Clinical outcomes after anterior cruciate ligament injury: Panther Symposium ACL Injury Clinical Outcomes Consensus Group. Issue 5 (22nd July 2020)

• Record Type: Journal Article
• Authors: Svantesson, Eleonor; Hamrin Senorski, Eric; Webster, Kate E; Karlsson, Jón; Diermeier, Theresa; Rothrauff, Benjamin B; Meredith, Sean J; Rauer, Thomas; Irrgang, James J; Spindler, Kurt P; Ma, C Benjamin; Musahl, Volker
• Other Names: author non-byline.; Fu Freddie H author non-byline.; Ayeni Olufemi R author non-byline.; Villa Francesco Della author non-byline.; Villa Stefano Della author non-byline.; Dye Scott author non-byline.; Ferretti Mario author non-byline.; Getgood Alan author non-byline.; Järvelä Timo author non-byline.; Kaeding Christopher C author non-byline.; Kuroda Ryosuke author non-byline.; Lesniak Bryson author non-byline.; Marx Robert G author non-byline.; Maletis Gregory B author non-byline.; Pinczewski Leo author non-byline.; Ranawat Anil author non-byline.; Reider Bruce author non-byline.; Seil Romain author non-byline.; Eck Carola van author non-byline.; Wolf Brian R author non-byline.; Yung Patrick author non-byline.; Zaffagnini Stefano author non-byline.; Zheng Minghao author non-byline.
• Is Part Of: Journal of ISAKOS. Volume 5:Issue 5(2020)
• Page Start: 281
• Page End: 294
• Publication Date: 2020-07-22
• Subjects: knee -- anterior cruciate ligament -- ligaments -- knee injuries -- patient outcome assessment; Joints -- Endoscopic surgery -- Periodicals; Osteoarthritis -- Periodicals; Joints -- Diseases -- Periodicals; Total knee replacement -- Periodicals; Sports injuries -- Surgery -- Periodicals; Sports medicine -- Periodicals; 617.472059705
• DOI: 10.1136/jisakos-2020-000494
• Languages: English
• ISSNs: 2059-7754

Abstract

Abstract : Purpose: A stringent outcome assessment is a key aspect for establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. The aim of this consensus statement was to establish what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used and at what follow-up time those outcomes should be assessed. Methods: To establish a standardised assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, PA, USA, in June 2019. The group reached consensus on nine statements by using a modified Delphi method. Results: In general, outcomes after ACL treatment can be divided into four robust categories—early adverse events, patient-reported outcomes, ACL graft failure/recurrent ligament disruption, and clinical measures of knee function and structure. A comprehensive assessment following ACL treatment should aim to provide a complete overview of the treatment result, optimally including the various aspects of outcome categories. For most research questions, a minimum follow-up of 2 years with an optimal follow-up rate of 80% is necessary to achieve a comprehensive assessment. This should include clinical examination, any sustained re-injuries, validated knee-specific patient-reported outcomes and Health-Related Quality of Life questionnaires. In the mid-term to long-term follow-up, the presence of osteoarthritis should be evaluated. Conclusion: This consensus paper provides practical guidelines for how the aforementioned entities of outcomes should be reported and suggests the preferred tools for a reliable and valid assessment of outcome after ACL treatment. Level of Evidence: Level V.