Globalepolicy.org is a free to access global medical news service for the consumer, professional and researcher.
Our adviser: Drugs Infromation online
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.
|
27
Jan |
Patient-Centered Approach To Replacing Implantable Cardioverter-Defibrillators Suggested By CardiologistsCategory: Cardiovascular / Cardiology | Leave a Comment |
More than 100,000 implantable cardioverter-defibrillators (ICDs) are implanted in the United States annually, fully a quarter of those are generator replacements simply because the battery is depleted. But are all those replacements necessary and should they actually be performed? Writing in the Jan…
|
4
Jan |
Recommendations For 3D Echocardiography Image AcquisitionCategory: Cardiovascular / Cardiology | Leave a Comment |
For the first time, a joint committee of the European Association for Echocardiography and the American Society of Echocardiography have issued recommendations on image acquisition using three-dimensional echocardiography (3DE)…
|
8
Dec |
Echocardiography Offers The Future For Infarct Size QuantificationCategory: Cardiovascular / Cardiology | Leave a Comment |
“Up until now infarct size has only been measured as part of clinical studies and not in routine clinical practice. The reason being that the reference method of gadolinium based contrast agents in MRI is expensive, takes a great deal of time to perform, and can only be undertaken by imaging specialists,” explains EAE president Dr Luigi Badano, from the University of Padua, Italy…
|
26
Nov |
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…
|
17
Nov |
Only A Third Of US State Police Agencies Equip Cars With AEDsCategory: Cardiovascular / Cardiology | Leave a Comment |
Just 30 percent the nation’s state police agencies reported that they equip their vehicles with automated external defibrillators, and of those, nearly 60 percent of said only a minority of their fleet have the lifesaving devices on board, according to new research from the Perelman School of Medicine at the University of Pennsylvania that was presented at the American Heart As…
|
17
Nov |
Following Heart Surgery, Pneumonia Is The Most Common InfectionCategory: Cardiovascular / Cardiology | Leave a Comment |
Pneumonia - not a deep incision surgical site infection - is the most common serious infection after heart surgery, according to new research (Abstract 12247) presented at the American Heart Association’s Scientific Sessions 2011. The study also revealed that most infections occur about two weeks after surgery, not one week as physicians previously thought…
|
15
Nov |
Death Can Be Prevented In People With Arrhythmias Using A Wearable DefibrillatorCategory: Cardiovascular / Cardiology | Leave a Comment |
A wearable defibrillator can prevent sudden death in people with dangerous heart arrhythmias, according to research presented at the American Heart Association’s Scientific Sessions 2011…
|
14
Nov |
PEPCAD-DES Trial Results Reported At TCT 2011Category: Cardiovascular / Cardiology | Leave a Comment |
A clinical trial of patients with restenosis in drug-eluting stents (DES) in native coronary arteries found that treatment with paclitaxel-coated balloon angioplasty demonstrated superior results over plain old uncoated-balloon angioplasty (POBA)…
|
14
Nov |
Drug-Eluting Balloons With Bare Metal Stents Do Not Show Superiority Over Drug-Eluting StentsCategory: Cardiovascular / Cardiology | Leave a Comment |
A clinical trial that compared the use of drug-eluting balloons (DEB) and bare metal stents (BMS) to both bare metal stents alone and drug-eluting stents (DES) found that the drug-eluting balloon group did not meet the primary endpoint of reduced late lumen loss…
|
11
Nov |
Innovative Heart Valve Increases Quality Of LifeCategory: Cardiovascular / Cardiology | Leave a Comment |
A study released Nov. 10 at the 23rd Annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in San Francisco reports that patients receiving an innovative new heart valve benefit from a marked increase in quality of life…