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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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17
Feb |
Premature Baby Gets Pacemaker 15 Minutes After BirthCategory: Pediatrics / Children's Health | Leave a Comment |
Jaya Maharaj, a baby girl born 9 weeks early with a congenital heart defect was fitted with a pacemaker just 15 minutes after birth. Weighing only 3.5 pounds (1.6 kg), she was delivered by cesarean section at Lucile Packard Children’s Hospital, Palo Alto, California, in November last year…
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24
Dec |
Northwestern Researchers Trial New Device That May Support Improved Newborn HealthCategory: Pediatrics / Children's Health | Leave a Comment |
Despite the numerous medical advances that happen every day, the infant mortality rate in the United States is still higher than most European countries. While experts believe this is closely linked to the growing rate of pre-term births, researchers are committed to finding ways to make labor and delivery safer…
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24
Dec |
Northwestern Researchers Trial New Device That May Support Improved Newborn HealthCategory: Pediatrics / Children's Health | Leave a Comment |
Despite the numerous medical advances that happen every day, the infant mortality rate in the United States is still higher than most European countries. While experts believe this is closely linked to the growing rate of pre-term births, researchers are committed to finding ways to make labor and delivery safer…
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17
Dec |
Children’s Cardiac Assist Device Approved By FDACategory: Pediatrics / Children's Health | Leave a Comment |
A cardiac assist device, called “EXCOR Pediatric System”, for children with severe heart failure has been approved by the FDA (Food and Drug Administration). The pulstile mechanical circulatory support device can keep children alive until a suitable donor heart can be found. The EXCOR Pediatric System is made by Berlin Heart, a German company…
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17
Oct |
Loss Of Electrical Power Makes Children Dependent On Life Support VulnerableCategory: Pediatrics / Children's Health | Leave a Comment |
Children dependent on electrically powered medical devices for life support and maintenance are vulnerable to an unexpected loss of power - and their parents are ill-prepared to deal with it, according to an abstract presented Sunday, Oct. 16, at the American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston…
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13
Oct |
FDA Grant Launches Atlanta Pediatric Device ConsortiumCategory: Pediatrics / Children's Health | Leave a Comment |
The U.S. Food and Drug Administration (FDA) has awarded the Georgia Institute of Technology, Children’s Healthcare of Atlanta, Emory University and Saint Joseph’s Translational Research Institute (SJTRI) a two-year, $1.8 million grant to foster the development of medical devices focused on the special needs of children…
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7
Aug |
Newborn Congenital Heart Disease Better Detected With Oxygen Screening TestCategory: Pediatrics / Children's Health | Leave a Comment |
Oximetry screening (pulse oximetry), a rapid, non-invasive test that measures levels of oxygen in the blood of newborn babies is better at detecting cases of congenital heart defects than current screening techniques involving a mid-trimester ultrasound scan and a routine physical exam soon after birth, researchers reported in The Lancet…
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29
Jul |
Taking The Pressure Off Newborns’ LungsCategory: Pediatrics / Children's Health | Leave a Comment |
Children born with heart defects that pummel their lungs with up to three times the normal blood volume quickly find their lungs in jeopardy as well. Georgia Health Sciences University researchers are working to take the pressure off by augmenting a natural recycling system that enables blood vessels to temporarily handle the extra workload until the heart problem is resolved…
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13
Jul |
Students Develop Computerized System To Prevent SIDSCategory: Pediatrics / Children's Health | Leave a Comment |
A new system using video and computer software to monitor a baby that could be used to prevent Sudden Infant Death Syndrome (SIDS), as well as for telemedicine applications, has been developed by two students at Ben-Gurion University of the Negev (BGU). The new system called “BabyBeat” was developed by students in the BGU Departments of Electrical Engineering and Computer Sciences…
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6
Jul |
Team Modifies Adult Device To Breathe Life Into ChildrenCategory: Pediatrics / Children's Health | Leave a Comment |
Pneumonia is the leading cause of infant deaths worldwide, but pediatric researchers at the University of Alabama at Birmingham have developed an effective, inexpensive way to help breathe life into children in developing countries. A paper in the July 4, 2011, edition of the journal Pediatrics by UAB neonatologist Wally Carlo, M.D…