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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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BSI Expediting Expansion Of In Vitro Diagnostic Scope For Medical DevicesCategory: Medical Devices / Diagnostics | Leave a Comment |
BSI, a world-class Notified Body providing regulatory and quality management reviews and product certification for medical devices, is rapidly implementing plans to expand its medical device Notified Body scope to include in vitro diagnostic (IVD) devices. BSI has appointed Sue Spencer, an IVD industry veteran, to lead what looks to be an early 2010 expansion. Spencer is focusing on the accreditation process along with creating a dynamic team of in-house experts.
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Quick Diagnosis Of Acute Appendicitis Enabled By Smart PhonesCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Radiologists can accurately diagnose acute appendicitis from a remote location with the use of a handheld device or mobile phone equipped with special software, according to a study presented at the annual meeting of the Radiological Society of North America (RSNA). “The goal is to improve the speed and accuracy of medical diagnoses, as well as to improve communications among different consulting physicians,” said the study’s lead author, Asim F. Choudhri, M.D.
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Smith & Nephew Orthopaedics Selected To Develop New Technology For Treating Battlefield InjuriesCategory: Bones / Orthopaedics | Leave a Comment |
Smith & Nephew (NYSE: SNN, LSE: SN) Orthopaedics Division is pleased to announce the signing of a technology development contract with the United States Department of Defense that may lead to the creation of a fracture fixation system intended to revolutionize the treatment of the limbs of soldiers who sustain battlefield injuries. Last year, the Defense Advanced Research Projects Agency (DARPA), the central research and development agency for the U.S.
A bit of imagination on the part of a measuring instrument wouldn’t be a bad thing. It could help to add data from areas where the instrument is unable to measure. However, it must do so constructively. In order to infer missing data in an astronomical measurement with more than just imagination, physicists at the Max Planck Institute for Astrophysics have formulated a theory of spatial perception called information field theory.
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Four University Of Montreal Discoveries To Be Commercialized By Univalor And Cognitive Sensing Inc.Category: IT / Internet / E-mail | Leave a Comment |
Cutting-edge technologies are about to enter the marketplace, thanks to a new partnership between Gestion Univalor, Limited Partnership (Univalor) and Cognitive Sensing Inc. (CSI), a privately owned technology company based in Montreal.
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Eradicating MRSA With New Plasma TechnologyCategory: MRSA / Drug Resistance | Leave a Comment |
MRSA (methicillin-resistant Staphylococcus Aureus) and other drug-resistant bacteria could face annihilation as low-temperature plasma prototype devices have been developed to offer safe, quick, easy and unfailing bactericidal cocktails. Two prototype devices have been developed: one for efficient disinfection of healthy skin (e.g.
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Earlier Diagnosis Of Ocular Pathologies Such As Keratitis And Macular DegenerationCategory: Eye Health / Blindness | Leave a Comment |
Researchers from the University of Granada have provided an early diagnosis of certain ocular diseases that are very common today, such as age-related macular degeneration and keratitis, by applying an existing optical technique that had never before been used for this purpose.
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Implant-Based Cancer Vaccine Is First To Eliminate Tumors In MiceCategory: Melanoma / Skin Cancer | Leave a Comment |
A cancer vaccine carried into the body on a carefully engineered, fingernail-sized implant is the first to successfully eliminate tumors in mammals, scientists report this week in the journal Science Translational Medicine. The new approach, pioneered by bioengineers and immunologists at Harvard University, uses plastic disks impregnated with tumor-specific antigens and implanted under the skin to reprogram the mammalian immune system to attack tumors.
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Auditory Illusion: When Sound Is Fragmented The Brain Fills In The GapsCategory: Hearing / Deafness | Leave a Comment |
A new study led by scientists in The Netherlands has revealed the mechanisms through which the brain creates “auditory continuity illusion”, where a physically interrupted sound is heard as continuing through background noise; thus when we try to listen to conversation in a noisy room, the brain fills in the gaps between interrupted sound fragments to create what we perceive as a continuous sound.
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Medtronic’s Strong Earnings Reassure Defibrillator IndustryCategory: Cardiovascular / Cardiology | Leave a Comment |
Medical technology company Medtronic’s stocks surged 5 percent Tuesday in the wake of strong earnings reports, while rivals on implantable cardioverter defibrillators (ICD) market saw similar gains in the neighborhood of 4 percent, Dow Jones/Wall Street Journal reports. ICDs monitor patient’s hearts and shock them when they fall out of beat. The market for the devices was believed to be in a slowdown lately.