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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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Apollo Endosurgery Completes First-in-Human Cases With New OverStitch™ Endoscopic Suturing SystemCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Apollo Endosurgery, Inc. announced that their newly-launched OverStitch™ Endoscopic Suturing System has recently been employed in several, first-in-human cases. OverStitch Endoscopic Suturing System is a unique device that mimics the way physicians deploy sutures by hand…
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Advanced Drugs In Sight As UK’s Most Powerful Nuclear Magnetic Resonance (NMR) Device Powers Away At The University Of WarwickCategory: Medical Devices / Diagnostics | Leave a Comment |
UK researchers will gain new insights into vital high tech engineering materials and novel pharmaceuticals thanks to the creation of the UK’s most powerful NMR device for solids now sited in a national research facility in the University of Warwick’s Centre for Magnetic Resonance…
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Fresenius Medical Care Receives Emergency Preparedness Award - Dialysis Company Sets Industry Standard For Integrated Response To Haiti, H1N1, StormsCategory: Aid / Disasters | Leave a Comment |
You might not expect a health care company to be expert in disaster preparedness. But Fresenius Medical Care North America (FMCNA) knows that kidney dialysis patients need treatments every two to three days to survive, and they can’t wait for treatment and supplies until the wreckage and debris are cleared after a storm…
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Programs Help Blacks Get Needed Colorectal Cancer ScreeningCategory: Colorectal Cancer | Leave a Comment |
African-Americans are less likely than whites to be screened for colorectal cancer, and the disparity almost certainly contributes to higher mortality. A new review of studies identifies effective strategies for improving the situation, but suggests that work remains to be done…
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Portable Breast Scanner Allows Cancer Detection In The Blink Of An EyeCategory: Medical Devices / Diagnostics | Leave a Comment |
Professor Zhipeng Wu has invented a portable scanner based on radio frequency technology, which is able to show in a second the presence of tumours - malignant and benign - in the breast on a computer. Using radio frequency or microwave technology for breast cancer detection has been proven by researchers in the US, Canada and UK…
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European Commission Reiterates Health And Safety Risks Of Reprocessing Medical DevicesCategory: Medical Devices / Diagnostics | Leave a Comment |
The European Commission presented its report on the reprocessing of medical devices before the European Parliament yesterday…
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Oct |
Medical Robots - Fighting The War Against DeafnessCategory: Hearing / Deafness | Leave a Comment |
The world’s first intelligent micro-drill for surgery, which can help save the hearing of patients, is to be showcased in London on Wednesday 3 November. Attendees can catch a glimpse of the device, which could potentially revolutionise micro-surgery and significantly improve patient recovery…
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Scientists Map 95% Of Human Gene VariationsCategory: Genetics | Leave a Comment |
An international team of scientists has mapped 95 per cent of the genetic variation that can occur in any human, completing the first phase of the 1000 Genomes Project, which aims to produce a comprehensive public resource to help researchers study all types of genetic variation that might cause disease in humans…
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Southern California Orthopedic Institute Selects Konica Minolta Xpress DR For Van Nuys CenterCategory: Medical Devices / Diagnostics | Leave a Comment |
Konica Minolta announced that Southern California Orthopedic Institute (SCOI) has purchased two Xpress DR systems for its Van Nuys office. Southern California Orthopedic Institute, a leading orthopedic practice and educator of orthopedic surgery techniques around the world, chose the Xpress DR based on functionality, image quality and service and support…
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St. Jude Medical To Showcase Portfolio Of Products At Asia-Pacific Heart Rhythm 2010Category: Cardiovascular / Cardiology | Leave a Comment |
St. Jude Medical, Inc…