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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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7
Oct |
University Of Queensland Guest Speaker - Multiple-channel Cochlear Implant Pioneer - Brings Music To The EarsCategory: Hearing / Deafness | Leave a Comment |
Professor Graeme Clark, the pioneer of the multiple-channel cochlear implant (bionic ear), will speak at the UQ Medical Society’s ES Meyers Memorial Lecture on Friday, October 10. The outstanding work of Professor Clark, who was awarded the Companion of the Order of Australia (AC) in 2004, has been implanted in more than 100,000 people worldwide.
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25
Sep |
Confirming Safety Of Cochlear Implants In ChildrenCategory: Hearing / Deafness | Leave a Comment |
In the six decades since French and American surgeons implanted the first cochlear hearing devices, the procedure in children has become reliable, safe, and relatively free of severe complications, according to research presented during the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO, in Chicago, IL. The study, conducted by researchers at the Washington University School of Medicine in St.
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19
Sep |
Inner-Ear Anomalies Revealed Using MRICategory: Hearing / Deafness | Leave a Comment |
Magnetic resonance imaging (MRI) can be used to identify defects in soft-tissue that contribute to hearing loss in children, according to a report released on September 15, 2008 in Archives of Otolaryngology — Head & Neck Surgery, one of the JAMA/Archives journals. Thousands of children each year are effected by sensorineural hearing loss, which is related to damage to the sensory nerves.
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16
Sep |
New Hi-Tech Device To Give Instant Hearing Boost, UKCategory: Hearing / Deafness | Leave a Comment |
A new device that gives people a hi-tech hearing boost when they most need it is to be launched on the high street. About the size of a jelly bean, the HearPlus personal hearing assistant (PHA) has been introduced in response to growing demand from the baby boomer generation who are looking to boost and enhance their hearing in certain social situations.
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14
Aug |
MSU Study Finds That Not All Hearing Aids Are Created EqualCategory: Hearing / Deafness | Leave a Comment |
Consumers with hearing loss might think they are saving significantly more by purchasing over- the-counter hearing aids, but they most likely will be disappointed - or could be taking risks - when purchasing such aids, according to MSU research. Professor Jerry Punch of the