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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


         

 

Mitchell Clionsky, Ph.D. and Emily Clionsky, M.D. of CNS-Neuro, announced new data supporting the use of screening tests to identify cognitive loss in older Americans. Their study asked two hundred elderly patients and their families to rate how well they think and remember…

 

Taking care of the elderly can be difficult for many healthcare workers, especially when there is a slip and fall situation in which the patient cannot recover on their own power. However in Japan, researchers have introduced a robot on Tuesday that can lift a patient weighing 176 lbs off the floor and onto a wheelchair, relieving caretakers of strain and possibly further injury…

 

While aging impacts everyday living in many ways, the latest technologies in the medical, consumer and lifestyle fields have the potential to help older adults live better for longer…

 

A partnership among 20 European states, the European Union and a number of private enterprises has launched a three-year, 3.87-million-euro project to make robots capable of serving as adaptable, interactive, and above all safe assistants for elderly people…

 

Exercise is an important part of recovering from an injury, illness or surgery, but many older adults lack the knowledge and guidance needed to properly perform exercises. University of Missouri researchers from the Sinclair School of Nursing and the College of Engineering have developed technology to track motions while people exercise…

 

Reform Eases Long-Term Health Care Woes The San Francisco Chronicle Our system of long-term care does not provide adequate or coordinated human services and medical treatment for our growing aging population. … Thanks to a provision of the new health care law known as the Community Living Assistance Services and Supports program, tomorrow’s continuum of care does not have to be so unforgiving…

 

Falls are the main cause of injuries among elderly people, but until now doctors have had few ways of effectively monitoring and counteracting mobility problems among patients. Work by European researchers is set to change that. Mobility problems, ranging from frequent accidental falls to difficulty standing up or walking, affect millions of Europeans both young and old…

 

Recently published research suggests that more than half of babies now born in wealthier nations will reach the age of 100, but unless we do something about it, their bodies will still degenerate at the same rate with age and their extra years will be accompanied by poor quality of life, so a new 50 million pound project was launched in the UK this week to find ways to give people “50 active years after 50″.

 

A £50 million research initiative, aimed at giving people ‘50 active years after 50′ is being launched by the University of Leeds. Recent research, published in the Lancet, found that more than half of babies now born in the UK and other wealthy nations will live to 100 years.

 

A hoist used in healthcare facilities as well as private homes across the country could cause an elderly or disabled person to “drop to the floor” risking death or serious injury according to a Field Safety Notice (FSN) issued by the manufacturer. The old design of the spreader bar on the Flamingo mobile hoist could be incorrectly attached via an open hook and therefore come off the hoist jib as it lifts the occupant.




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