Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024
Management after acute injury of the anterior cruciate ligament (ACL). Part 3: Recommendation on surgical treatment.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Häner Martin, Stoffels Thomas, Guenther Daniel, Pfeiffer Thomas, Imhoff Andreas, Herbort Mirco, Stein Thomas, Schoepp Christian, Akoto Ralph, Höher Jürgen, Scheffler Sven, Stöhr Amelie, Mehl Julian, Niederer Daniel, Jung Tobias, Kittl Christoph, Eberle Christian, Vernacchia Cara, Ellermann Andree, Braun Philipp-Johannes, Krause Matthias, Mengis Natalie, Müller Peter E, Best Raymond, Achtnich Andrea, Petersen Wolf
Аннотация
PURPOSE: The aim of this consensus project was to give recommendations regarding surgical treatment of the anterior cruciate ligament (ACL) injured patient.
METHODS: For this consensus process, an expert, steering and rating group was formed. In an initial online meeting, the steering group, together with the expert group, formed various key topic complexes for which multiple questions were formulated. For each key topic, a structured literature search was performed by the steering group. The results of the literature review were sent to the rating group with the option to give anonymous comments until a final consensus voting was performed. Sufficient consensus was defined as 80% agreement.
RESULTS: During this consensus process, 30 topics regarding the surgical management and technique of ACL reconstruction were identified. The literature search for each key question resulted in 30 final statements. Of these 30 final statements, all achieved consensus.
CONCLUSIONS: This consensus process has shown that surgical treatment of ACL injury is a complex process. Various surgical factors influence patient outcomes. The proposed treatment algorithm can be used as a decision aid for the surgeon.
LEVEL OF EVIDENCE: Level V.
METHODS: For this consensus process, an expert, steering and rating group was formed. In an initial online meeting, the steering group, together with the expert group, formed various key topic complexes for which multiple questions were formulated. For each key topic, a structured literature search was performed by the steering group. The results of the literature review were sent to the rating group with the option to give anonymous comments until a final consensus voting was performed. Sufficient consensus was defined as 80% agreement.
RESULTS: During this consensus process, 30 topics regarding the surgical management and technique of ACL reconstruction were identified. The literature search for each key question resulted in 30 final statements. Of these 30 final statements, all achieved consensus.
CONCLUSIONS: This consensus process has shown that surgical treatment of ACL injury is a complex process. Various surgical factors influence patient outcomes. The proposed treatment algorithm can be used as a decision aid for the surgeon.
LEVEL OF EVIDENCE: Level V.