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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


         

 

Nearly 20 million Americans annually visit a dentist but not a general healthcare provider, according to an NYU study published in the American Journal of Public Health. The study, conducted by a nursing-dental research team at NYU, is the first of its kind to determine the proportion of Americans who are seen annually by a dentist but not by a general healthcare provider…

 

What if, instead of waiting days or weeks for a cast to be produced and prosthetic dental implants, false teeth and replacement crowns to be made, your dentist could quickly scan your jaw and “print” your new teeth using a rapid prototyping machine known as a 3D printer? Researchers in Iran explain how medical imaging coupled with computer-aided design could be used to creat…

 

A team of scientists from the University of Liverpool has won an award for developing a device that can identify early tooth decay and plaque before it is visible to the human eye…

 

The proposed establishment of the Australia-New Zealand Therapeutic Products Agency (ANZTPA) has been welcomed by the Australian Dental Industry Association (ADIA), the representative body for the manufacturers, importers and suppliers of products used in dentistry…

 

U.S. Marshals, acting under a court order sought by the U.S. Food and Drug Administration, on Jan. 5 and 6, seized all dental devices from Rite-Dent Manufacturing Corporation, located in Hialeah, Fla…

 

OrthoAccel Technologies, Inc. has announced commercial plans for the United Kingdom that entail considerable business activity and economic impact. Last year, the Company hired a Director of Sales based in Wales. Recently, a full-market UK release of the AcceleDent System was reported…

 

The dental devices report forecasts the size of global dental devices and consumables market over the period from 2010 to 2015. The report analyses the key trends of the market, and segments the global dental equipment and consumables market by components and into various geographic regions (with the market size of each of these regions)…

 

SensAble Technologies, Inc®, a leading provider of 3D touch-enabled modeling systems, dental CAD/CAM solutions and haptic devices, has announced that it will be offering a second, fully integrated scanner option for the SensAble Dental Lab System, as well as SensAble’s new OpenScan™ software interface…

 

Plasma jets capable of obliterating tooth decay-causing bacteria could be an effective and less painful alternative to the dentist’s drill, according to a new study published in the February issue of the Journal of Medical Microbiology…

 

A group of researchers in Australia and Taiwan has developed a new way to analyze the health of human teeth using lasers. As described in the latest issue of Optics Express, the Optical Society’s (OSA) open-access journal, by measuring how the surface of a tooth responds to laser-generated ultrasound, they can evaluate the mineral content of tooth enamel — the semi-translucent outer layer of a tooth that protects the underlying dentin.




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