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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
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25
Jan |
Saliva Test Could Replace Blood Test For DiabeticsCategory: Diabetes | Leave a Comment |
Engineers at Brown University have designed a biological device that can measure glucose concentrations in human saliva. The technique could eliminate the need for diabetics to draw blood to check their glucose levels. The biochip uses plasmonic interferometers and could be used to measure a range of biological and environmental substances. Results are published in Nano Letters…
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11
Jan |
Diabetes Type 1 Reversed By Stem Cell TherapyCategory: Diabetes | Leave a Comment |
Type 1 diabetes is caused by the body’s own immune system attacking its pancreatic islet beta cells and requires daily injections of insulin to regulate the patient’s blood glucose levels…
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4
Jan |
Symphony Transdermal Continuous Glucose Monitoring Trial - Positive ResultsCategory: Diabetes | Leave a Comment |
Positive results were announced by Echo Therapeutics from its clinical investigation of its Symphony tCGM System in individuals with type 1 and type 2 diabetes. Echo is developing the system as a wireless, non-invasive, transdermal continuous glucose monitoring (tCGM) system and the Prelude SkinPrep System for transdermal drug delivery…
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11
Nov |
Using Tears To Monitor Diabetes Blood Sugar LevelsCategory: Diabetes | Leave a Comment |
Rather than going through the cumbersome and sometimes painful routine of drawing blood, diabetes patients may be able to use their tears, researchers from the University of Michigan reported in Analytical Chemistry. In animal studies, the scientists found that glucose levels from the tears of rabbits could accurately measure blood glucose (sugar) levels using an electrochemical sensor device…
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11
Nov |
Testing Blood Sugar In Diabetes Via Tear DropsCategory: Diabetes | Leave a Comment |
Scientists are reporting development and successful laboratory testing of an electrochemical sensor device that has the potential to measure blood sugar levels from tears instead of blood - an advance that could save the world’s 350 million diabetes patients the discomfort of pricking their fingers for droplets of blood used in traditional blood sugar tests…
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20
Sep |
CE Mark Approval For The World’s First Mobile Diabetes Management System ReceivedCategory: Diabetes | Leave a Comment |
According to an announcement made by Cellnovo, the company received CE Mark approval for the world’s first mobile diabetes management system which is a major breakthrough for the company and for people living with diabetes. Chief Executive Officer of Cellnovo, William McKeon said: “This is Cellnovo’s first step in a journey to bring this mobile diabetes management system to the world…
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1
Sep |
The Effects Of Airplane Travel On Insulin Pump Delivery: More Questions Than Answers RemainCategory: Diabetes | Leave a Comment |
Despite recent concerns that changes in atmospheric pressure during airplane travel may affect the amount of insulin delivered via pump devices, the current evidence is limited and it would be unwise to overreact until more data are available, according to an insightful editorial in Diabetes Technology & Therapeutics, a peer-reviewed journal published by Mary Ann Liebert, Inc…
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4
Aug |
Hackers Could Remotely Manipulate Medical Devices Used By DiabeticsCategory: Diabetes | Leave a Comment |
Insulin pumps are vulnerable to determined hackers who could also remotely mess up the readings of blood-sugar monitors, Jerome Radcliffe, a security researcher who has diabetes revealed at the Black Hat computer security conference, Las Vegas, Nevada. In other words, a hacker could cause a diabetic patient to receive either too much or too little insulin…
An interactive computer software program appears to be effective in helping patients manage their Type 2 diabetes using their mobile phones, according to a new study by University of Maryland School of Medicine researchers. The study is being published in the September issue of the journal Diabetes Care…
An interactive computer software program appears to be effective in helping patients manage their Type 2 diabetes using their mobile phones, according to a new study by University of Maryland School of Medicine researchers. The study is being published in the September issue of the journal Diabetes Care…