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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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15
May |
New UV Disinfection DeviceCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
Research from North Carolina State University will allow the development of energy-efficient LED devices that use ultraviolet (UV) light to kill pathogens such as bacteria and viruses. The technology has a wide array of applications ranging from drinking-water treatment to sterilizing surgical tools…
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11
May |
A Killer Of SuperbugsCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
Better than antibiotics, it is being used in contact lenses to prevent infections and biomedical products are the next stage The superbugs have met their match. Conceived at Nanyang Technological University (NTU), it comes in the form of a coating which has a magnetic-like feature that attracts bacteria and kills them without the need for antibiotics…
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4
May |
Novel Method For Treating SepsisCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
Margination, the natural phenomenon where bacteria and leukocytes (white blood cells) move toward the sides of blood vessels, is the inspiration for a novel method for treating sepsis, a systemic and often dangerous inflammatory response to microbial infection in the blood…
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28
Mar |
NHS Could Save Millions With The Use Of Antimicrobial CathetersCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
A new catheter coating that reduces bacterial attachment to its surface is being developed by scientists who are reporting their work at the Society for General Microbiology’s Spring Conference in Dublin this week. The antimicrobial coating could eventually be applied to other medical implants to reduce infection which would provide significant socioeconomic benefits to the NHS…
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Jan |
Better Treatment And Fewer Costs With New Detection Method For UTI-Causing BacteriaCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
A new method for identifying bacteria that cause urinary tract infections (UTIs) will lead to much faster, more effective treatment as well as a reduction in costs. The procedure, described in the Journal of Medical Microbiology, could eventually be used for the identification of micro-organisms in other bodily fluids, including blood and spinal fluid…
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Jan |
Staph Infections Rapidly Detected By New Laboratory Method Using Mass SpectrometryCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
Researchers from the Georgia Institute of Technology and the Centers for Disease Control and Prevention (CDC) have developed a new laboratory test that can rapidly identify the bacterium responsible for staph infections. This new test takes advantage of unique isotopic labeling combined with specific bacteriophage amplification to rapidly identify Staphylococcus aureus…
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Jan |
NIST Standard Available For Better Diagnosis, Treatment Of CytomegalovirusCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
A new clinical Standard Reference Material (SRM) from the National Institute of Standards and Technology (NIST) will help health care professionals more accurately diagnose and treat cytomegalovirus (CMV), a common pathogen that is particularly dangerous for infants and persons with weakened immune systems. CMV is found in 50 to 80 percent of the population…
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Dec |
New Detectors Developed At MIT Could Provide Easy Visual Identification Of Toxins Or Pathogens.Category: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
Researchers at MIT have developed a new way of revealing the presence of specific chemicals - whether toxins, disease markers, pathogens or explosives. The system visually signals the presence of a target chemical by emitting a fluorescent glow. The approach combines fluorescent molecules with an open scaffolding called a metal-organic framework (MOF)…
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7
Dec |
Blood Test For Dogs Could Lead To Similar Human TestCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
In pets and people, the time it takes to diagnose an infection may mean life or death. Now, a University of Missouri veterinarian is identifying ways to diagnose pet infections in approximately a third of the current diagnosis time. The resulting test could be used eventually for humans…
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Nov |
Sterilizing With Ionized Plasmas Kills Microbes For A WeekCategory: Infectious Diseases / Bacteria / Viruses | Leave a Comment |
University of California, Berkeley, scientists have shown that ionized plasmas like those in neon lights and plasma TVs not only can sterilize water, but make it antimicrobial - able to kill bacteria - for as long as a week after treatment…