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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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BD Increases Haiti Relief Fund To Include $5 Million In Product DonationsCategory: Aid / Disasters | Leave a Comment |
BD (Becton, Dickinson and Company) (NYSE:BDX), a leading global medical technology company, is increasing the supply of its products available for donation in support of Haiti earthquake relief efforts from the $500,000 announced on January 15 to $5 million in market value of critical medical supplies…
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Lab On A Chip Features Advances In Cancer Detection Research By Virginia Tech EngineerCategory: Cancer / Oncology | Leave a Comment |
New advances for the detection of cancer led by Rafael V. Davalos of the Virginia Tech-Wake Forest School of Biomedical Engineering and Science (SBES) are featured as the cover story in the January 19, 2010 Royal Society of Chemistry’s magazine, Lab on a Chip, the premier journal for researchers in microfluidics. Microfluidics is the behavior of fluids at the microscale level…
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Invatec Comments On First Clinical Results Of Drug Eluting Balloon Technology For Below The Knee (BtK)Category: Medical Devices / Diagnostics | Leave a Comment |
Invatec, a comprehensive innovator of interventional products, welcomed the first clinical results of the Drug Eluting Balloon (DEB), IN.PACT Amphirion, for complex Critical Limb Ischemia (CLI) in Below the Knee (BtK). As Dr…
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LinkMed: Siemens Chooses ONCOlog Medical DIGNITY Carrier For PET/CTCategory: MRI / PET / Ultrasound | Leave a Comment |
LinkMed’s portfolio company has received an order from Siemens AG, Health Care Sector, Germany for its patient transportation solution, DIGNITY™ Carrier, for setting up patients for PET/CT imaging for special applications…
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29
Jan |
Life Spine(R) Announces FDA Clearance Of DYNA-LINK(R) Spinal System And PRESIDIO(TM) Spinal Plating SystemCategory: Bones / Orthopaedics | Leave a Comment |
Life Spine announced that the U.S. Food and Drug Administration (FDA) has given 510(k) marketing clearance to both the DYNA-LINK Spinal System and the PRESIDIO Spinal Plating System. The DYNA-LINK system features a next-generation stand-alone device that accommodates both fixed and variable angle screws…
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Breakthrough Heart Scanner Being Developed At The University Of Leeds Will Allow Earlier DiagnosisCategory: Heart Disease | Leave a Comment |
An innovative cardiac scanner will dramatically improve the process of diagnosing heart conditions. The portable magnetometer* is being developed at the University of Leeds, with funding from the Engineering and Physical Sciences Research Council (EPSRC) playing a key role…
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Jan |
The PICC WAND From Access Scientific Receives FDA ClearanceCategory: Vascular | Leave a Comment |
Access Scientific has received FDA clearance for The PICC WANDTM, which enables clinicians to insert a peelable sheath for PICC or Midline catheter placement using the new Accelerated Seldinger Technique (AST). The PICC WAND is an all-in-one safety introducer that addresses the over-wire vascular access market, valued at more than $1 billion, by providing faster, safer and simpler vascular access…
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Piedmont Hospital Installs First Toshiba Vascular X-Ray System With 12″ X 12″ Mid-Sized Flat Panel DetectorCategory: Cardiovascular / Cardiology | Leave a Comment |
Increasing its ability to provide patients with the highest quality of care, Piedmont Hospital in Atlanta has installed the country’s first InfinixTM VF-i vascular X-ray system with the 12″ x 12″ mid-sized flat panel detector (FPD) from Toshiba America Medical Systems, Inc…
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Jan |
Powering Pacemakers, Mobile Phones With Energy-Harvesting Rubber SheetsCategory: Medical Devices / Diagnostics | Leave a Comment |
Power-generating rubber films developed by Princeton University engineers could harness natural body movements such as breathing and walking to power pacemakers, mobile phones and other electronic devices…
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Jan |
MR Spectroscopy May Help Diagnose, Determine Aggressiveness Of Prostate CancerCategory: Prostate / Prostate Cancer | Leave a Comment |
Magnetic resonance (MR) spectroscopy - which analyzes the biochemistry rather than the structure of tissues - may someday be able both to pinpoint the precise location of prostate cancer and to determine the tumor’s aggressiveness, information that could help guide treatment planning…