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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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22
Nov |
Titanium Debris From Artificial Joints May Trigger Painful InflammationCategory: Arthritis / Rheumatology | Leave a Comment |
Many people with painful, creaky knees and hips find relief after replacing their bad joints with new artificial joints made from titanium. But some of these people develop painful inflammation that can lead to bone destruction and loosening of the new joint…
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31
May |
Augurex Reports Positive Data For RA Blood Test And Drug Target At The Annual European Congress Of Rheumatology (EULAR)Category: Arthritis / Rheumatology | Leave a Comment |
Augurex Life Sciences Corp. reported that in London at the European League Against Rheumatism (EULAR) Conference, leading arthritis researchers presented important data on Augurex’s rheumatoid arthritis (RA) biomarker blood test and novel drug target…
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25
May |
Rheumatoid Arthritis: Studies Show Vectra(TM) DA Can Track Early Response To TherapyCategory: Arthritis / Rheumatology | Leave a Comment |
Crescendo Bioscience™ has announced data indicating that Vectra™ DA, a first-in-class multi-biomarker blood test used to assess rheumatoid arthritis (RA) disease activity, provides physicians with an objective measure which may help determine whether patients are responding to therapy…
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28
Apr |
FDA Approves Updated, Clarified Indication For Use For IFuse Implant System®Category: Arthritis / Rheumatology | Leave a Comment |
SI-BONE, Inc. (San Jose, California), a medical device company that is pioneering the use of a minimally invasive surgical (MIS) device to treat the sacroiliac (SI) joint announced the U.S. Food and Drug Administration (FDA) approved a major modification to the existing product label…
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18
Mar |
Creating Novel Injectable Biomaterials For Cartilage Tissue EngineeringCategory: Arthritis / Rheumatology | Leave a Comment |
Scientists at the forefront of stem cell biology are exploring new approaches to creating surgical implants that could offer prolonged benefits for sufferers of osteoarthritis and potentially even cancer. At present, cartilage implants created using stem cells can only be constructed as a solid shape, acting as an interim measure before the almost inevitable need for total joint replacement…
The number of people that undergo an operation to have a prosthetic knee joint is increasing. One reason is that the population is getting older, another is that people are also getting heavier, which is a factor in the development of osteoarthritis. The number of knee replacement operations has increased by 9 per cent a year in recent years…
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14
Oct |
Materials Scientists From Jena University Fight Arthrosis And Osteoporosis: Cartilage ComebackCategory: Arthritis / Rheumatology | Leave a Comment |
At some point it catches up with everyone. With increasing age joints and bones wear out. When for instance the cartilage, functioning as cushions between the joints becomes worn out, in most cases only the surgeon implanting a replacement part helps. Until now at least…
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13
Jul |
Pioneering Trial To Treat Knee Arthritis With Stem Cells To Begin In UKCategory: Arthritis / Rheumatology | Leave a Comment |
A pioneering trial to treat knee arthritis by using patients’ own stem cells to regrow worn out cartilage is to start in the UK later this year; if successful the new technique offers hope to millions of people who suffer with the pain and stiffness of osteoarthritis, although the researchers warn that the treatment is unlikely to remove the need for joint replacement surgery…
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27
Feb |
Pain Relief For Osteoarthritis Provided By Electromagnetic PulsesCategory: Arthritis / Rheumatology | Leave a Comment |
Electromagnetic pulses significantly decrease pain and inflammation associated with osteoarthritis of the knee, according to Henry Ford Hospital researchers…
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5
Feb |
Designing Easy-To-Use Products With The Help Of Arthritis Simulation GlovesCategory: Arthritis / Rheumatology | Leave a Comment |
As the U.S. population ages, manufacturers of consumer goods are realizing that many customers may not be as nimble-fingered or sharp-sighted as they once were…