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The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation
J. Chahla, KN. Kunze, RF. LaPrade, A. Getgood, M. Cohen, P. Gelber, B. Barenius, N. Pujol, M. Leyes, R. Akoto, B. Fritsch, F. Margheritini, L. Rips, J. Kautzner, V. Duthon, D. Togninalli, Z. Giacamo, N. Graveleau, S. Zaffagnini, L. Engbretsen, M....
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články
NLK
ProQuest Central
od 1997-06-01 do 2023-12-31
Nursing & Allied Health Database (ProQuest)
od 1997-06-01 do 2023-12-31
Health & Medicine (ProQuest)
od 1997-06-01 do 2023-12-31
- MeSH
- kolenní kloub * chirurgie MeSH
- konsensus MeSH
- lidé MeSH
- poranění kolena * diagnóza chirurgie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
PURPOSE: To establish recommendations for diagnosis, classification, treatment, and rehabilitation of posteromedial corner (PMC) knee injuries using a modified Delphi technique. METHODS: A list of statements concerning the diagnosis, classification, treatment and rehabilitation of PMC injuries was created by a working group of four individuals. Using a modified Delphi technique, a group of 35 surgeons with expertise in PMC injuries was surveyed, on three occasions, to establish consensus on the inclusion or exclusion of each statement. Experts were encouraged to propose further suggestions or modifications following each round. Pre-defined criteria were used to refine item lists after each survey. The final document included statements reaching consensus in round three. RESULTS: Thirty-five experts had a 100% response rate for all three rounds. A total of 53 items achieved over 75% consensus. The overall rate of consensus was 82.8%. Statements pertaining to PMC reconstruction and those regarding the treatment of combined cruciate and PMC injuries reached 100% consensus. Consensus was reached for 85.7% of the statements on anatomy of the PMC, 90% for those relating to diagnosis, 70% relating to classification, 64.3% relating to the treatment of isolated PMC injuries, and 83.3% relating to rehabilitation after PMC reconstruction. CONCLUSION: A modified Delphi technique was applied to generate an expert consensus statement concerning the diagnosis, classification, treatment, and rehabilitation practices for PMC injuries of the knee with high levels of expert agreement. Though the majority of statements pertaining to anatomy, diagnosis, and rehabilitation reached consensus, there remains inconsistency as to the optimal approach to treating isolated PMC injuries. Additionally, there is a need for improved PMC injury classification. LEVEL OF EVIDENCE: Level V.
Aarhus University Hospital Aarhus Denmark
Ars Ortopedica Clinical Ars Medica Gravesano Switzerland
Asklepios Clinic St Georg Hamburg Germany
Asklepios Klinik St Georg Chirurgisch Traumatologisches Zentrum Hamburg Germany
Avon Orthopaedic Centre Bristol UK
Cape Town Sports and Orthopaedic Clinic Cape Town South Africa
Centre Hospitalier de Versailles Le Chesnay France
Centro de Tratamiento de Enfermedades Articulares Buenos Aires Argentina
Clinique du Sport de Bordeaux Mérignac Bordeaux France
Department of Orthopaedic Surgery Hospital for Special Surgery New York NY USA
Fowler Kennedy Sports Medicine Clinic London ON Canada
Hospital Clinico Mutual de Seguridad Santiago Chile
Hospital La Fraternidad Habana Madrid Spain
ICATME Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain
International Knee and Joint Centre Abu Dhabi UAE
Istituto Ortopedico Rizzoli University of Bologna Bologna Italy
Melbourne Orthopaedic Group Melbourne Australia
Nanometer Structure Consortium Lund University Lund Sweden
Oslo Sports Trauma Research Center Oslo Norway
Oslo University Hospital Oslo Norway
Parc de Salut Mar UAB Barcelona Spain
Stockholm South Hospital Karolinska Institutet Stockholm Sweden
Sydney Orthopaedic Research Institute Sydney Australia
Twin Cities Orthopaedics Edison MN USA
Universidade Federal de São Paulo São Paulo SP Brazil
University Hospital Motol Prague Czech Republic
University Hospital of Geneva Geneva Switzerland
University Medical Center Hamburg Eppendorf Hamburg Germany
University of Pavia IRCCS Policlinico San Matteo Pavia Italy
University of Rome Foro Italico Rome Italy
University of Thessalia Larissa Greece
Wakamatsu Hospital University of Occupational and Environmental Health Kitakyushu Japan
Citace poskytuje Crossref.org
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- $a Chahla, Jorge $u Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison Street Suite 300, Chicago, IL, 60612, USA. jachahla@msn.com
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- $a The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation / $c J. Chahla, KN. Kunze, RF. LaPrade, A. Getgood, M. Cohen, P. Gelber, B. Barenius, N. Pujol, M. Leyes, R. Akoto, B. Fritsch, F. Margheritini, L. Rips, J. Kautzner, V. Duthon, D. Togninalli, Z. Giacamo, N. Graveleau, S. Zaffagnini, L. Engbretsen, M. Lind, R. Maestu, R. Von Bormann, C. Brown, S. Villascusa, JC. Monllau, G. Ferrer, J. Menetrey, M. Hantes, D. Parker, T. Lording, K. Samuelsson, A. Weiler, S. Uchida, KH. Frosch, J. Robinson
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- $a PURPOSE: To establish recommendations for diagnosis, classification, treatment, and rehabilitation of posteromedial corner (PMC) knee injuries using a modified Delphi technique. METHODS: A list of statements concerning the diagnosis, classification, treatment and rehabilitation of PMC injuries was created by a working group of four individuals. Using a modified Delphi technique, a group of 35 surgeons with expertise in PMC injuries was surveyed, on three occasions, to establish consensus on the inclusion or exclusion of each statement. Experts were encouraged to propose further suggestions or modifications following each round. Pre-defined criteria were used to refine item lists after each survey. The final document included statements reaching consensus in round three. RESULTS: Thirty-five experts had a 100% response rate for all three rounds. A total of 53 items achieved over 75% consensus. The overall rate of consensus was 82.8%. Statements pertaining to PMC reconstruction and those regarding the treatment of combined cruciate and PMC injuries reached 100% consensus. Consensus was reached for 85.7% of the statements on anatomy of the PMC, 90% for those relating to diagnosis, 70% relating to classification, 64.3% relating to the treatment of isolated PMC injuries, and 83.3% relating to rehabilitation after PMC reconstruction. CONCLUSION: A modified Delphi technique was applied to generate an expert consensus statement concerning the diagnosis, classification, treatment, and rehabilitation practices for PMC injuries of the knee with high levels of expert agreement. Though the majority of statements pertaining to anatomy, diagnosis, and rehabilitation reached consensus, there remains inconsistency as to the optimal approach to treating isolated PMC injuries. Additionally, there is a need for improved PMC injury classification. LEVEL OF EVIDENCE: Level V.
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