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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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May |
Wellsense Unveils First-Ever Bedside Patient Pressure Mapping System Designed To Assist Caregivers In Effectively Repositioning PatientsCategory: Caregivers / Homecare | Leave a Comment |
McCormick Place — Wellsense USA, the pioneer of bedside smart textile technology, unveiled a breakthrough product at this year’s National Teaching Institute and Critical Care Exposition sponsored by the American Association of Critical Care Nurses (AACN) held in Chicago, Illinois from May 2nd through May 5th, 2011. The M.A.P…
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Jul |
Nearly 60 Homecare And Patient Advocacy Groups Urge Congress To Repeal Medicare’s “Competitive” Bidding For Home Medical Equipment And ServicesCategory: Caregivers / Homecare | Leave a Comment |
In a letter signed by 58 patient advocacy groups and home medical equipment associations, the American Association for Homecare (AAHomecare) urged Congress to pass H.R. 3790, a bill to repeal the Medicare competitive bidding program for durable medical equipment in a budget-neutral manner. The bill currently has 252 cosponsors in the U.S. House of Representatives. View the letter here…
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Feb |
Pitt Researchers Say Caregivers Of ICU Patients Are Collateral Damage Of Critical IllnessCategory: Caregivers / Homecare | Leave a Comment |
Intensive care unit patients are not the only ones likely to be severely depressed in the aftermath of hospitalization…
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Mar |
American Association For Homecare Applauds President Obama’s Plan To Aid Small BusinessesCategory: Caregivers / Homecare | Leave a Comment |
The American Association for Homecare and its members applaud President Obama’s plan to support struggling small businesses by providing $15 billion in loans to loosen lines of credit. However, the President and the administration could do more and save thousands of additional small businesses in the Medicare home medical equipment (HME) sector by rescinding Bush’s last-minute “competitive” bidding regulations.
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Jul |
AAH Favors Tougher Approach To Fighting Fraud, Opposes Delay In Medicare Accreditation Deadline For Durable Medical EquipmentCategory: Caregivers / Homecare | Leave a Comment |
The American Association for Homecare (AAH) opposes the decision by the agency that oversees Medicare to cancel the accreditation deadline for durable medical equipment providers in the 70 metropolitan areas throughout the U.S. designated for Round Two of the Medicare competitive bidding program.