& JOURNAL WHICH WILL BE AN IMPORTANT MEDIUM FOR INFORMATION OF THE !/ #-& &ACULTY AND HOPEFULLY ALSO FOR A #-& !LUMNI ORGANIZATION

!/3PINE

!/3PINE .OWADAYS THE !/ REPRESENTS A hGOLD STANDARDv WITHIN TRAUMA CARE DELIVERING A WIN WIN MERGER OF SURGICAL PRACTITIONERS RESEARCHERS AND INDUSTRY

3O WHAT ABOUT 3PINE 7E HAVE NOT YET REACHED THIS HIGH STANDARD 4HIS IS PARTLY DUE TO BEING THOUGHT OF AS A TRAUMA ASSOCIATION INSTEAD OF A SPINE GROUP THE NEWNESS OF OUR ORGANIZATION LIFECYCLE OF SPINE WITHIN THE !/ AND PRODUCERS AND THE LACK OF DEDICATED INFRASTRUCTURE 4HE PHENOMENAL GROWTH AND INTEREST IN SPINE ACROSS THE WORLD CHALLENGED THE !/ ORGANIZATION TO CHANGE AND lNALLY LED TO THE CREATION OF THE !/ 3PINE 3PECIALTY "OARD !/3PINE 3PINE NEEDED SPACE TO GROW AND IT NEEDED AUTONOMY TO CREATE AND MARKET NEW SERVICES TO APPEAL TO A MORE DIVERSE COMMUNITY WHERE TRAUMA REPRESENTED LESS THAN OF SPINE SURGERIES )N THE THREE YEARS SINCE ITS ORIGINAL CREATION !/3PINE HAS UNFAIRLY EARNED A REPUTATION OF NOT CONFORMING TO THE !/ S GUIDING PRINCIPLES (OWEVER THIS IS A GROSS MISREPRESENTATION !/3PINE IS LIKE THE PRECOCIOUS CHILD OF THE !/ PERHAPS SOMEWHAT UNRULY BUT NEVERTHELESS IT S TALENTED INNOVATIVE AND DYNAMIC 7E ARE DIFFERENT BUT WE HAVE A GREAT DESIRE TO BE GIVEN AN EQUAL CHANCE TO PLAY A CONSTRUCTIVE INTEGRAL ROLE WITHIN THE !/ FAMILY 4HE NEW !/3PINE ORGANIZATION WISHES TO COMMUNICATE OUR CLEAR RELATIONSHIP TO THE !/ !/3PINE HAS THEREFORE BOUND THE TWO NAMES !/ AND 3PINE TOGETHER AS ONE !/3PINE

4HE NEW !/3PINE 4EMPLATE OF 'OVERNANCE EMPOWERS !/3PINE TEAMS TO DELIVER EXCITING NEW SERVICES TO OUR MEMBERS TO THE BENElT OF OUR PATIENTS /UR CORPORATE GOAL IS TO DELIVER A UNIQUE CONTRIBUTION BACK TO THE !/ TO DOUBLE THE SIZE OF THE !/ COMMUNITY BY ADDING CUTTING EDGE SPINE SURGERY TO ITS LIST OF GOLD STANDARDS

! CHALLENGING VISIONx 4O FOSTER THE LEADING NON PROlT GLOBAL COMMUNITY OF SPINE SPECIALISTS THAT DRIVES CONTINUOUS IMPROVEMENT IN SPINE SURGERY FOR THE BENElT OF OUR MEMBERS

HEALTHCARE FUNDERS AND ULTIMATELY OUR PATIENTS

x A NEW STRUCTUREx !/3PINE HAS PROACTIVELY RESTRUCTURED ITSELF TO RISE TO THE NEW CHALLENGES NEEDS AND ASPIRATIONS OF SPINE SURGEONS AROUND THE GLOBE .EW !/3PINE 2EGIONAL "OARDS WERE CREATED FOR .ORTH !MERICA ,ATIN !MERICA %UROPE AND !SIA 0ACIlC "ECAUSE OF ITS POPULATION DIVERSITY AND SIZE !/3PINE !SIA 0ACIlC HAS lVE COUNTRY COUNCILS TO REPRESENT !USTRALIA AND .EW :EALAND

#HINA (ONG +ONG AND %AST !SIA )NDIA AND *APAN

!NNUAL 2EPORT

4HE !/3PINE )NTERNATIONAL "OARD CONSISTS OF FOUR EXECUTIVE MEMBERS - !EBI #HAIRPERSON 0 0AVLOV * / $OWD

AND - *ANSSEN AS WELL AS THE CHAIRPERSONS OF OUR FOUR REGIONS % 7OODARD , 6IALLE $ 3CHLENZKA - DE +LEUVER + ,UK FROM (ONG +ONG WILL TAKE OVER AND * 7EBB PAST CHAIRMAN 4HE )NTERNATIONAL "OARD HOLDS STRATEGIC RESPONSIBILITY TO GUIDE THE REGIONAL ORGANIZATIONS LIAISE WITH THE !/ &OUNDATION OUR PRODUCERS AND COLLABORATE WITH LEADING 3PINE !SSOCIATIONS

!/3PINE LAUNCHED ITS BRAND AT THE %UROPEAN #ONGRESS OF .EUROSURGERY ,ISBON 0ORTUGAL

xTO DRIVE NEW POLICIESx !/3PINE REGIONS NOW HOLD RESPONSIBILITY FOR EDUCATION

OUTCOME AND DOCUMENTATION FELLOWSHIPS AND SCIENTIlC ADVANCEMENT $UE TO ITS GLOBAL NATURE 2ESEARCH IS UNDER THE CONTROL OF OUR !/3PINE 2ESEARCH .ETWORK WHICH NOW BOASTS SIX COLLABORATIVE CENTERS 4O SPEED UP AND WIDEN PRODUCT DEVELOPMENT OPPORTUNITIES A NEW !/4+ 3PINE GROUP WAS FORMED TO DRIVE SPINE PRODUCTS THROUGH TWO $EVELOPMENT !DVISORY "OARDS FOCUSED TODAY ON %UROPE AND .ORTH !MERICA

HOWEVER IN THE FUTURE WE HOPE TO ADD !DVISORY "OARDS FROM ,ATIN !MERICAN AND !SIA 0ACIlC REGIONS TOO

xAND BUILD A RECOGNIZABLE COMMUNITY !/3PINE LAUNCHED ITS OWN SPINE ORIENTED WEBSITE WWW AOSPINE ORG AND WE HAVE STARTED ALBEIT LOW KEY A MEMBERSHIP SCHEME TO BREAKDOWN BOUNDARIES BETWEEN SPINE ORTHOPEDIC OR NEURO TRAINED SURGEONS RESEARCHERS

/20 STAFF AND SPINE THERAPISTS n THE MEMBERSHIP IS GENUINELY OPEN TO ALL INDIVIDUALS WITH AN INTEREST IN SPINE SURGERY

/VER NEUROSURGEONS SIGNED UP TO REGISTER AS NEW MEMBERS OF !/3PINE

3O ON TOP OF THE NORMAL !/ LIKE OPERATIONS !/3PINE RAN MORE THAN EDUCATIONAL EVENTS FUNDED SHORT TERM AND EIGHT LONG TERM &ELLOWSHIPS STARTED TWO NEW $ISC $EGENERATION 2ESEARCH PROJECTS AND OPENED A NEW !/3PINE REFERENCE CENTER IN (ONG +ONG 4HE SEEDS HAVE BEEN PLANTED FOR WHAT WILL BE AN EXCITING FUTUREnTHE GROWTH OF THE !/3PINE BRAND AND OUR COMMUNITY WITHIN THE !/ - !EBI #HAIRMAN !/3PINE )NTERNATIONAL "OARD

!/ 6ETERINARY

!/ 6ETERINARY 6%4 %LECTIONS AND !WARDS , "RAMLAGE ONE OF THE MOST ACTIVE !/ 6ET -EMBERS AND ADVOCATES OF INTERNAL lXATION TECHNIQUES IN HORSES TOOK OVER THE PRESIDENCY OF THE !MERICAN !SSOCIATION OF %QUINE 0RACTITIONERS !!%0 4HIS !SSOCIATION HAS MORE THAN MEMBERS AND ITS MEMBERS COME FROM ALL AROUND THE WORLD #ONGRATULATIONS ,ARRY A BIG JOB IS AHEAD OF YOU BUT ONE YOU WILL MASTER WITH ALL YOUR FORESIGHT CLASS AND EFFECTIVENESS

, "RAMLAGE ,EXINGTON +9 DURING HIS INAUGURAL SPEECH AT THE !!%0 #ONVENTION IN .EW /RLEANS

4HE %QUINE 'ROUP OF !/ 6%4 WAS AWARDED THE h$ISTINGUISHED %DUCATOR AWARD BY THE !!%0 * !UER ACCEPTED THE AWARD IN THE NAME OF ALL THE HARD WORKING FACULTY IN THE %QUINE COURSES AROUND THE WORLD " VON 2ECHENBERG THE DAUGHTER OF 0 VON 2ECHENBERG THE lRST #HARMAIN OF THE "OARD OF $IRECTORS OF THE !/ &OUNDATION RECEIVED THE 2ECOGNITION 0RIZE OF THE !/4+ FOR HER OUTSTANDING COMMITMENT AND SCIENTIlC ADVISORY SERVICES IN THE DEVELOPMENT OF THE !/ "IOTECHNOLOGY CONCEPT

#OURSES 3MALL !NIMAL AND RECENTLY ALSO %QUINE #OURSES ARE ATTRACTIVE AND DRAW GOOD CLASS SIZES FOR THE DIFFERENT COURSES )N MANY COUNTRIES THE TRAINED SURGEONS WAIT FOR A PRICE COMPETITIVE RANGE OF 3YNTHES IMPLANTS )T IS THE OBJECTIVE OF !/ 6%4 TO DEVELOP SUCH A LINE OF PRODUCTS AND TOOLS

4HE $ISTINGUISHED %DUCATOR !WARD PRENSENTED TO !/ 6%4

$EVELOPMENT OF NEW BONES

4HE BONE MODELS CONTINUE TO BE IMPROVED IN RESPONSE TO THE DEMANDS BY THE COURSE PARTICIPANTS AND FACULTY 7E ARE A CRITICAL GROUP BUT A COOPERATIVE ONE AND IT IS OUR UTMOST DESIRE TO PROVIDE OUR COURSE PARTICIPANTS WITH THE BEST MODELS AND PRACTICAL EXERCISES AVAILABLE

2EPRESENTATION 0RESIDENT + *OHNSON 0AST 0RESIDENT * (OULTON AND * !UER %XECUTIVE 3ECRETARY OF !/ 6%4 REPRESENTED THE 6ETERINARY 3PECIALTY 'ROUP AT THE 4RUSTEE -EETING IN #RETE 'REECE

-ANUAL 4HE NEW 3MALL !NIMAL -ANUAL IS ALMOST READY TO BE RELEASED

!/ 6%4 &ELLOWSHIPS 4HE !/ 6%4 #ENTER AWARDED A TOTAL OF FOUR &ELLOWSHIPS DURING !S A RESULT OF ONE SUCH FELLOWSHIP A YOUNG 'ERMAN 6ETERINARIAN WAS AWARDED AN %QUINE 3URGERY 2ESIDENCY AT THE /HIO 3TATE 5NIVERSITY

* !UER IMPLANTS A MM CORTEX SCREW INTO THE NAVICULAR BONE OF AN ADULT HORSE WITH THE HELP OF #OMPUTER ASSISTED /RTHOPEDIC 3URGERY

&INANCE #ORPORATE

&INANCE #ORPORATE $EVELOPMENT %XPENSES &ROM TO THE !/ &OUNDATION SPENT SOME #(& MILLION SUPPORTING THE VARIOUS !/ )NSTITUTIONS AND PROMOTING !/ 4OTAL EXPENDITURE SINCE HAVE REACHED ALMOST #(& MILLION 4HE EXPENDITURE OF THE !/ &OUNDATION TO IMPROVE THE METHODS IMPLANTS AND EDUCATION OF SURGEONS ARE STILL GROWING

! !

!

)N THE !/ &OUNDATION SPENT A TOTAL OF #(& MILLION OF WHICH WAS CONTRIBUTED TO 2ESEARCH

TO $EVELOPMENT TO %DUCATION AND TO !/3PINE 2EGIONAL ACTIVITIES WERE SUPPORTED BY OF TOTAL ALLOCATIONS THE !/ #ENTER BY 1UALITY !SSURANCE BY

THE &OUNDATION AND 4RUSTEES !CTIVITIES BY AND 5NFORESEEN BY 4HE !/ &OUNDATION SPENT FOR PERSONNEL COSTS

FOR OPERATING COSTS AND FOR INVESTMENTS !N IMPORTANT ALLOCATION OF #(& MILLION TO THE RESERVE POOL COULD BE MADE 7E TRY TO KEEP TRACK OF THE LATEST DEVELOPMENTS IN INFORMATION TECHNOLOGIES )N ORDER TO PROVIDE AN ADEQUATE KNOWLEDGE SERVICE TO SURGEONS OF THE !/ .ETWORK n TO SPREAD THE KNOWLEDGE EVEN FURTHER n WE MADE A MAJOR INVESTMENT IN INFORMATION TECHNOLOGIES 4HIS WILL HELP TO MAKE THE KNOW LEDGE OF THE !/ .ETWORK EVEN MORE VALUABLE AND ACCESSIBLE TO ALL !/ MEMBERS WORLD WIDE

2OYALTIES 4HE INCREASE IN SALES OF OUR PRODUCERS RESULTED ALSO IN HIGHER ROYALTY INCOME FOR THE !/ &OUNDATION -OST OF THIS INCOME IS USED TO SUPPORT OUR CORE ACTIVITIES IN EDUCATION 2 $ CLINICAL INVESTIGATION AND SPECIALTIES

AS WELL AS OUR SUPPORT FOR REGIONAL ACTIVITIES

%VOLUTION OF &UNDS 3PENT IN #(& MILLIONS

5NFORESEEN 5NFORESEEN

#' "(! % # !$ #* & * % " #("'

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3YNTHES 53! GENERATED OF THE ROYALTIES -ATHYS -EDICAL AND 3TRATEC -EDICAL 'EOGRAPHICALLY MOST OF THE FUNDS WERE GENERATED IN .ORTH !MERICA

IN %UROPE IN !SIA AND IN THE REST OF THE WORLD

%XTERNAL &UNDING )N ADDITION TO THE DIRECT FUNDING OF THE !/ &OUNDATION EXTERNAL FUNDING TO THE AMOUNT OF #(& M WAS OBTAINED IN 4HE ,ANDSCHAFT $AVOS THE #ANTON OF 'RISONS AND OTHERS SUPPORTED THE !/ ACTIVITIES

&OUNDATION 4RUSTEES ACTIVITIES &OUNDATION 4RUSTEES ACTIVITIES !/ #ENTER !/ #ENTER

!/ AS AN EMPLOYER

2EGIONALIZATION 2EGIONALIZATION 1UALITY !SSURANCE 1UALITY !SSURANCE

4HE !/ &OUNDATION EMPLOYED AT THE YEAR END PREVIOUS 9EAR COLLABORATORS 4HIS IS AN INCREASE OF OR EMPLOYEES AS COMPARED TO THE PREVIOUS YEAR %VERY EMPLOYEE PLAYS AN IMPORTANT ROLE WITHIN THE !/ ACTIVITIES AND NETWORK 4HE VARIOUS SERVICES PROVIDED BY !/ EMPLOYEES WILL HELP SURGEONS WORLD WIDE

3PINE 3PINE %DUCATION %DUCATION

$EVELOPMENT $EVELOPMENT 2ESEARCH 2ESEARCH

#ONTACTS

#ONTACTS !/ &OUNDATION 2EGIONS

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%MAIL FOUNDATION AOFOUNDATION ORG

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!/ 3WITZERLAND #LAVADELERSTRASSE #( $AVOS 0LATZ 0HONE &AX

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