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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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FDA Approves Expanded 510k Classification For Titan Spine’s Endoskeleton(R) TA Anterior Interbody Fusion DeviceCategory: Bones / Orthopaedics | Leave a Comment |
The US Food and Drug Administration (FDA) has expanded Titan Spine’s ENDOSKELTON® TA Vertebral Body Replacement Device (VBR) 510k to include an Interbody Fusion Device indication. Under its expanded 510K indication, the Endoskeleton® TA Interbody Fusion Device is approved for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1.
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Endoscope May Be Replaced By String Probe To Detect Devastating Childhood Digestive DiseaseCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
A swallowed string may someday replace the invasive, uncomfortable endoscope now used to diagnose a devastating childhood disease of the esophagus. Steven J. Ackerman of University of Illinois at Chicago College of Medicine and Dr. Glenn T.
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Growth Of Drug-Device Combination Products Impacting The Way Drugs Are DevelopedCategory: Pharma Industry / Biotech Industry | Leave a Comment |
As the point-of-care for drug therapy shifts from the clinic to the home, drug developers are learning the importance of design integration, ergonomics, and concurrent engineering. Welcome to the age of combination products, an age where the drug is one part of a therapeutic product designed to meet the needs of a specific therapy or patient group. Recognizing the growing impact of combination products, the U.S.
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How Much Does Atrial Fibrillation Cost The German Health Care System?Category: Cardiovascular / Cardiology | Leave a Comment |
In light of the aging population, the escalating cost impact of diseases common in the elderly on a country’s health care budget is of increasing importance. A country-specific evaluation of the costs associated with this condition is important for both clinicians and health care planners.
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EARLY RELEASE: The President’s Emergency Plan for AIDS Relief — Is the Emergency Over?Category: Medic | Leave a Comment |
(No abstract is available for this citation)
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EARLY RELEASE: Clarifying Enrollment Procedures in the Trial of CT Screening for Lung CancerCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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CME: Case 24-2008: A 35-Year-Old Woman with Postpartum Confusion, Agitation, and DelusionsCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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CME: Malignant Gliomas in AdultsCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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CME: Smoke-free Legislation and Hospitalizations for Acute Coronary SyndromeCategory: Medic | Leave a Comment |
(No abstract is available for this citation)
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HEALTH LAW, ETHICS, AND HUMAN RIGHTS: Doctors, Drugs, and Driving — Tort Liability for Patient-Caused AccidentsCategory: Medic | Leave a Comment |
The author discusses the case of Coombes v. Florio, in which the Massachusetts Supreme Judicial Court overturned a trial judge’s ruling to dismiss a lawsuit against a physician whose patient was the driver in a car accident that resulted in the death of a child. The trial judge had ruled that physicians’ responsibilities were restricted to their patients, whereas the court ruled that the victim of a car accident can sue the driver’s physician if the physician has failed to inform the patient about medication side effects that may impair driving.