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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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Nov |
Humanizing Radiology Exams - MR Patient Experience Suite, GE HealthcareCategory: MRI / PET / Ultrasound | Leave a Comment |
GE Healthcare introduced their innovative Magnetic Resonance (MR) Patience Experience Suite at the Radiological Society of North America (RNSA) 2011, as part of their strategy to improve the quality of patient care by making the process more ‘human’…
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30
Nov |
Innate Immunity Hoodwinked By Implant CoatingCategory: Medical Devices / Diagnostics | Leave a Comment |
Coating the surface of an implant such as a new hip or pacemaker with nanosized metallic particles reduces the risk of rejection, and researchers at the University of Gothenburg can now explain why: they fool the innate immune system. The results are presented in the International Journal of Nanomedicine…
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Nov |
Shocking New Way To Create Nanoporous Materials With Applications From Purifying Water To Chemical SensorsCategory: Water - Air Quality / Agriculture | Leave a Comment |
Scientists have developed a new method of creating nanoporous materials with potential applications in everything from water purification to chemical sensors. In order to produce a porous material it is necessary to have multiple components. When the minor component is removed, small pores are left in its place…
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29
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FDA Approves Philips Whole Body PET / MR Imaging SystemCategory: Medical Devices / Diagnostics | Leave a Comment |
Technological frontiers are being pushed back once again with Royal Philips Electronics announcing 501(k) FDA approval of its Whole Body PET / MR Imaging System…
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Nov |
FDA Approves Philips Whole Body PET / MR Imaging SystemCategory: Medical Devices / Diagnostics | Leave a Comment |
Technological frontiers are being pushed back once again with Royal Philips Electronics announcing 501(k) FDA approval of its Whole Body PET / MR Imaging System…
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28
Nov |
DNA Barcoding Offers Quick, Cheap, Easy Way To Identify Species, Uncover FraudsCategory: Genetics | Leave a Comment |
As DNA “barcoding” technology becomes, quicker, cheaper and easier to develop, it is expanding rapidly into many areas from uncovering frauds such as mislabelled fish and unlisted ingredients in quack herbal medicines, to revealing ancient life-forms frozen in the Arctic permafrost, and preventing unwanted agricultural and forestry insect pests from crossing borders…
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Nov |
Translational Sciences Corporation Receives FDA 510(k) Clearance For Commercialization Of OncoTrac™ In The United StatesCategory: Cancer / Oncology | Leave a Comment |
Translational Sciences Corporation (TSC) announced that it has received FDA 510(k) clearance for commercialization of its OncoTrac™ medical imaging software. OncoTrac™ is designed for efficient quantitative assessment of treatment response of metastatic tumors including breast, lung, colorectal, prostate, and lymphoma…
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New Design For Mechanical Heart ValvesCategory: Cardiovascular / Cardiology | Leave a Comment |
The heart’s valves, which guarantee the unidirectional flow of blood from one chamber to another, are asymmetrical. For example, the two flaps of the heart’s mitral valve - which regulates blood flow between the left atrium and the left ventricle - vary in size by up to 70 percent…
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Nov |
Philips Introduces Veradius Neo Mobile C-arm With Flat Detector To Enhance Management Of Challenging Patients And ProceduresCategory: Medical Devices / Diagnostics | Leave a Comment |
Royal Philips Electronics (AEX: PHI, NYSE: PHG) introduced the Philips Veradius Neo mobile C-arm with flat detector to allow surgeons to more easily and precisely handle challenging patients and procedures. Designed in collaboration with surgeons from around the world, Veradius Neo features a completely new C-arc geometry…
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Nov |
First Healthcare-Associated Infection Assay On The BD MAX™ System Launches In EuropeCategory: MRSA / Drug Resistance | Leave a Comment |
BD Diagnostics, a segment of BD (Becton, Dickinson and Company), announced that it obtained CE Marking for the BD MAX™ MRSA Assay to rapidly and accurately identify methicillin-resistant Staphylococcus aureus (MRSA) in patients. Rapid and accurate information enables infection control measures to be implemented faster which can positively impact patient management…