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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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Apr |
Improved Survival From Intensive Kidney Dialysis Compared To Conventional DialysisCategory: Urology / Nephrology | Leave a Comment |
Patients suffering with end-stage renal disease could increase their survival chances by undergoing intensive dialysis at home rather than the conventional dialysis in clinics. A new study by Lawson Health Research Institute shows the potential of more intensive dialysis completed in a home setting…
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Feb |
Promise For Analyzing Bladder Pain SyndromeCategory: Urology / Nephrology | Leave a Comment |
A pilot study led by University of Kentucky researchers shows that the gene expression analysis of urine sediment could provide a noninvasive way to analyze interstitial cystitis in some patients. Interstitial cystitis, also known as bladder pain syndrome, is a debilitating disease of the urinary bladder. The disease can occur with or without bladder ulcers (called Hunner lesions)…
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Jan |
Acute Kidney Injury Diagnosed In Emergency PatientsCategory: Urology / Nephrology | Leave a Comment |
Acute kidney injury (AKI) has severe consequences, with a 25 to 80 percent risk of in-hospital death. Researchers have found a way to diagnose AKI using a urine test, enabling emergency departments to identify these high-risk patients when they first arrive at the hospital. The study was published online in the Journal of the American College of Cardiology…
Research conducted by a pair of physicians at Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) has led to the development of a test that can help diagnose membranous nephropathy in its early stages…
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Jun |
The Benefits Of Home Dialysis For Kidney Patients - New EvidenceCategory: Urology / Nephrology | Leave a Comment |
Researchers at St. Michael’s Hospital have found more evidence of the benefits of home dialysis for patients with kidney failure. Cells that help protect blood vessels work better in patients who undergo dialysis at home during the night than those who undergo standard daytime dialysis in a hospital, according to Dr. Darren Yuen, a nephrologist…
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Jun |
Uroplasty On Preliminary List Of Additions To Russell 3000® And Russell Global® IndexesCategory: Urology / Nephrology | Leave a Comment |
Uroplasty, Inc. (NASDAQ: UPI), a medical device company that develops, manufactures and markets innovative proprietary products to treat voiding dysfunctions, announced it has been included on a list of preliminary additions to the Russell 3000® Index and the Russell Global® Index posted by Russell Investments on June 10, 2011…
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Jun |
Airport Scans Can Cause Anxiety For Those With Implanted Urologic DevicesCategory: Urology / Nephrology | Leave a Comment |
When Christine Bradway, PhD, CRNP, treated a female patient in her office recently, she was asked about a situation she had never before encountered: full-body airport scans and implanted urologic devices. In an editorial in the May-June 2011 issue of Urologic Nursing, Bradway describes a “sign of the times” dilemma…
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May |
Reliable Diagnosis Of Bladder Dysfunction Using Non-Invasive Wireless Near-Infrared DeviceCategory: Urology / Nephrology | Leave a Comment |
A cell phone-sized, wireless near-infrared device is as reliable as the current “gold standard” invasive tests in determining bladder disease, according to a study by researchers at the University of British Columbia, Vancouver Coastal Health and the Child & Family Research Institute (CFRI)…
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May |
NewYork-Presbyterian/Weill Cornell Research Presented At American Urological Association MeetingCategory: Urology / Nephrology | Leave a Comment |
Among those presenting at this year’s American Urological Association meeting are physician-scientists from NewYork-Presbyterian Hospital/Weill Cornell Medical Center. The meeting has been taking place May 14-19, at Walter E. Washington Convention Center, Washington, D.C. The following are notable research studies: * Dr. Ashutosh Tewari The Ronald P…
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May |
SRS Medical Introduces System For Complete Urodynamics™Category: Urology / Nephrology | Leave a Comment |
SRS Medical announced the launch of the CT3000Plus Complete Urodynamics™ system as part of the AUA2011 New Product Showcase at the American Urological Association’s Annual Conference in Washington, D.C. May 14th-19th. “Many men who have been reluctant to undergo the catheterization necessary for conventional urodynamics can now be tested quickly and comfortably…