A 10-year prospective trial of a patient management algorithm and screening examination for highly active individuals with anterior cruciate ligament injury: Part 1, outcomes.
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 cla...
| Publicado en: | American Journal of Sports Medicine Vol. 36; no. 1; pp. 40 - 48 |
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| Autores principales: | , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105860364&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105860364 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03635465 ASM jtl: American Journal of Sports Medicine issn: 03635465 maglogo: Y pubinfo: dt: Jan2008 vid: 36 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 105860364 2009759562 10.1177/0363546507308190 NLM17940141 105860364 ppf: 40 ppct: 8 formats: tig: atl: A 10-year prospective trial of a patient management algorithm and screening examination for highly active individuals with anterior cruciate ligament injury: Part 1, outcomes. aug: au: Hurd WJ Axe MJ Snyder-Mackler L affil: Department of Physical Therapy, University of Delaware, Newark, DE 19716, USA. sug: subj: Anterior Cruciate Ligament Injuries Knee Injuries Therapy Adolescence Adult Algorithms Anterior Cruciate Ligament Physiology Clinical Trials Decision Making Female Knee Injuries Classification Knee Injuries Rehabilitation Male Middle Age Physical Examination Prospective Studies Recovery Physiology Treatment Outcomes Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: 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. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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