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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


         

 

Cardiac Dimensions®, Inc. announced that it has received Conformite Europeenne (CE) Mark approval for a newly enhanced version of its CARILLON® Mitral Contour System™, a novel therapy for treating heart failure patients suffering from functional mitral regurgitation (FMR)…

 

The search for a rapid, non-invasive way to determine whether people have been exposed to potentially toxic substances in their workplaces, homes and elsewhere in the environment has led scientists to a technology that literally takes a person’s breath away. Their report identifying exhaled breath as an ideal indicator of such exposure appears in ACS’ Environmental Science & Technology…

 

In an advance toward a much-needed early diagnostic test for Alzheimer’s disease (AD), scientists have discovered that older women destined to develop AD have high blood levels of a protein linked to pregnancy years before showing symptoms. Their report appears in ACS’ Journal of Proteome Research…

 

InterCure Ltd…

 

At the Oct. 2-6 microTAS 2011 conference, the premier international event for reporting research in microfluidics, nanotechnology and detection technologies for life science and chemistry, University of Cincinnati researchers will present a simple, low-cost, method for separating and safely collecting concentrated volumes of fragile prostate cancer cells…

 

Wilson Greatbatch, the man who invented the first effective implantable pacemaker, died in the town he was born in, Buffalo, New York. Greatbach was 92. The first successful cardiac pacemaker was implanted in a human in 1960. A pacemaker is a medical device that uses electrical impulses to control hearth rhythm, or to reproduce a heart rhythm…

 

Wilson Greatbatch, the man who invented the first effective implantable pacemaker, died in the town he was born in, Buffalo, New York. Greatbach was 92. The first successful cardiac pacemaker was implanted in a human in 1960. A pacemaker is a medical device that uses electrical impulses to control hearth rhythm, or to reproduce a heart rhythm…

 

The integration of electronics into textiles is a burgeoning field of research that may soon enable smart fabrics and wearable electronics. Bringing this technology one step closer to fruition, Jin-Woo Han and Meyya Meyyappan at the Center for Nanotechnology at NASA Ames Research Center in Moffett Field, Calif…

 

University of Texas at Austin researchers have discovered how to extract and use information in an individual image to determine how far objects are from the focus distance, a feat only accomplished by human and animal visual systems until now. Like a camera, the human eye has an auto-focusing system, but human auto-focusing rarely makes mistakes…

 

Japan’s foremost mobile phone company is planning to unveil a smartphone that has different “jackets”, each with sensors and software that allows the owner to measure radiation levels in their surroundings, or tells them if they have bad breath, or how much body fat or muscle bulk they have…




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