Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group

Eleonor Svantesson; Eric Hamrin Senorski; Kate E Webster; Jón Karlsson; Theresa Diermeier; Benjamin B Rothrauff; Sean J Meredith; Thomas Rauer; James J Irrgang; Kurt P Spindler; C Benjamin Ma; Volker Musahl; Panther Symposium ACL Injury Clinical Outcomes Consensus Group

doi:10.1007/s00167-020-06061-x

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Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group

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Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group

Eleonor Svantesson, Eric Hamrin Senorski, Kate E Webster, Jón Karlsson, Theresa Diermeier, Benjamin B Rothrauff, Sean J Meredith, Thomas Rauer, James J Irrgang, Kurt P Spindler, …

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, Vol.28(8), pp.2415-2434

08/2020

DOI: 10.1007/s00167-020-06061-x

PMCID: PMC7429530

PMID: 32767052

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Abstract

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. To establish a standardized approach to 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. 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 PROs and Health-Related Quality of Life questionnaires. In the mid- to long-term follow-up, the presence of osteoarthritis should be evaluated. 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. V.

Quality of Life

Anterior Cruciate Ligament Injuries - surgery

Anterior Cruciate Ligament Reconstruction - adverse effects

Anterior Cruciate Ligament Reconstruction - methods

Athletic Injuries - surgery

Graft Survival

Humans

Osteoarthritis, Knee

Patient Reported Outcome Measures

Postoperative Complications

Recurrence

Surveys and Questionnaires

Treatment Outcome

Details

Title: Subtitle: Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group
Creators: Eleonor Svantesson - Gothenburg Sports and Trauma Research Center, Gothenburg, Sweden. eleonor.svantesson@outlook.com
Eric Hamrin Senorski - Department of Rehabilitation and Health, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Kate E Webster - School of Allied Health, La Trobe University, Melbourne, VIC, Australia
Jón Karlsson - Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden
Theresa Diermeier - Department of Sportorthopedics, Klinikum rechts der Isar Technische Universitat Munchen, Munich, Germany
Benjamin B Rothrauff - UPMC Freddie Fu Sports Medicine Center, Department of Orthopaedic Surgery, University of Pittsburgh, 3200 S Water St, Pittsburgh, 15203, PA, USA
Sean J Meredith - Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA
Thomas Rauer - Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland
James J Irrgang - Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA
Kurt P Spindler - Cleveland Clinic
C Benjamin Ma - University of California, San Francisco
Volker Musahl - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
Panther Symposium ACL Injury Clinical Outcomes Consensus Group
Contributors: Brian R Wolf (Contributor) - University of Iowa, Orthopedics and Rehabilitation
Resource Type: Journal article
Publication Details: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, Vol.28(8), pp.2415-2434
DOI: 10.1007/s00167-020-06061-x
PMID: 32767052
PMCID: PMC7429530
NLM abbreviation: Knee Surg Sports Traumatol Arthrosc
ISSN: 0942-2056
eISSN: 1433-7347
Grant note: DOI: 10.13039/100009026, name: Smith & Nephew; DOI: 10.13039/501100005737, name: UPMC; name: Elizur; name: Artrex; name: Conmed; name: DJO global; name: Mid Atlantic surgical systems; name: RTI surgical; name: BlackRhino Medical
Language: English
Date published: 08/2020
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984294957602771

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