| Autor: |
Maximiliano Barahona, Manuel Mosquera, Vitor De Padua, Hernán Galan, Juan Del Castillo, Sebastián Mejias, Fernando Bacarreza, Olman Araya, André Kuhn, Alex Vaisman, Ariel Graieb, Arturo Almazan, Camilo Helito, Christian Fuentes, Cristian Collazo, Diego Esquivel, Facundo Gigante, Fernando Motta, German Ochoa, Gonzalo Arteaga, Gonzalo Ferrer, Guillermo Zvietcovich, Jesús Cardona, Jorge Hurtado, Lucio Erlund, Matías Costa-Paz, Matías Roby, Nelson Ponzo, Paula Sarmiento, Roberto Yáñez, Santiago Urbieta, Víctor Marques de Olivera, Álvaro Zamorano, Fernando Radice, Lisandro Nardin, Andrés Gelink, Rodrigo Hernandez, Ariel de la Rosa, Sebastián Irarrazaval, Franco Cordivani, Sergio Canuto, Giovani Gravini |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of ISAKOS : joint disordersorthopaedic sports medicine. |
| ISSN: |
2059-7762 |
| Popis: |
To create a practice guideline for the appropriate indications of an extra-articular procedure in primary anterior cruciate ligament reconstruction (ACLR).The formal consensus method described by the Haute Autorité de Santé was used. The Latin American Society of Arthroscopy, Articular Replacement, and Sports Injuries (SLARD) recruited three groups of experts on ACLR. Initially, the steering group, consisting of eight surgeons, performed a systematic review of the literature and elaborated on 192 scenarios for primary ACLR. The rating group, composed of 23 surgeons, rated each scenario in two rounds, with an in-between in-person meeting for discussion. Median scores and agreement levels were estimated to classify each scenario as inappropriate, uncertain, or appropriate for adding anterolateral reconstruction. Finally, the lecture group, consisting of 10 surgeons, revised each stage of the method, results, and interpretation.Of the scenarios, 11.97% were rated as appropriate for adding an extra-articular lateral procedure, 7.81% as inappropriate, and 80.21% as uncertain. The key recommendations for the addition of extra-articular lateral techniques were as follows: It is appropriate when the patient is under 25 years of age, has high-grade physical examination findings, practises a pivoting sport, and has hyperlaxity; meanwhile, it is inappropriate when the patient has low-grade physical examination findings, has normal laxity, and does not practise a pivoting sport.The appropriate indications of extra-articular lateral procedures in primary ACLR were determined on the basis of the best available evidence and expert opinion following a formal consensus method.V. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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