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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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Aug |
Vertebrate Biology Research Benefits From Cellular Laser MicrosurgeryCategory: Dermatology | Leave a Comment |
-Using an ultrafast femtosecond laser, researchers at Tufts University in Medford, Mass., were able to label, draw patterns on, and remove individual melanocytes cells from a species of frog tadpole (Xenopus) without damaging surrounding cells and tissues…
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3
Apr |
Nanoparticles Offer Hope For Common Skin AllergyCategory: Dermatology | Leave a Comment |
Tiny particles only billionths of a meter in diameter-about two thousand would fit across the width of a human hair-could offer big hope in a small package to the many millions of people who are allergic to the nickel in everything from jewelry to coins and cell phones, say scientists at Brigham and Women’s Hospital (BWH)…
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15
Mar |
Computers Could Help Doctors Correctly Diagnose Skin InfectionsCategory: Dermatology | Leave a Comment |
A new study suggests technology can help prevent misdiagnoses and the healthcare costs associated with them. In the study, a computer-based software system designed to assist in the diagnosis of dermatologic and other visual medical conditions performed better than physicians in correctly identifying common skin infections…
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24
Dec |
Knee Protectors Can Form Allergenic Substances On The SkinCategory: Dermatology | Leave a Comment |
Common rubber products can form isothiocyanates in contact with skin and cause contact allergy. This is the conclusion of research carried out at the University of Gothenburg (Sweden). Isothiocyanates are a group of reactive substances that are potent contact allergens…
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Dec |
German Plant-Based Hemostatic Innovation HaemoCer(TM) Receives CE ApprovalCategory: Dermatology | Leave a Comment |
BioCer Entwicklungs GmbH, a Bayreuth, Germany-based medical device manufacturer, are pleased to announce the CE approval of HaemoCer(TM), an Absorbable Polysaccharide Hemostat (APH). Introduction of HaemoCer(TM) APH will commence this month in the European Union and other selected international markets…
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15
Dec |
“Hair To Stay” - UCSF Tests Promising Solutions For Cancer Hair LossCategory: Dermatology | Leave a Comment |
UCSF physicians are combating a devastating side effect of chemotherapy with an innovative new program — “Hair to Stay” — to evaluate devices that could reduce scalp hair loss in breast cancer patients…
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Sep |
New Laboratory Data Analyzes Physical Performance Characteristics Of Unique Bio-Dome™ And GranuFoam™ Negative Pressure Wound TherapyCategory: Dermatology | Leave a Comment |
ConvaTec, a world-leading developer and marketer of innovative medical technologies for community and hospital care, announced new in vitro study results. The Engenex® Negative Pressure Wound Therapy (NPWT) system’s Bio-Dome™ wound interface showed superior tensile strength and lower simulated bioadhesion when compared with GranuFoam™ (polyurethane foam)…
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Sep |
Solta Medical Announces FDA 510(k) Clearance Of Fraxel Re:store Dual Laser System For The Treatment Of Actinic KeratosisCategory: Dermatology | Leave a Comment |
Solta Medical, Inc. (Nasdaq: SLTM), the pioneer in fractional resurfacing and non-invasive skin tightening and a market leader in aesthetic skin treatments, today announced it has received FDA 510(k) clearance of its Fraxel re:store®Dual for the treatment of actinic keratosis (AKs)…
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Sep |
Spray-On Haute Couture Technology For Medical Bandages And Much MoreCategory: Dermatology | Leave a Comment |
Seamless fabric that can be sprayed on to skin and other surfaces to make clothes, medical bandages and even upholstery will be demonstrated this Thursday, in advance of the Science in Style spray-on fashion show next week at Imperial College London…
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3
Sep |
ConvaTec Expands AQUACEL® Dressing Product Line With Introduction Of New Ribbon DressingCategory: Dermatology | Leave a Comment |
ConvaTec, a world-leading developer and marketer of innovative medical technologies for community and hospital care, announced the introduction of a new, narrower size of AQUACEL® and AQUACEL® Ag Ribbon Dressings with Strengthening Fibers, now available in the U.S. and select European countries for the management of moderate to highly exuding chronic and acute wounds…