He has devoted his career to his patients by constantly striving to innovate, and make procedures less invasive, with smaller incisions, less pain, and shorter down-time. He is committed to advancing his field of specialty, and has two orthopaedic device patents to his name. He has trained hundreds of medical students, dozens of residents, and over thirty fellows in sports medicine and arthroscopy procedures. He actively teaches practicing physicians as well, via seminars, live surgery webcasts, and cadaver courses. He is a respected voice in orthopedics, serving as instructional course director at the prestigious Orthopaedic Learning Center, as well as the American Academy of Orthopaedic Surgery meetings. In addition, he is regularly invited to speak in Germany, Spain, Columbia, Norway, Slovenia, and Brazil at their orthopaedic societies. He is currently writing a textbook on hip arthroscopy, and has written more than 20 orthopaedic textbook chapters and 40 peer-reviewed journal articles. He serves as a research and development consultant to two of the world's largest orthopaedic device and equipment companies. He is one of only a small group of surgeons in the country who perform reverse total shoulders. In short, Dr. Guanche is a uniquely qualified surgeon with outstanding academic and clinical achievements, whose surgical excellence is complemented by his warm and down-to earth demeanor.

Dr. Guanche grew up in South Florida and graduated Magna Cum laude from the University of Miami. He went on to earn his Medical Degree from the University of Miami, after which he completed his orthopedic surgery residency at the Albert Einstein Medical Center in Philadelphia. He completed fellowship training in Sports Medicine and Shoulder surgery at the Minneapolis Sports Medicine Center in 1993.

Following his training, he was appointed to the teaching faculty at Louisiana State University. During his five years at LSU, he served as Associate Professor of Orthopedic Surgery and was responsible for the daily teaching of residents and medical students. He was the director of the Sports Medicine Division at LSU and was head team physician for the University of New Orleans basketball team (NCAA Division I), New Orleans Zephyrs (AAA baseball) and the New Orleans Brass (East Coast Hockey League). In addition, he was active in research studies, including a highly acclaimed study dealing with proprioception of the shoulder.

In 1998 he relocated to Minneapolis where he joined the Minneapolis Sports Medicine Center. He was appointed to the faculty of the University of Minnesota as Adjunct Associate Professor of Orthopaedic Surgery. At the Center, he trained fellows and residents in shoulder reconstruction and sports medicine arthroscopic techniques and was Clinical Coordinator for Basic Science Research. He was the principal investigator in NFL-funded research grants, including one designed to analyze the influence of Growth Factors in the healing of rotator cuff tears. In his position at the Center, he was Associate Team physician for the Minnesota Vikings (NFL) and was the upper extremity consultant to the Minnesota Wild (NHL), the Timberwolves (NBA) and the Lynx (WNBA). In addition, he was a consultant to the Minnesota State High School Football League.

Dr. Guanche has authored over 40 peer-reviewed publications and 20 book chapters on a variety of sports medicine and reconstruction topics. Most recently, he has authored a textbook on hip arthroscopy and hip injuries. He has lectured extensively throughout the United States, Europe and South America on sports medicine and surgery of the shoulder, elbow and hip. Being fluent in Spanish, he has also taught several of these courses in that language.

Dr. Guanche is one of a select group of surgeons with extensive experience in hip arthroscopy. He is one of few physicians chosen to be a Master Instructor for international courses on hip arthroscopy. He regularly is consulted by and performs surgery on professional and collegiate athletes as well as entertainers with hip injuries. He also maintains a very active practice in the treatment of shoulder injures including labral repairs, rotator cuff repairs and the management of arthritis. He has an extensive and unparalled experience in the management of shoulder arthritis including the development of a minimally-invasive shoulder replacement technique.

A diplomate of the American Board of Orthopaedic Surgery, Dr. Guanche is a member of the American Orthopaedic Society for Sports Medicine, the Arthroscopy Association of North American and the American Shoulder and Elbow Society.

Always innovative, Dr. Guanche has two patents to his credit. One device allows for the specific measurement of shoulder laxity, while the other improves the ability to perform arthroscopic shoulder reconstructions. He is currently working on another for a minimally-invasive shoulder replacement prosthesis.

He and his wife Anna and their two children live in Calabasas. When not distracted with his inventions, Dr. Guanche is active in running (including two marathons), golf, traveling, wines and enjoying time with his family.

Dr. Guanche is available to see patients at the Van Nuys office.