Skip to main content
main-content

26.11.2018 | KNEE

Posterolateral corner of the knee: an expert consensus statement on diagnosis, classification, treatment, and rehabilitation

Zeitschrift:
Knee Surgery, Sports Traumatology, Arthroscopy
Autoren:
Jorge Chahla, Iain R. Murray, James Robinson, Koen Lagae, Fabrizio Margheritini, Brett Fritsch, Manuel Leyes, Björn Barenius, Nicolas Pujol, Lars Engebretsen, Martin Lind, Moises Cohen, Rodrigo Maestu, Alan Getgood, Gonzalo Ferrer, Silvio Villascusa, Soshi Uchida, Bruce A. Levy, Richard Von Bormann, Charles Brown, Jacques Menetrey, Michael Hantes, Timothy Lording, Kristian Samuelsson, Karl Heinz Frosch, Juan Carlos Monllau, David Parker, Robert F. LaPrade, Pablo E. Gelber

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 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.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise