Background Whether the treatment of patients with hypertension who are 80 years of age or older is beneficial is unclear. It has been suggested that antihypertensive therapy may reduce the …
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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
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EARLY RELEASE: Treatment of Hypertension in Patients 80 Years of Age or OlderCategory: Medic | Leave a Comment |
Background Whether the treatment of patients with hypertension who are 80 years of age or older is beneficial is unclear. It has been suggested that antihypertensive therapy may reduce the …
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Mar |
EARLY RELEASE: Telmisartan, Ramipril, or Both in Patients at High Risk for Vascular EventsCategory: Medic | Leave a Comment |
Background In patients who have vascular disease or high-risk diabetes without heart failure, angiotensin-converting-enzyme (ACE) inhibitors reduce mortality and morbidity from cardiovascular causes, but the role of angiotensin-receptor blockers (ARBs) …
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EARLY RELEASE: ACE Inhibitors in Cardiovascular Disease — Unbeatable?Category: Medic | Leave a Comment |
(No abstract is available for this citation)
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EARLY RELEASE: Treating Hypertension in the Very OldCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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EARLY RELEASE: Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery DiseaseCategory: Medic | Leave a Comment |
Background Several studies have compared the treatment effects of coronary stenting and coronary-artery bypass grafting (CABG). However, there are limited data regarding the long-term outcomes of these two interventions for …
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EARLY RELEASE: Percutaneous Intervention vs. Coronary-Artery Bypass Grafting in Left Main Coronary DiseaseCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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For Diagnosis Of Head And Neck Injuries, Whole Body MDCT Just As ‘Good’ As Neck MDCT AngiographyCategory: Medic | Leave a Comment |
Blunt cerebrovascular injuries can be diagnosed using whole body 16 multi-detector CT (MDCT); there’s no need for an additional neck MDCT angiography examination according to a recent study conducted by researchers at the University of Maryland Medical Center and R. Adams Cowley Shock Trauma Center, both in Baltimore, MD. The study showed that whole body MDCT is just as accurate as neck MDCTA.
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Heart Pacemakers And Defibrillators: Are They Reaching All Who Need Them? UKCategory: Medic | Leave a Comment |
Heart rhythm disorders are a major cause of sudden death and disability, but for many sufferers a modern pacemaker or other device can save life and reduce symptoms when implanted by a simple operation. Following on from its first systematic survey last year of device provision in England and Wales, the Network Device Survey Group (http://www.devicesurvey.
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GE Healthcare Introduces Enhancements To Leading Maternal/Fetal Monitor SeriesCategory: Medic | Leave a Comment |
Continuing a 40-year history with its market-leading Corometrics 250 Series of quality and dependable labor and delivery room products, GE Healthcare announced a new model — the Corometrics 250cx Series Maternal/Fetal Monitor.
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FDA Makes Recommendations On Medical Devices That Treat Blocked Heart ArteriesCategory: Medic | Leave a Comment |
U.S. Food and Drug Administration Commissioner Andrew C. von Eschenbach announced that the agency has issued draft guidelines to aid the development, testing and manufacture of coronary drug-eluting stents, devices used to treat blocked heart arteries. Over the past few years, FDA and the clinical community have been closely monitoring these devices, including concerns over clot formation in some patients several years after implantation.