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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.
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Hip Replacement Recall By Depuy Orthopaedics Is Big NewsCategory: Bones / Orthopedics | Leave a Comment |
Due to a fairly high percentage (12-13%) of five year revision or secondary hip surgeries DePuy Orthopaedics, Inc. reported based on this year’s data from the National Joint Registry (NJR) of England and Wales, the manufacturer announced this week it is voluntarily pulling the ASR™ XL Acetabular System and DePuy ASR™ Hip Resurfacing System from the marketplace…
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Blood Clot Risk More Than Double In Black Americans Implanted With Drug-Coated StentsCategory: Cardiovascular / Cardiology | Leave a Comment |
A new study found that black Americans implanted with drug-coated stents have more than double the risk of developing life-threatening blood clots than Americans from other races who have also had drug-coated stents implanted to prop open narrowing arteries. You can read about the study behind these findings in Circulation: Journal of the American Heart Association…
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Collection, Analysis Of Hard-To-Handle Immune Cells Enabled By Microfluidic DeviceCategory: Medical Devices / Diagnostics | Leave a Comment |
A team led by Massachusetts General Hospital (MGH) scientists has developed a new microfluidic tool for quickly and accurately isolating neutrophils - the most abundant type of white blood cell - from small blood samples, an accomplishment that could provide information essential to better understanding the immune system’s response to traumatic injury…
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Improved Tool For Cycling Fitness Developed By UNH ResearchersCategory: Sports Medicine / Fitness | Leave a Comment |
For competitive bicyclists with goals - whether competing in the Tour de France or aiming for the podium at a local race - faster cycling comes from training regimens based on various zones of exercise intensity…
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‘Toolbox Of MiniPromoters’ For Gene Research And Therapy Unvelied By UBC ResearchersCategory: Genetics | Leave a Comment |
University of British Columbia researchers have led the development of a new “toolbox of MiniPromoters” for research and future therapies on brain, spinal cord and eye function. MiniPromoters are small segments of human DNA with the ability to turn genes on and off at specific times and locations…
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Welch Allyn Unveils Cure For Vital Sign Documentation Errors At The Point Of CareCategory: Medical Devices / Diagnostics | Leave a Comment |
Welch Allyn, a leading global manufacturer of frontline medical products and solutions, today announced it has found a way to significantly reduce vital signs documentation errors from acute care settings…
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Adult Mammary Stem Cells Identified And Isolated For The First Time In Mice, Potential For Breast Tissue Regeneration And New Cancer Drug TargetsCategory: Breast Cancer | Leave a Comment |
For the first time, researchers at Fred Hutchinson Cancer Research Center have identified and isolated adult mammary stem cells in mice. Long-term implications of this research may include the use of such cells to regenerate breast tissue, provide a better understanding of the role of adult stem cells in breast cancer development, and develop potential new targets for anti-cancer drugs…
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Development Of New ‘Light Switch’ Chloride BinderCategory: Medical Devices / Diagnostics | Leave a Comment |
Chemists at Indiana University Bloomington have designed a molecule that binds chloride ions — but can be conveniently compelled to release the ions in the presence of ultraviolet light. Reporting in the Journal of the American Chemical Society (online), IU Bloomington chemist Amar Flood and Ph.D…
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Study: Explosion Of Medical Imaging Due Partly To OveruseCategory: Radiology / Nuclear Medicine | Leave a Comment |
“Part of the explosion in medical imaging over the past two decades may be attributable to overuse, and steps need to be taken to cut back,” according to a study in the journal Radiology, MedPage Today/ABC News reports…
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New Device Packs Power To Analyze Genes, Proteins At Patients’ BedsideCategory: Medical Devices / Diagnostics | Leave a Comment |
University of Florida researchers have helped to develop a device that quickly identifies genes and proteins in body fluids - a technique that could make a vital difference to the trauma patients doctors treat…