The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation
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The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation. / Chahla, Jorge; Kunze, Kyle N; LaPrade, Robert F; Getgood, Alan; Cohen, Moises; Gelber, Pablo; Barenius, Björn; Pujol, Nicolas; Leyes, Manual; Akoto, Ralph; Fritsch, Brett; Margheritini, Fabrizio; Rips, Leho; Kautzner, Jakub; Duthon, Victoria; Togninalli, Danilo; Giacamo, Zanon; Graveleau, Nicolas; Zaffagnini, Stefano; Engbretsen, Lars; Lind, Martin; Maestu, Rodrigo; Von Bormann, Richard; Brown, Charles; Villascusa, Silvio; Monllau, Juan Carlos; Ferrer, Gonzalo; Menetrey, Jacques; Hantes, Michael; Parker, David; Lording, Timothy; Samuelsson, Kristian; Weiler, Andreas; Uchida, Soshi; Frosch, Karl Heinz; Robinson, James.
in: KNEE SURG SPORT TR A, Jahrgang 29, Nr. 9, 09.2021, S. 2976-2986.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation
AU - Chahla, Jorge
AU - Kunze, Kyle N
AU - LaPrade, Robert F
AU - Getgood, Alan
AU - Cohen, Moises
AU - Gelber, Pablo
AU - Barenius, Björn
AU - Pujol, Nicolas
AU - Leyes, Manual
AU - Akoto, Ralph
AU - Fritsch, Brett
AU - Margheritini, Fabrizio
AU - Rips, Leho
AU - Kautzner, Jakub
AU - Duthon, Victoria
AU - Togninalli, Danilo
AU - Giacamo, Zanon
AU - Graveleau, Nicolas
AU - Zaffagnini, Stefano
AU - Engbretsen, Lars
AU - Lind, Martin
AU - Maestu, Rodrigo
AU - Von Bormann, Richard
AU - Brown, Charles
AU - Villascusa, Silvio
AU - Monllau, Juan Carlos
AU - Ferrer, Gonzalo
AU - Menetrey, Jacques
AU - Hantes, Michael
AU - Parker, David
AU - Lording, Timothy
AU - Samuelsson, Kristian
AU - Weiler, Andreas
AU - Uchida, Soshi
AU - Frosch, Karl Heinz
AU - Robinson, James
PY - 2021/9
Y1 - 2021/9
N2 - 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.
AB - 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.
U2 - 10.1007/s00167-020-06336-3
DO - 10.1007/s00167-020-06336-3
M3 - SCORING: Journal article
C2 - 33104867
VL - 29
SP - 2976
EP - 2986
JO - KNEE SURG SPORT TR A
JF - KNEE SURG SPORT TR A
SN - 0942-2056
IS - 9
ER -
