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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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Dec |
Exergen Pioneers Virtual Classroom For TemporalScanner™ Thermometer Medical TrainingCategory: Nursing / Midwifery | Leave a Comment |
The Exergen Corporation has introduced The Virtual Classroom, a modern technological approach to training nursing and hospital staff on the clinical science and proper use of temporal artery thermometry. The Virtual Classroom is a computerized educational demonstration with avatars substituted for real people depicting familiar scenarios for clinicians…
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30
Nov |
Hospitals Can Save 25 Percent In Component Costs And Significantly Improve Nurse SatisfactionCategory: Nursing / Midwifery | Leave a Comment |
Hospitals can now save money without increasing overall IV catheter-related complications that can affect patient comfort and safety, according to research published in the November/December issue of Journal of Infusion Nursing…
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25
Oct |
Paralysed Man Brain Damaged After Nurse Accidentally Switches Off His Life Support, UKCategory: Nursing / Midwifery | Leave a Comment |
A paralysed man being cared for in his home in Wiltshire, UK, was left brain-damaged after an agency nurse working for the NHS allegedly switched off his ventilator by mistake…
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29
Sep |
EarlySense’s EverOn(R) Central Display Station (CDS) Receives FDA ClearanceCategory: Nursing / Midwifery | Leave a Comment |
EarlySense announced today that its EverOn Central Display Station (CDS) has been cleared for marketing by the U.S. Food and Drug Administration (FDA). The FDA clearance covers the ability of the system to collect real time vital sign information from up to 36 EverOn bedside monitors and display the information on a computer screen at the nurse’s station…
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24
Jun |
AACN Endorses Nurses’ Expanded Role In Use Of IO Access DevicesCategory: Nursing / Midwifery | Leave a Comment |
The American Association of Critical-Care Nurses (AACN) recently endorsed “The Role of the Registered Nurse in the Insertion of Intraosseous (IO) Access Devices,” an official position paper from the Infusion Nurses Society, Norwood, Mass…
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Nov |
48% Of Nurses Injured By Needles While 34% Fear Contracting HIV Or HepatitisCategory: Nursing / Midwifery | Leave a Comment |
Nearly half of all nurses (48%) have been stuck by a needle that had previously been used on a patient, according to a new report from the Royal College of Nursing (RCN). The report also shows that a third (34%) feel at risk of contracting diseases such as HIV and Hepatitis C following such injuries. The results are published in the RCN’s Needlestick Injury in 2008 report which will be launched to MPs, Peers and stakeholders at the House of Commons later today.