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Background: A treatment algorithm and screening examination have been developed to guide patient management and prospectively determine potential for highly active individuals to succeed with nonoperative care after anterior cruciate ligament rupture.

Objective: To prospectively characterize and classify the entire population of highly active individuals over a 10-year period and provide final outcomes for individuals who elected nonoperative care.

Methods: Inclusion criteria included presentation within 7 months of the index injury and an International Knee Documentation Committee level I or II activity level before injury. Concomitant injury, unresolved impairments, and a screening examination were used as criteria to guide management and classify individuals as noncopers (poor potential) or potential copers (good potential) for nonoperative care.

Results: A total of 832 highly active patients with subacute anterior cruciate ligament tears were seen over the 10-year period; 315 had concomitant injuries, 87 had unresolved impairments, and 85 did not participate in the classification algorithm. The remaining 345 patients (216 men, 129 women) participated in the screening examination a mean of 6 weeks after the index injury. There were 199 subjects classified as noncopers and 146 as potential copers. Sixty-three of 88 potential copers successfully returned to preinjury activities without surgery, with 25 of these patients not undergoing anterior cruciate ligament reconstruction at the time of follow-up.

Conclusion: The classification algorithm is an effective tool for prospectively identifying individuals early after anterior cruciate ligament injury who want to pursue nonoperative care or must delay surgical intervention and have good potential to do so.



NAVIGATION


         

 

DNA is the blueprint of all life, giving instruction and function to organisms ranging from simple one-celled bacteria to complex human beings. Now Northwestern University researchers report that they have used DNA as the blueprint, contractor and construction worker to build a three-dimensional structure out of gold, a lifeless material.

 

Brown University has joined forces with more than a dozen research universities and historically black colleges and universities (HBCUs) to promote robotics and computer science education for African-American students.

 

The continuous fabrication of complex, three-dimensional nanoscale structures and the ability to grow individual nanowires of unlimited length are now possible with a process developed by researchers at the University of Illinois.Based on the rapid evaporation of solvent from simple “inks,” the process has been used to fabricate freestanding nanofibers, stacked arrays of nanofibers and continuously wound spools of nanowires.

 

Preventative heart healthcare gains strong momentum as NightHawk Radiology Holdings, Inc. (Nasdaq: NHWK), has announced its involvement as the exclusive radiology provider for the High-Risk Plaque Initiative (”HRP Initiative”). The HRP Initiative is a joint research effort to advance the understanding and management of high-risk plaque, which is believed to be the primary underlying cause of heart attacks and strokes.As part of the research effort, NightHawk’s U.S.

 

Ever come out of a London Underground station and not known where you were? Then you spot a familiar landmark like the Tower of London and suddenly you have your bearings”New research from the University of Bristol shows for the first time that global positioning systems technology (GPS) can be used to show how children as young as three find their way around.

 

A discovery by scientists at the Carnegie Institution has opened the door to a new generation of piezoelectric materials that can convert mechanical strain into electricity and vice versa, potentially cutting costs and boosting performance in myriad applications ranging from medical diagnostics to green energy technologies.

 

Neurological surgeons at Jefferson Hospital for Neuroscience are among the first surgeons in the United States using an FDA-approved liquid system for treating wide-necked brain aneurysms, which could eventually replace current treatments.Principal investigator Erol Veznedaroglu, M.D.

 

Results published in FASEB (the journal of the Federation of American Societies for Experimental Biology) by researchers at Columbia University, including Jeremy Mao of the Columbia College of Dental Medicine, demonstrate a novel way of using porous structures as a drug-delivery vehicle that can help boost the integration of host tissue with surgically implanted titanium.

 

Medtronic, Inc. (NYSE: MDT) announced the FDA approval of a new physician-use continuous glucose monitoring (CGM) system, the CGMS® iPro™ Recorder. Physicians send patients home with the CGMS iPro Recorder to uncover patterns and potential problems that often go undetected with today’s standard glucose measurements like finger stick meters and HbA1c tests. The new CGMS iPro Recorder is smaller, lighter in weight and less time consuming to use than previous CGMS recorders.

 

Sicel Technologies, Inc. announced that CMS (Centers for Medicare and Medicaid Services) has established a new HCPCS code (Healthcare Common Procedure Coding System) that became effective on January 1, 2008, for implantable radiation dosimeters.




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