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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


         

 

Self-test kits could do more harm than good, said the independent UK consumer watchdog Which? today, after they recently reviewed six widely available home health kits and concluded they could be a waste of time, effort and money since they lacked important information and used misleading or baffling language…

 

The Society of Interventional Radiology Foundation’s Discovery Campaign, which seeks to further the growth of minimally invasive medicine into new areas of discovery, announced a major corporate pledge to that initiative. Navilyst Medical, a provider of medical devices for vascular access and the diagnosis and treatment of vascular disease that is headquartered in Marlborough, Mass…

 

NeuroLogica Corporation announced the receipt of 510(k) clearance from the U.S. Food and Drug Administration (FDA) for the world’s first portable, full body, multi-slice CT scanner, the BodyTom™. The BodyTom™ is the newest offering in NeuroLogica’s portable computed tomography imaging line…

 

Pall Corporation (NYSE: PLL) is launching an innovative solution for convenient and secure sterile separation of flexible tubing assemblies. The single-use Pall Kleenpak Sterile Disconnector facilitates secure fluid transfer, preserves product integrity, improves operator safety, and reduces product waste at all process stages of biopharmaceutical manufacturing…

 

CardioNexus Corporation an affiliated company of Panasonic Healthcare Co. Ltd., will introduce Panasonic CardioHealth® Station at the 2011 Annual Scientific Sessions of the American College of Cardiology. The device, which has just received clearance from the U.S…

 

Could electronic components made from human blood be the key to creating cyborg interfaces? Circuitry that links human tissues and nerve cells directly to an electronic device, such as a robotic limb or artificial eye might one day be possible thanks to the development of biological components…

 

The first two stereo-EEG explorations in Finland were carried out by neurosurgeons of the Epilepsy surgery team in Helsinki University Central Hospital this spring. The method reinforces other examination methods already in use and opens an excellent opportunity in the exploration of the electric activity of both the surface and the deep brain structures during epileptic seizures…

 

TransEnterix has introduced the next generation of its revolutionary SPIDER(R) Surgical System. The company unveiled the latest version of its single-incision, multi-port, triangulating system today at the annual meeting of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) taking place in San Antonio, Texas…

 

SynCardia Systems, Inc. announced that the 13-member multi-disciplinary team from Cedars-Sinai Heart Institute will become the first in Los Angeles to complete certification to implant the SynCardia temporary Total Artificial Heart. During 2010, Cedars-Sinai performed the most heart transplants, 75, of all the 116 U.S. medical centers that performed adult heart transplants…

 

Vexim specialises in medical instruments and the minimally invasive treatment of vertebral fractures…




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