Медицинская библиотека · International journal of surgery (London, England) · 2025

Management of posterior cruciate ligament injuries: an expert consensus from 17 countries.

Gao Shuguang, Meng Jiahao, Zeng Chao, Monllau Joan C, LaPrade Robert F, Taft Timothy N, Berg Jeffrey H, Medvecky Michael J, Stone Kevin R, Scarcella Michael J, Cordasco Frank A, Wolf Brian R, Richter Dustin L, Rodeo Scott A, Hewett Timothy E, Levy Bruce A, Pace James Lee, Anand Bobby, Picinini Filippo, D'Ambrosi Riccardo, Sconfienza Luca Maria, Farinelli Luca, Chernchujit Bancha, Stålman Anders, Gilad Amit, Kambhampati Srinivas B S, Sundararajan Silvampatti Ramasamy, Patrick Abayo Remy, Nshimirimana Juvenal, Lertwanich Pisit, Opoku Michael, Buranapuntaruk Thana, Ramos Leonardo Addeo, James Hui Hoi Po, D'Souza Terence, Grassi Alberto, Razi Mohammad, Mariño Jaime, Mosquera Manuel, Barth Johannes, Pardiwala Dinshaw N, Li Yusheng, Xiao Wenfeng, Xiong Yilin, Liu Pan, Yang Liu, Zhou Panghu, Xu Yan, Bai Xizhuang, Yu Tengbo, Li Chunbao, Wei Licheng, Li Liangjun, Wang Juan, Shao Decheng, Guan Zhenpeng, Dai Xuesong, Huang Jingmin, Li Jian, Li Weiping, Wang Guangji, Yue Bing, Gao Zhizeng, Guo Lin, Hua Yinghui, Wu Meng, Wang Jing, Zheng Xiaofei, Bai Lunhao, Chen Jiwu, Zhu Weihong, Zhao Qichun, Zhang Weiguo, Chen Zhiwei, Wei Xiaochun, Lu Wei, Yang Ziquan, Wei Qingjun, Chen Liaobin, Lv Songcen, Liu Ning, Xu Yongsheng, Li Yanlin, Wang Xuesong, Zhang Hui, Xu Weidong, Jiang Qing, Huang Tianlong, Yu Jiakuo, Zheng Jiang, Zhang Keyuan, Wang Jianquan, Lei Guanghua

Consensus StatementСтатьяПеревод в очереди

Аннотация

BACKGROUND

Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries.

OBJECTIVES

To use the modified Delphi method to reach expert consensus on the management of PCL injury.

METHODS

A literature search of PubMed, Cochrane Library, Embase, and Web of Science for articles up to 17 October 2024, to support the development of recommendation statements. An Expert Panel of 90 experienced clinicians from orthopedics and sports medicine participated in a two-round Delphi process. Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement).

RESULTS

The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations.

CONCLUSION

Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with PCL injuries.

Для цитирования: Gao Shuguang, Meng Jiahao, Zeng Chao, Monllau Joan C, LaPrade Robert F, Taft Timothy N, Berg Jeffrey H, Medvecky Michael J, Stone Kevin R, Scarcella Michael J, Cordasco Frank A, Wolf Brian R, Richter Dustin L, Rodeo Scott A, Hewett Timothy E, Levy Bruce A, Pace James Lee, Anand Bobby, Picinini Filippo, D'Ambrosi Riccardo, Sconfienza Luca Maria, Farinelli Luca, Chernchujit Bancha, Stålman Anders, Gilad Amit, Kambhampati Srinivas B S, Sundararajan Silvampatti Ramasamy, Patrick Abayo Remy, Nshimirimana Juvenal, Lertwanich Pisit, Opoku Michael, Buranapuntaruk Thana, Ramos Leonardo Addeo, James Hui Hoi Po, D'Souza Terence, Grassi Alberto, Razi Mohammad, Mariño Jaime, Mosquera Manuel, Barth Johannes, Pardiwala Dinshaw N, Li Yusheng, Xiao Wenfeng, Xiong Yilin, Liu Pan, Yang Liu, Zhou Panghu, Xu Yan, Bai Xizhuang, Yu Tengbo, Li Chunbao, Wei Licheng, Li Liangjun, Wang Juan, Shao Decheng, Guan Zhenpeng, Dai Xuesong, Huang Jingmin, Li Jian, Li Weiping, Wang Guangji, Yue Bing, Gao Zhizeng, Guo Lin, Hua Yinghui, Wu Meng, Wang Jing, Zheng Xiaofei, Bai Lunhao, Chen Jiwu, Zhu Weihong, Zhao Qichun, Zhang Weiguo, Chen Zhiwei, Wei Xiaochun, Lu Wei, Yang Ziquan, Wei Qingjun, Chen Liaobin, Lv Songcen, Liu Ning, Xu Yongsheng, Li Yanlin, Wang Xuesong, Zhang Hui, Xu Weidong, Jiang Qing, Huang Tianlong, Yu Jiakuo, Zheng Jiang, Zhang Keyuan, Wang Jianquan, Lei Guanghua. Management of posterior cruciate ligament injuries: an expert consensus from 17 countries.. International journal of surgery (London, England). 2025. DOI: 10.1097/js9.0000000000002416.

Предметные рубрики MeSH

Humans Clinical Decision-Making Delphi Technique Knee Injuries Posterior Cruciate Ligament

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