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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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14
May |
Unsedated Transnasal Endoscopy To Screen For Esophageal Disease Is Safe And FeasibleCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Researchers report that unsedated transnasal endoscopy is a feasible, safe, and well-tolerated method to screen for esophageal disease in a primary care population. This study is the largest reported experience with transnasal endoscopy in the United States…
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19
Jan |
An Easier Way To Remove GallstonesCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
For more than 100 years, the traditional treatment for the painful growths called gallstones has been removal of the gallbladder, or cholecystectomy. But a new device, patented in China, promises to make removing the entire organ unnecessary…
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16
Jan |
Gut Bacteria Influence The Severity Of Heart Attacks In RatsCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
New research published online in the FASEB Journal suggests that the types and levels of bacteria in the intestines may be used to predict a person’s likelihood of having a heart attack, and that manipulating these organisms may help reduce heart attack risk. This discovery may lead to new diagnostic tests and therapies that physicians use to prevent and treat heart attacks…
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23
Aug |
Incisionless Surgery Now Available As An Investigational Treatment For Esophageal DisorderCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Jorge Sobenes is a husband and father who loves to cook for his family. In a nine month period however, he went from enjoying his favorite foods to not being able to eat or drink due to a tightening in his throat and difficulty swallowing. He lost 40 pounds and was desperate for answers…
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19
Jul |
Sacral Nerve Stimulation Provides Hope For Millions Of People Suffering From Bowel IncontinenceCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
A new procedure is now available for the treatment of chronic bowel incontinence, a disorder impacting the lives of more than 18 million Americans. The treatment, called InterStim® Therapy is a minimally invasive procedure which uses electrical impulses to stimulate the sacral nerve and improve muscle function…
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6
Jul |
Groundbreaking Technology Enables Quick And Scarless SurgeryCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Patients with gastric tumours in their stomach will no longer have to suffer an eight-hour long surgery, but instead can look forward to a short day surgery which lasts a few minutes to an hour without the need for hospitalisation…
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6
Jul |
Babies May Benefit From Engineered Functioning Small IntestineCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
Researchers at The Saban Research Institute of Children’s Hospital Los Angeles have successfully created a tissue-engineered small intestine in mice that replicates the intestinal structures of natural intestine - a necessary first step toward someday applying this regenerative medicine technique to humans. The study led by Tracy C…
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2
Jun |
Updated Multisociety Guideline On Reprocessing Flexible Gastrointestinal Endoscopes Issued By ASGE And SHEACategory: GastroIntestinal / Gastroenterology | Leave a Comment |
The American Society for Gastrointestinal Endoscopy (ASGE) and the Society for Healthcare Epidemiology of America (SHEA) have updated their 2003 joint guideline for reprocessing gastrointestinal endoscopes to reaffirm reprocessing methods and take into account evolved technology and disinfection systems…
EndoGastric Solutions (EGS), the leader in the emerging field of Natural Orifice Surgery (NOS), today announced that the U.S. Patent and Trademark Office (USPTO) has issued a key patent covering its Transoral Incisionless Fundoplication (TIF) procedure and EsophyX® device for reconstruction of the gastroesophageal junction. Patent No…
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9
May |
Mayo Clinic Studies How Much Practice Makes Perfect When Performing ColonoscopiesCategory: GastroIntestinal / Gastroenterology | Leave a Comment |
A colonoscopy is an invaluable procedure for detecting problems in the colon and rectum. Doctors can often diagnose gastrointestinal issues and even catch the warning signs of colorectal cancer. Perfecting the skills required for this delicate procedure takes practice. But just how much practice makes perfect? That was the question Robert E. Sedlack, M.D…