Rehabilitation and return-to-play following knee cartilage injuries-an international Delphi consensus statement

Autor: Samuel G. Lorentz, Eoghan T. Hurley, Richard M. Danilkowicz, Olufemi R. Ayeni, Jason L. Dragoo, Brian C. Lau, Mary K. Mulcahey, Joan C. Monllau, Clayton W. Nuelle, Scott A. Rodeo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Cartilage & Joint Preservation, Vol 4, Iss 3, Pp 100193- (2024)
Druh dokumentu: article
ISSN: 2667-2545
DOI: 10.1016/j.jcjp.2024.100193
Popis: Introduction: Articular cartilage injuries of the knee are a complex and challenging clinical pathology. Objectives: The purpose of this study was to establish consensus statements via a Delphi process on rehabilitation and return to play (RTP) following knee cartilage injuries. Methods: A consensus process on knee cartilage injuries utilizing a modified Delphi technique was conducted. Seventy-nine surgeons across 17 countries participated in these consensus statements. Eleven questions were generated on rehabilitation and RTP, with 3 rounds of questionnaires and final voting occurring. Consensus was defined as achieving 80% to 89% agreement, whereas strong consensus was defined as 90% to 99% agreement, and unanimous consensus was defined as 100% agreement with a proposed statement. Results: Of the 11 total questions and consensus statements on rehabilitation and RTP developed from 3 rounds of voting, 0 achieved unanimous consensus, 2 achieved strong consensus, 4 achieved consensus, and 5 did not achieve consensus. Conclusions: The statements achieving consensus were related to the benefits of early motion and that concomitant procedures may alter the rehabilitation process. RTP following cartilage-related procedures typically follows a rehabilitation guideline largely dependent on the type of cartilage procedure. The statements that did not reach a consensus were related to specific timing to meet goals.
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