Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG). Issue 11 (18th November 2021)
- Record Type:
- Journal Article
- Title:
- Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG). Issue 11 (18th November 2021)
- Main Title:
- Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG)
- Authors:
- Guenther, Daniel
Pfeiffer, Thomas
Petersen, Wolf
Imhoff, Andreas
Herbort, Mirco
Achtnich, Andrea
Stein, Thomas
Kittl, Christoph
Schoepp, Christian
Akoto, Ralph
Höher, Jürgen
Scheffler, Sven
Stöhr, Amelie
Stoffels, Thomas
Mehl, Julian
Jung, Tobias
Ellermann, Andree
Eberle, Christian
Vernacchia, Cara
Lutz, Patricia
Krause, Matthias
Mengis, Natalie
Müller, Peter E.
Patt, Thomas
Best, Raymond - Abstract:
- Background: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined. Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL. Study Design: Consensus statement. Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests. Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements. Conclusion: The results of this modifiedBackground: Different indications and treatment options for combined injuries to the anterior cruciate ligament (ACL) and medial collateral ligament complex (MCL) are not clearly defined. Purpose: To perform a modified Delphi process with the Committee for Ligament Injuries of the German Knee Society (DKG) in order to structure and optimize the process of treating a combined injury to the ACL and MCL. Study Design: Consensus statement. Methods: Scientific questions and answers were created based on a comprehensive literature review using the central registers for controlled studies of Medline, Scopus, and Cochrane including the terms medial collateral ligament, anterior cruciate ligament, MCL, ACL, and outcome used in various combinations. The obtained statements passed 3 cycles of a modified Delphi process during which each was readjusted and rated according to the available evidence (grades A-E) by the members of the DKG Ligament Injuries Committee and its registered guests. Results: The majority of answers, including several questions with >1 graded answer, were evaluated as grade E (n = 16) or C (n = 10), indicating that a low level of scientific evidence was available for most of the answers. Only 5 answers were graded better than C: 3 answers with a grade of A and 2 answers with a grade of B. Only 1 answer was evaluated as grade D. An agreement of >80% (range, 83%-100%) among committee members was achieved for all statements. Conclusion: The results of this modified Delphi process offer a guideline for standardized patient care in cases of combined injuries to the ACL and MCL. … (more)
- Is Part Of:
- Orthopaedic journal of sports medicine. Volume 9:Issue 11(2021)
- Journal:
- Orthopaedic journal of sports medicine
- Issue:
- Volume 9:Issue 11(2021)
- Issue Display:
- Volume 9, Issue 11 (2021)
- Year:
- 2021
- Volume:
- 9
- Issue:
- 11
- Issue Sort Value:
- 2021-0009-0011-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-11-18
- Subjects:
- anterior cruciate ligament -- medial collateral ligament -- consensus statement -- treatment
Sports medicine -- Periodicals
Orthopedics -- Periodicals
Arthroscopy -- Periodicals
Arthroplasty -- Periodicals
Knee -- Surgery -- Periodicals
616.7 - Journal URLs:
- http://www.sagepublications.com/ ↗
- DOI:
- 10.1177/23259671211050929 ↗
- Languages:
- English
- ISSNs:
- 2325-9671
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 18242.xml