Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)

Daniel Guenther; Thomas Pfeiffer; Wolf Petersen; Andreas Imhoff; Mirco Herbort; Andrea Achtnich; Thomas Stein; Christoph Kittl; Christian Schoepp; Ralph Akoto; Jürgen Höher; Sven Scheffler; Amelie Stöhr; Thomas Stoffels; Julian Mehl; Tobias Jung; Andree Ellermann; Christian Eberle; Cara Vernacchia; Patricia Lutz; Matthias Krause; Natalie Mengis; Peter E Müller; Thomas Patt; Raymond Best

doi:10.1177/23259671211050929

Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)

Standard

Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG). / Guenther, Daniel; Pfeiffer, Thomas; Petersen, Wolf; Imhoff, Andreas; Herbort, Mirco; Achtnich, Andrea; Stein, Thomas; Kittl, Christoph; Schoepp, Christian; Akoto, Ralph; Höher, Jürgen; Scheffler, Sven; Stöhr, Amelie; Stoffels, Thomas; Mehl, Julian; Jung, Tobias; Ellermann, Andree; Eberle, Christian; Vernacchia, Cara; Lutz, Patricia; Krause, Matthias; Mengis, Natalie; Müller, Peter E; Patt, Thomas; Best, Raymond.

In: ORTHOP J SPORTS MED, Vol. 9, No. 11, 11.2021, p. 23259671211050929.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Guenther, D, Pfeiffer, T, Petersen, W, Imhoff, A, Herbort, M, Achtnich, A, Stein, T, Kittl, C, Schoepp, C, Akoto, R, Höher, J, Scheffler, S, Stöhr, A, Stoffels, T, Mehl, J, Jung, T, Ellermann, A, Eberle, C, Vernacchia, C, Lutz, P, Krause, M, Mengis, N, Müller, PE, Patt, T & Best, R 2021, 'Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)', ORTHOP J SPORTS MED, vol. 9, no. 11, pp. 23259671211050929. https://doi.org/10.1177/23259671211050929

APA

Guenther, D., Pfeiffer, T., Petersen, W., Imhoff, A., Herbort, M., Achtnich, A., Stein, T., Kittl, C., Schoepp, C., Akoto, R., Höher, J., Scheffler, S., Stöhr, A., Stoffels, T., Mehl, J., Jung, T., Ellermann, A., Eberle, C., Vernacchia, C., ... Best, R. (2021). Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG). ORTHOP J SPORTS MED, 9(11), 23259671211050929. https://doi.org/10.1177/23259671211050929

Vancouver

Guenther D, Pfeiffer T, Petersen W, Imhoff A, Herbort M, Achtnich A et al. Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG). ORTHOP J SPORTS MED. 2021 Nov;9(11):23259671211050929. https://doi.org/10.1177/23259671211050929

Bibtex

@article{eb232823f3bc4c81b2bfe360394063b9,

title = "Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)",

abstract = "Background: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined.Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL.Study Design: Consensus statement.Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests.Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements.Conclusion: The results of this modified Delphi process offer a guideline for standardized patient care in cases of combined injuries to the ACL and MCL.",

author = "Daniel Guenther and Thomas Pfeiffer and Wolf Petersen and Andreas Imhoff and Mirco Herbort and Andrea Achtnich and Thomas Stein and Christoph Kittl and Christian Schoepp and Ralph Akoto and J{\"u}rgen H{\"o}her and Sven Scheffler and Amelie St{\"o}hr and Thomas Stoffels and Julian Mehl and Tobias Jung and Andree Ellermann and Christian Eberle and Cara Vernacchia and Patricia Lutz and Matthias Krause and Natalie Mengis and M{\"u}ller, {Peter E} and Thomas Patt and Raymond Best",

note = "{\textcopyright} The Author(s) 2021.",

year = "2021",

month = nov,

doi = "10.1177/23259671211050929",

language = "English",

volume = "9",

pages = "23259671211050929",

journal = "ORTHOP J SPORTS MED",

issn = "2325-9671",

publisher = "SAGE Publications",

number = "11",

}

RIS

TY - JOUR

T1 - Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)

AU - Guenther, Daniel

AU - Pfeiffer, Thomas

AU - Petersen, Wolf

AU - Imhoff, Andreas

AU - Herbort, Mirco

AU - Achtnich, Andrea

AU - Stein, Thomas

AU - Kittl, Christoph

AU - Schoepp, Christian

AU - Akoto, Ralph

AU - Höher, Jürgen

AU - Scheffler, Sven

AU - Stöhr, Amelie

AU - Stoffels, Thomas

AU - Mehl, Julian

AU - Jung, Tobias

AU - Ellermann, Andree

AU - Eberle, Christian

AU - Vernacchia, Cara

AU - Lutz, Patricia

AU - Krause, Matthias

AU - Mengis, Natalie

AU - Müller, Peter E

AU - Patt, Thomas

AU - Best, Raymond

PY - 2021/11

Y1 - 2021/11

N2 - Background: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined.Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL.Study Design: Consensus statement.Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests.Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements.Conclusion: The results of this modified Delphi process offer a guideline for standardized patient care in cases of combined injuries to the ACL and MCL.

AB - Background: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined.Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL.Study Design: Consensus statement.Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests.Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements.Conclusion: The results of this modified Delphi process offer a guideline for standardized patient care in cases of combined injuries to the ACL and MCL.

U2 - 10.1177/23259671211050929

DO - 10.1177/23259671211050929

M3 - SCORING: Journal article

C2 - 34888389

VL - 9

SP - 23259671211050929

JO - ORTHOP J SPORTS MED

JF - ORTHOP J SPORTS MED

SN - 2325-9671

IS - 11

ER -