Shuguang Gao, Jiahao Meng, Chao Zeng, Joan C Monllau, Robert F LaPrade, Timothy N Taft, Jeffrey H Berg, Michael J Medvecky, Kevin R Stone, Michael J Scarcella, Frank A Cordasco, Brian R Wolf, Dustin L Richter, Scott Rodeo, Timothy E Hewett, Bruce A Levy, James Lee Pace, Bobby Anand, Filippo Picinini, Riccardo D'Ambrosi, Luca Maria Sconfienza, Luca Farinelli, Bancha Chernchujit, Anders Stålman, Amit Gilad, Srinivas B S Kambhampati, Silvampatti Ramasamy Sundararajan, Abayo Remy Patrick, Juvenal Nshimirimana, Pisit Lertwanich, Michael Opoku, Thana Buranapuntaruk, Leonardo Addeo Ramos, Hui Hoi Po James, Terence D'Souza, Alberto Grassi, Mohammad Razi, Jaime Marino, Manuel Mqsquera, Johannes Barth, Dinshaw N Pardiwala, Yusheng Li, Wenfeng Xiao, Yilin Xiong, Pan Liu, Liu Yang, Panghu Zhou, Yan Xu, Xizhuang Bai, Tengbo Yu, Chunbao Li, Licheng Wei, Liangjun Li, Juan Wang, Decheng Shao, Zhenpeng Guan, Xuesong Dai, Jingmin Huang, Jian Li, Weiping Li, Guangji Wang, Bing Yue, Zhizeng Gao, Lin Guo, Yinghui Hua, Meng Wu, Jing Wang, Xiaofei Zheng, Lunhao Bai, Jiwu Chen, Weihong Zhu, Qichun Zhao, Weiguo Zhang, Zhiwei Chen, Xiaochun Wei, Wei Lu, Ziquan Yang, Qingjun Wei, Liaobin Chen, Songcen Lv, Ning Liu, Yongsheng Xu, Yanlin Li, Xuesong Wang, Hui Zhang, Weidong Xu, Qing Jiang, Tianlong Huang, Jiakuo Yu, Jiang Zheng, Keyuan Zhang, Jianquan Wang, Guanghua Lei
{"title":"后交叉韧带损伤的处理：来自17个国家的专家共识。","authors":"Shuguang Gao, Jiahao Meng, Chao Zeng, Joan C Monllau, Robert F LaPrade, Timothy N Taft, Jeffrey H Berg, Michael J Medvecky, Kevin R Stone, Michael J Scarcella, Frank A Cordasco, Brian R Wolf, Dustin L Richter, Scott Rodeo, Timothy E Hewett, Bruce A Levy, James Lee Pace, Bobby Anand, Filippo Picinini, Riccardo D'Ambrosi, Luca Maria Sconfienza, Luca Farinelli, Bancha Chernchujit, Anders Stålman, Amit Gilad, Srinivas B S Kambhampati, Silvampatti Ramasamy Sundararajan, Abayo Remy Patrick, Juvenal Nshimirimana, Pisit Lertwanich, Michael Opoku, Thana Buranapuntaruk, Leonardo Addeo Ramos, Hui Hoi Po James, Terence D'Souza, Alberto Grassi, Mohammad Razi, Jaime Marino, Manuel Mqsquera, Johannes Barth, Dinshaw N Pardiwala, Yusheng Li, Wenfeng Xiao, Yilin Xiong, Pan Liu, Liu Yang, Panghu Zhou, Yan Xu, Xizhuang Bai, Tengbo Yu, Chunbao Li, Licheng Wei, Liangjun Li, Juan Wang, Decheng Shao, Zhenpeng Guan, Xuesong Dai, Jingmin Huang, Jian Li, Weiping Li, Guangji Wang, Bing Yue, Zhizeng Gao, Lin Guo, Yinghui Hua, Meng Wu, Jing Wang, Xiaofei Zheng, Lunhao Bai, Jiwu Chen, Weihong Zhu, Qichun Zhao, Weiguo Zhang, Zhiwei Chen, Xiaochun Wei, Wei Lu, Ziquan Yang, Qingjun Wei, Liaobin Chen, Songcen Lv, Ning Liu, Yongsheng Xu, Yanlin Li, Xuesong Wang, Hui Zhang, Weidong Xu, Qing Jiang, Tianlong Huang, Jiakuo Yu, Jiang Zheng, Keyuan Zhang, Jianquan Wang, Guanghua Lei","doi":"10.1097/JS9.0000000000002416","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries.</p><p><strong>Objectives: </strong>To use the modified Delphi method to reach expert consensus on the management of PCL injury.</p><p><strong>Methods: </strong>A literature search of PubMed, Cochrane Library, Embase, and Web of Science for articles up to 17 October 2024, to support the development of recommendation statements. An Expert Panel of 90 experienced clinicians from orthopaedics and sports medicine participated in a two-round Delphi process. Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement).</p><p><strong>Results: </strong>The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations.</p><p><strong>Conclusion: </strong>Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with PCL injuries.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":12.5000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Management of Posterior Cruciate Ligament Injuries: An Expert Consensus from 17 Countries.\",\"authors\":\"Shuguang Gao, Jiahao Meng, Chao Zeng, Joan C Monllau, Robert F LaPrade, Timothy N Taft, Jeffrey H Berg, Michael J Medvecky, Kevin R Stone, Michael J Scarcella, Frank A Cordasco, Brian R Wolf, Dustin L Richter, Scott Rodeo, Timothy E Hewett, Bruce A Levy, James Lee Pace, Bobby Anand, Filippo Picinini, Riccardo D'Ambrosi, Luca Maria Sconfienza, Luca Farinelli, Bancha Chernchujit, Anders Stålman, Amit Gilad, Srinivas B S Kambhampati, Silvampatti Ramasamy Sundararajan, Abayo Remy Patrick, Juvenal Nshimirimana, Pisit Lertwanich, Michael Opoku, Thana Buranapuntaruk, Leonardo Addeo Ramos, Hui Hoi Po James, Terence D'Souza, Alberto Grassi, Mohammad Razi, Jaime Marino, Manuel Mqsquera, Johannes Barth, Dinshaw N Pardiwala, Yusheng Li, Wenfeng Xiao, Yilin Xiong, Pan Liu, Liu Yang, Panghu Zhou, Yan Xu, Xizhuang Bai, Tengbo Yu, Chunbao Li, Licheng Wei, Liangjun Li, Juan Wang, Decheng Shao, Zhenpeng Guan, Xuesong Dai, Jingmin Huang, Jian Li, Weiping Li, Guangji Wang, Bing Yue, Zhizeng Gao, Lin Guo, Yinghui Hua, Meng Wu, Jing Wang, Xiaofei Zheng, Lunhao Bai, Jiwu Chen, Weihong Zhu, Qichun Zhao, Weiguo Zhang, Zhiwei Chen, Xiaochun Wei, Wei Lu, Ziquan Yang, Qingjun Wei, Liaobin Chen, Songcen Lv, Ning Liu, Yongsheng Xu, Yanlin Li, Xuesong Wang, Hui Zhang, Weidong Xu, Qing Jiang, Tianlong Huang, Jiakuo Yu, Jiang Zheng, Keyuan Zhang, Jianquan Wang, Guanghua Lei\",\"doi\":\"10.1097/JS9.0000000000002416\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. 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Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement).</p><p><strong>Results: </strong>The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations.</p><p><strong>Conclusion: </strong>Consensus was reached on 11 statements regarding three aspects of PCL injury management. 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引用次数: 0
摘要
背景：后交叉韧带（PCL）损伤是一种相对常见的肌肉骨骼疾病。然而，目前对此类损伤的决策、治疗和术后管理缺乏共识。目的：应用改进的德尔菲法对PCL损伤的处理达成专家共识。方法：检索PubMed、Cochrane Library、Embase和Web of Science截至2024年10月17日的文献，以支持推荐声明的制定。由来自骨科和运动医学的90名经验丰富的临床医生组成的专家小组参加了两轮德尔菲过程。每个陈述分为两部分进行评估：第一部分评估内容适当性（7-9分表示适当，4-6分表示可能适当），第二部分评估一致性（5-9分表示同意）。结果：专家组成员使用德尔菲过程制定了11项声明，涉及以下主题：(1)临床决策，(2)治疗，(3)PCL损伤的术后管理。最终就11项声明达成共识，我们最终将这些声明翻译成相应的专家建议表。结论：就PCL损伤处理的三个方面达成了11项共识。这些发现为制定基于证据的指南提供了基础，这些指南可以增强临床决策，改进治疗策略，并优化PCL损伤患者的术后护理。
Management of Posterior Cruciate Ligament Injuries: An Expert Consensus from 17 Countries.
Background: Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries.
Objectives: To use the modified Delphi method to reach expert consensus on the management of PCL injury.
Methods: A literature search of PubMed, Cochrane Library, Embase, and Web of Science for articles up to 17 October 2024, to support the development of recommendation statements. An Expert Panel of 90 experienced clinicians from orthopaedics and sports medicine participated in a two-round Delphi process. Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement).
Results: The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations.
Conclusion: Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with PCL injuries.
期刊介绍：
The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.
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