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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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5
Nov |
Snapshots Of Immune System Defense From Protein-Printing TechniqueCategory: Immune System / Vaccines | Leave a Comment |
When Albrecht Durer and other Renaissance artists painstakingly etched images onto plates, swabbed ink into the fine grooves and transferred the images to paper with a press, they never could have guessed that centuries later the same technique would uncover the secrets of human cells.
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14
Oct |
Caltech Biologists Spy On The Secret Inner Life Of A CellCategory: Immune System / Vaccines | Leave a Comment |
The transportation of antibodies from a mother to her newborn child is vital for the development of that child’s nascent immune system. Those antibodies, donated by transfer across the placenta before birth or via breast milk after birth, help shape a baby’s response to foreign pathogens and may influence the later occurrence of autoimmune diseases.
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6
Sep |
Immune System Cell Signaling Detected By New Nano DeviceCategory: Immune System / Vaccines | Leave a Comment |
Scientists have detected previously unnoticed chemical signals that individual cells in the immune system use to communicate with each other over short distances.
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6
Sep |
Immune System Cell Signaling Detected By New Nano DeviceCategory: Immune System / Vaccines | Leave a Comment |
Scientists have detected previously unnoticed chemical signals that individual cells in the immune system use to communicate with each other over short distances.
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6
Aug |
ImmunoVaccine Technologies Broadens Its Patent Protection To JapanCategory: Immune System / Vaccines | Leave a Comment |
ImmunoVaccine Technologies Inc. (IVT), a vaccine development company, announced receipt of patent approval from the Japanese Patent Office for its vaccine platform.