ACL consensus on treatment, outcome, and return to sport
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EDITORIAL
ACL consensus on treatment, outcome, and return to sport Benjamin B. Rothrauff1 · Jon Karlsson2 · Volker Musahl1 · James J. Irrgang1 · Freddie H. Fu1 Received: 25 May 2020 / Accepted: 2 June 2020 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020
Beginning in 1986, the University of Pittsburgh Department of Orthopaedic Surgery has hosted the Panther Symposium as a consortium of international sports medicine experts, with a particular focus on the management of anterior cruciate ligament (ACL) injury. While the Panther Symposium is now well into its fourth decade of existence, each meeting has sought broad perspective to foster communication and collaboration, encourage scientific exploration, build consensus, and, ultimately, improve patient care. It was in this rich tradition that an international, multidisciplinary group of ACL clinical and research experts collaborated in a consensus-building effort that culminated in the ACL Consensus Meeting Panther Symposium 2019 held on June 5–7, 2019, at the University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania, USA. The symposium was organized around three areas of ACL injury controversy, including (1) treatment, (2) clinical outcomes, and (3) return to sport (RTS). The three resulting consensus papers are found in this issue of Knee Surgery, Sports Traumatology, and Arthroscopy [1–3]. The consensus-building effort began 1 year prior to the 2019 ACL Consensus Meeting and utilized a process based on the modified Delphi method. Sixty-six international experts on the management of ACL injuries, representing 18 countries and 6 continents, were assigned to one or more consensus groups on the aforementioned three themes. Proposed consensus statements organized across the three themes were drafted by the Scientific Organizing Committee and Session Chairs. Consensus group members completed an Internet-based survey to indicate agreement or disagreement and to provide feedback on the statements. After 2 days * Benjamin B. Rothrauff [email protected] 1
Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, 3200 S. Water St., Pittsburgh, PA 15203, USA
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
2
of evidence-based presentations by symposium members attending the ACL Consensus Meeting, the second round of the modified Delphi process was held as a structured session where each statement generated from the Internet-based survey was discussed and revised, after which a final vote was then held. Eighty percent agreement was defined a-priori to constitute consensus. Statements that did not reach 80% agreement were reported as such. Two liaisons assigned to each theme documented the discussion, revised each statement at the requests of the consensus group, and completed a literature review of MEDLINE to be included in support (or contradiction) of the finalized statements. A summary of the fi
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