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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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30
Apr |
Wrist Sensors For Epilepsy Could Alert Patients That They Need To Seek Medical CareCategory: Epilepsy | Leave a Comment |
In this week’s issue of the journal Neurology, researchers at MIT and two Boston hospitals provide early evidence that a simple, unobtrusive wrist sensor could gauge the severity of epileptic seizures as accurately as electroencephalograms (EEGs) do - but without the ungainly scalp electrodes and electrical leads…
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8
Apr |
Brain Implants For Epileptic Seizures: New Early Warning System Could Lead To Fewer False AlarmsCategory: Epilepsy | Leave a Comment |
Epilepsy affects 50 million people worldwide, but in a third of these cases, medication cannot keep seizures from occurring. One solution is to shoot a short pulse of electricity to the brain to stamp out the seizure just as it begins to erupt. But brain implants designed to do this have run into a stubborn problem: too many false alarms, triggering unneeded treatment…
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3
Apr |
New Cost-Effective Neural Imaging SystemCategory: Epilepsy | Leave a Comment |
Neural imaging - maps of brain functions - is a primary tool used by researchers hoping to transform the lives of people living with chronic neurological conditions such as epilepsy. At present, researchers often require several different imaging techniques to fully map brain functions, making research and treatment of these conditions expensive and inefficient…
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14
Nov |
Ultrathin Flexible Brain Implant Offers Unique Look At SeizuresCategory: Epilepsy | Leave a Comment |
Researchers funded by the National Institutes of Health have developed a flexible brain implant that could one day be used to treat epileptic seizures. In animal studies, the researchers used the device - a type of electrode array that conforms to the brain’s surface - to take an unprecedented look at the brain activity underlying seizures…
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3
Aug |
Improved Brain Imaging Techniques Used To Discover A Better Approach To Diagnosing EpilepsyCategory: Epilepsy | Leave a Comment |
Using state-of-the-art, 7 Tesla magnetic resonance imaging (MRI) technology, University of Minnesota Medical School researchers may have uncovered a better approach to diagnosing epilepsy. In the process, the team was able to cure eight patients of all epileptic symptoms…
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26
May |
For Drug-Resistant Epilepsy, Unique Nerve-Stimulation Treatment Proves EffectiveCategory: Epilepsy | Leave a Comment |
Medications are the mainstay of treatment for epilepsy, but for a considerable number of patients - estimated to be as many as 1 million in the U.S. - drugs don’t work. These patients suffer from a type of epilepsy known as refractory or drug-resistant epilepsy, in which drugs can’t control their seizures. But at an epilepsy conference last month, Dr…
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5
Apr |
Potassium Channel Gene Modifies Risk For EpilepsyCategory: Epilepsy | Leave a Comment |
Vanderbilt University researchers have identified a new gene that can influence a person’s risk for developing epilepsy. The findings, reported in Proceedings of the National Academy of Sciences, could improve molecular diagnostic tools and point to novel therapeutic targets for epilepsy…
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31
Mar |
Eurosurgeons Employ New Method To Localize The Epileptic Focus In Severe EpilepsyCategory: Epilepsy | Leave a Comment |
The first two stereo-EEG explorations in Finland were carried out by neurosurgeons of the Epilepsy surgery team in Helsinki University Central Hospital this spring. The method reinforces other examination methods already in use and opens an excellent opportunity in the exploration of the electric activity of both the surface and the deep brain structures during epileptic seizures…
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Dec |
Cost-Effectiveness Of Cyberonics’ VNS Therapy® System For Epilepsy Reinforced By 1,600-Patient Emory University School Of Medicine StudyCategory: Epilepsy | Leave a Comment |
Cyberonics, Inc. (Nasdaq: CYBX) announced that the VNS Therapy System, the only FDA-approved implantable medical device for the treatment of refractory epilepsy, was featured in 22 poster presentations and in the Plenary II session on neurostimulation at the annual American Epilepsy Society Meeting that took place recently in San Antonio, Texas…
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4
Dec |
Epilepsy Organizations Award Grants For Novel Technologies To Improve Treatment, Monitoring And Detection Of EpilepsyCategory: Epilepsy | Leave a Comment |
The Epilepsy Therapy Project (ETP) and the Epilepsy Foundation (EF) announced the latest grant recipients of their New Therapy Grants Program, a unique joint venture of two non-profit epilepsy organizations, to advance promising epilepsy research in clinical development…