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dc.contributor.authorDiermeier, Theresa
dc.contributor.authorRothrauff, Benjamin B
dc.contributor.authorEngebretsen, Lars
dc.contributor.authorLynch, Andrew D
dc.contributor.authorAyeni, Olufemi R
dc.contributor.authorPaterno, Mark V
dc.contributor.authorXerogeanes, John W
dc.contributor.authorFu, Freddie H
dc.contributor.authorKarlsson, Jon
dc.contributor.authorMusahl, Volker
dc.contributor.authorSvantesson, Eleonor
dc.contributor.authorHamrin Senorski, Eric
dc.contributor.authorRauer, Thomas
dc.contributor.authorMeredith, Sean J
dc.date.accessioned2020-10-05T20:08:41Z
dc.date.available2020-10-05T20:08:41Z
dc.date.issued2020-05-09
dc.identifier.urihttp://hdl.handle.net/10713/13833
dc.description.abstractTreatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance toward consensus opinions regarding the best available evidence on operative vs. non-operative treatment for ACL injury. The purpose of this study is to report the consensus statements on operative vs. non-operative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. Sixty-six international experts on the management of ACL injuries, representing 18 countries, were convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the Scientific Organizing Committee and Session Chairs for the three working groups. Panel participants reviewed preliminary statements prior to the meeting and provided the initial agreement and comments on the statement via an online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Eighty percent agreement was defined a-priori as consensus. A total of 11 of 13 statements on operative v. non-operative treatment of ACL injury reached the consensus during the Symposium. Nine statements achieved unanimous support, two reached strong consensus, one did not achieve consensus, and one was removed due to redundancy in the information provided. In highly active patients engaged in jumping, cutting, and pivoting sports, early anatomic ACL reconstruction is recommended due to the high risk of secondary meniscus and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight plane activities, non-operative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability, or when episodes of giving way occur, anatomic ACL reconstruction is indicated. The consensus statements derived from international leaders in the field will assist clinicians in deciding between operative and non-operative treatments with patients after an ACL injury. Level of evidence V.en_US
dc.description.urihttps://doi.org/10.1007/s00167-020-06012-6en_US
dc.description.urihttps://doi.org/10.1007/s00167-020-06280-2en_US
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofKnee Surgery, Sports Traumatology, Arthroscopyen_US
dc.rightsOn September 25, 2020, the author decided to opt for Open Choice and to make the article an Open Access publication. Therefore, the copyright of the article has been changed to © The Author(s) 2020 and the article is forthwith distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.en_US
dc.subjectACL injuryen_US
dc.subjectACL reconstructionen_US
dc.subjectNon-operative treatmenten_US
dc.titleTreatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group.en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.doi10.1007/s00167-020-06012-6
dc.identifier.doi10.1007/s00167-020-06280-2
dc.identifier.pmid32388664
dc.source.volume28
dc.source.issue8
dc.source.beginpage2390
dc.source.endpage2402
dc.source.countryGermany


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