Management after acute injury of the anterior cruciate ligament (ACL). Part 3: Recommendation on surgical treatment

Martin Häner, Thomas Stoffels, Daniel Guenther, Thomas Pfeiffer, Andreas Imhoff, Mirco Herbort, Thomas Stein, Christian Schoepp, Ralph Akoto, Jürgen Höher, Sven Scheffler, Amelie Stöhr, Julian Mehl, Daniel Niederer, Tobias Jung, Christoph Kittl, Christian Eberle, Cara Vernacchia, Andree Ellermann, Philipp Johannes BraunMatthias Krause, Natalie Mengis, Peter E. Müller, Raymond Best, Andrea Achtnich, Wolf Petersen

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: The aim of this consensus project was to give recommendations regarding surgical treatment of the anterior cruciate ligament (ACL) injured patient. Methods: For this consensus process, an expert, steering and rating group was formed. In an initial online meeting, the steering group, together with the expert group, formed various key topic complexes for which multiple questions were formulated. For each key topic, a structured literature search was performed by the steering group. The results of the literature review were sent to the rating group with the option to give anonymous comments until a final consensus voting was performed. Sufficient consensus was defined as 80% agreement. Results: During this consensus process, 30 topics regarding the surgical management and technique of ACL reconstruction were identified. The literature search for each key question resulted in 30 final statements. Of these 30 final statements, all achieved consensus. Conclusions: This consensus process has shown that surgical treatment of ACL injury is a complex process. Various surgical factors influence patient outcomes. The proposed treatment algorithm can be used as a decision aid for the surgeon. Level of Evidence: Level V.

Original languageEnglish
Pages (from-to)223-234
Number of pages12
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume32
Issue number2
DOIs
StatePublished - Feb 2024

Keywords

  • ACL injury
  • anatomic ACL reconstruction
  • knee
  • knee ligament
  • medial portal drilling

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