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Treatment after ant...
Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group
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Diermeier, T. (author)
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Rothrauff, B. B. (author)
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- Engebretsen, Lars (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Lynch, A. D. (author)
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- Svantesson, Eleonor (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Hamrin Senorski, Eric, 1989 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
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Rauer, T. (author)
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Meredith, S. J. (author)
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Ayeni, O. R. (author)
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Paterno, M. V. (author)
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Xerogeanes, J. W. (author)
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Fu, F. H. (author)
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- Karlsson, Jon, 1953 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Musahl, V. (author)
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Panther Symposium, A. C. L. Treatment Co (author)
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- English.
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In: Journal of Isakos Joint Disorders & Orthopaedic Sports Medicine. - : Elsevier BV. - 2059-7754. ; 6:3, s. 129-137
- Related links:
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https://jisakos.bmj....
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Treatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance towards consensus opinions regarding the best available evidence on operative versus non-operative treatment for ACL injury. The purpose of this study was to report the consensus statements on operative versus non-operative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. Sixty-six international experts on the management of ACL injuries, representing 18 countries, convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the Scientific Organising Committee and Session Chairs for the three working groups. Panel participants reviewed preliminary statements prior to the meeting and provided initial agreement and comments on the statement via online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Eighty per cent agreement was defined a priori as consensus. A total of 11 of 13 statements on operative veresus non-operative treatment of ACL injury reached consensus during the symposium. Nine statements achieved unanimous support; two reached strong consensus; one did not achieve consensus; and one was removed due to redundancy in the information provided. In highly active patients engaged in jumping, cutting and pivoting sports, early anatomical anterior cruciate ligament reconstruction (ACLR) is recommended due to the high risk of secondary meniscus and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight plane activities, non-operative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability or when episodes of giving way occur, anatomical ACLR is indicated. The consensus statements derived from international leaders in the field will assist clinicians in deciding between operative and non-operative treatment with patients after an ACL injury. Level of evidence: V
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- knee
- anterior cruciate ligament
- meniscal tears
- nonoperative treatment
- decision-making
- knee injuries
- reconstruction surgery
- quadriceps inhibition
- posterolateral corner
- operative treatment
- tibial slope
- pivot shift
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Diermeier, T.
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Rothrauff, B. B.
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Engebretsen, Lar ...
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Lynch, A. D.
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Svantesson, Eleo ...
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Hamrin Senorski, ...
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show more...
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Rauer, T.
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Meredith, S. J.
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Ayeni, O. R.
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Paterno, M. V.
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Xerogeanes, J. W ...
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Fu, F. H.
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Karlsson, Jon, 1 ...
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Musahl, V.
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Panther Symposiu ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
- Articles in the publication
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Journal of Isako ...
- By the university
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University of Gothenburg