TY - JOUR
T1 - Posterolateral corner of the knee
T2 - an expert consensus statement on diagnosis, classification, treatment, and rehabilitation
AU - Chahla, Jorge
AU - Murray, Iain R.
AU - Robinson, James
AU - Lagae, Koen
AU - Margheritini, Fabrizio
AU - Fritsch, Brett
AU - Leyes, Manuel
AU - Barenius, Björn
AU - Pujol, Nicolas
AU - Engebretsen, Lars
AU - Lind, Martin
AU - Cohen, Moises
AU - Maestu, Rodrigo
AU - Getgood, Alan
AU - Ferrer, Gonzalo
AU - Villascusa, Silvio
AU - Uchida, Soshi
AU - Levy, Bruce A.
AU - Von Bormann, Richard
AU - Brown, Charles
AU - Menetrey, Jacques
AU - Hantes, Michael
AU - Lording, Timothy
AU - Samuelsson, Kristian
AU - Frosch, Karl Heinz
AU - Monllau, Juan Carlos
AU - Parker, David
AU - LaPrade, Robert F.
AU - Gelber, Pablo E.
N1 - Publisher Copyright:
© 2018, European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
PY - 2019/8/1
Y1 - 2019/8/1
N2 - 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.
AB - 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.
KW - Consensus
KW - Expert
KW - Knee
KW - Lateral collateral ligament
KW - Popliteus
KW - Posterolateral corner
KW - Reconstruction
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U2 - 10.1007/s00167-018-5260-4
DO - 10.1007/s00167-018-5260-4
M3 - Article
C2 - 30478468
AN - SCOPUS:85057338032
SN - 0942-2056
VL - 27
SP - 2520
EP - 2529
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
IS - 8
ER -