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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


         

 

CareFusion (NYSE: CFN), a leading, global medical device company, announced a five-year exclusive agreement with Seattle-based PHACTS, LLC to become the global reseller of PHACTS’ medication management technologies. PHACTS’ solutions help hospital pharmacies better manage inventory, reduce pharmaceutical costs and streamline operations…

 

Researchers at the University of North Carolina at Chapel Hill and Children’s Hospital Boston have developed a new iPhone application to encourage health-care professionals and patients to send and receive information about the use and side effects of prescription medications…

 

Mass spectrometry technology being developed at Purdue University may be the first to provide patients with real clinical benefits as a result of personalized medicine…

 

Management of Emerging Healthcare Solutions, Inc. (Pinksheets: EHSI) stated that they were encouraged by a new report that parallels the company’s conclusions about the new potential for business in the current healthcare marketplace…

 

IMS Health (NYSE: RX), the world’s leading provider of market intelligence to the pharmaceutical and healthcare industries, announced the launch of IMS Aggregate Spend Compliance Services, a comprehensive set of solutions to help pharmaceutical and medical device companies comply with the growing number of federal and state transparency and marketing disclosure laws in the U.S…

 

AlburtyLab released a report on its comprehensive evaluation of health risks for workers in pharmacies using air pressure-activated drug dispensing machines. The study tested pharmacy workers wearing personal exposure monitors (PEMs) while using the two leading types of air pressure-activated dispensing technologies - the McKesson/Parata Max and the McKesson/Parata RDS. This is the third major study conducted by AlburtyLab examining the issues relating to pharmacy worker exposure.

 

TCGRx (TCG), an industry leader in automation and design services for pharmacy markets across the U.S., announced today the launch of the C-Ray Electronic Pill Counter in the retail pharmacy market. The C-Ray’s modern design enables pharmacies to greatly reduce the time required to fill prescriptions and count inventory.

 

TCGRx (TCG), one of North America’s leading suppliers of pharmacy equipment, announced the commercial availability of the BullsEye Tablet Splitter, an innovative device that quickly and accurately splits medication with an industry-leading two percent variability between the split halves. Other products on the market frequently crush or split tablets unequally, which may put patient safety at risk.

 

The Drug Index Safety System, developed by Dr. Tracy and Mr. Brent Dallman, is a groundbreaking system that enhances electronic patient record keeping systems, especially at the bedside. Patient information systems, barcoding, electronic medical records, and item level tracking have been high priorities in health care for the last several years to address and reduce medication errors.

 

The fight against fake medicines could soon be aided by a small, portable device that quickly measures the hardness of a tablet, revealing whether it is counterfeit, according to research presented at the British Pharmaceutical Conference (BPC) in Manchester. The study tested a series of dummy paracetamol tablets made with varying degrees of real medicine, versus lactose (an ingredient used by counterfeiters to replace the active drug).




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