| Adoption of new technology in sports medicine: case studies of the Gore-Tex prosthetic ligament and of thermal capsulorrhaphy. | |
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MedLine Citation:
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PMID: 20974526 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Evaluation of new technology in sports medicine is supposed to promote improvements in the care of patients. It is also supposed to prohibit technology that can harm patients. This evaluation process is not perfect and at times can promote technology that not only does not help patients but may harm them. Two examples of new sports medicine technology that were widely adopted but eventually abandoned are thermal capsulorrhaphy for treatment of shoulder instability and the Gore-Tex prosthetic ligament (W. L. Gore & Associates, Flagstaff, AZ) for patients with anterior cruciate ligament deficiency. On analysis of the quick adoption of these 2 failed procedures, certain recommendations are apparent for improvement of the evaluation process. There must be a sound rationale behind any new technology, basic science research into the theory of the medical technology, and demonstrated improvements in animal models and clinical studies that are prospective cohort studies or randomized controlled trials, and finally, there must be careful follow-up and postmarket surveillance. |
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Authors:
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Sohrab S Virk; Mininder S Kocher |
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Publication Detail:
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Type: Historical Article; Journal Article; Review Date: 2010-10-25 |
Journal Detail:
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Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: 27 ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-28 Completed Date: 2011-04-21 Revised Date: 2011-05-11 |
Medline Journal Info:
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Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
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Languages: eng Pagination: 113-21 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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School of Medicine, Tufts University, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Anterior Cruciate Ligament / injuries* Biomechanics Clinical Trials as Topic History, 20th Century Humans Joint Capsule Release / history, methods* Polytetrafluoroethylene Product Surveillance, Postmarketing Prostheses and Implants* / history Prosthesis Design Prosthesis Failure Sports Medicine* / economics, history Technology Assessment, Biomedical* |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
| Comments/Corrections | |
Comment In:
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Arthroscopy. 2011 Apr;27(4):450-1; author reply 451
[PMID:
21444004
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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