Posterolateral corner of the knee : an expert consensus statement on diagnosis, classification, treatment, and rehabilitation
(2019) In Knee Surgery, Sports Traumatology, Arthroscopy 27(8). p.2520-2529- Abstract
Purpose: To develop a statement on the diagnosis, classification, treatment, and rehabilitation concepts of posterolateral corner (PLC) injuries of the knee using a modified Delphi technique. Methods: A working group of three individuals generated a list of statements relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries to form the basis of an initial survey for rating by an international group of experts. The PLC expert group (composed of 27 experts throughout the world) was surveyed on three occasions to establish consensus on the inclusion/exclusion of each item. In addition to rating agreement, experts were invited to propose further items for inclusion or to suggest modifications of existing... (More)
Purpose: To develop a statement on the diagnosis, classification, treatment, and rehabilitation concepts of posterolateral corner (PLC) injuries of the knee using a modified Delphi technique. Methods: A working group of three individuals generated a list of statements relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries to form the basis of an initial survey for rating by an international group of experts. The PLC expert group (composed of 27 experts throughout the world) was surveyed on three occasions to establish consensus on the inclusion/exclusion of each item. In addition to rating agreement, experts were invited to propose further items for inclusion or to suggest modifications of existing items at each round. Pre-defined criteria were used to refine item lists after each survey. Statements reaching consensus in round three were included within the final consensus document. Results: Twenty-seven experts (100% response rate) completed three rounds of surveys. After three rounds, 29 items achieved consensus with over 75% agreement and less than 5% disagreement. Consensus was reached in 92% of the statements relating to diagnosis of PLC injuries, 100% relating to classification, 70% relating to treatment and in 88% of items relating to rehabilitation statements, with an overall consensus of 81%. Conclusions: This study has established a consensus statement relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries. Further research is needed to develop updated classification systems, and better understand the role of non-invasive and minimally invasive approaches along with standardized rehabilitation protocols. Level of evidence: Consensus of expert opinion, Level V.
(Less)
- author
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Consensus, Expert, Knee, Lateral collateral ligament, Popliteus, Posterolateral corner, Reconstruction
- in
- Knee Surgery, Sports Traumatology, Arthroscopy
- volume
- 27
- issue
- 8
- pages
- 10 pages
- publisher
- Springer
- external identifiers
-
- scopus:85057338032
- pmid:30478468
- ISSN
- 0942-2056
- DOI
- 10.1007/s00167-018-5260-4
- language
- English
- LU publication?
- no
- id
- 70a11654-fe90-4dac-9124-e8bbcacf531f
- date added to LUP
- 2020-04-23 08:31:36
- date last changed
- 2024-06-13 15:19:59
@article{70a11654-fe90-4dac-9124-e8bbcacf531f,
abstract = {{<p>Purpose: To develop a statement on the diagnosis, classification, treatment, and rehabilitation concepts of posterolateral corner (PLC) injuries of the knee using a modified Delphi technique. Methods: A working group of three individuals generated a list of statements relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries to form the basis of an initial survey for rating by an international group of experts. The PLC expert group (composed of 27 experts throughout the world) was surveyed on three occasions to establish consensus on the inclusion/exclusion of each item. In addition to rating agreement, experts were invited to propose further items for inclusion or to suggest modifications of existing items at each round. Pre-defined criteria were used to refine item lists after each survey. Statements reaching consensus in round three were included within the final consensus document. Results: Twenty-seven experts (100% response rate) completed three rounds of surveys. After three rounds, 29 items achieved consensus with over 75% agreement and less than 5% disagreement. Consensus was reached in 92% of the statements relating to diagnosis of PLC injuries, 100% relating to classification, 70% relating to treatment and in 88% of items relating to rehabilitation statements, with an overall consensus of 81%. Conclusions: This study has established a consensus statement relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries. Further research is needed to develop updated classification systems, and better understand the role of non-invasive and minimally invasive approaches along with standardized rehabilitation protocols. Level of evidence: Consensus of expert opinion, Level V.</p>}},
author = {{Chahla, Jorge and Murray, Iain R. and Robinson, James and Lagae, Koen and Margheritini, Fabrizio and Fritsch, Brett and Leyes, Manuel and Barenius, Björn and Pujol, Nicolas and Engebretsen, Lars and Lind, Martin and Cohen, Moises and Maestu, Rodrigo and Getgood, Alan and Ferrer, Gonzalo and Villascusa, Silvio and Uchida, Soshi and Levy, Bruce A. and Von Bormann, Richard and Brown, Charles and Menetrey, Jacques and Hantes, Michael and Lording, Timothy and Samuelsson, Kristian and Frosch, Karl Heinz and Monllau, Juan Carlos and Parker, David and LaPrade, Robert F. and Gelber, Pablo E.}},
issn = {{0942-2056}},
keywords = {{Consensus; Expert; Knee; Lateral collateral ligament; Popliteus; Posterolateral corner; Reconstruction}},
language = {{eng}},
number = {{8}},
pages = {{2520--2529}},
publisher = {{Springer}},
series = {{Knee Surgery, Sports Traumatology, Arthroscopy}},
title = {{Posterolateral corner of the knee : an expert consensus statement on diagnosis, classification, treatment, and rehabilitation}},
url = {{http://dx.doi.org/10.1007/s00167-018-5260-4}},
doi = {{10.1007/s00167-018-5260-4}},
volume = {{27}},
year = {{2019}},
}