后交叉韧带损伤的管理：来自17个国家的专家共识
Management of posterior cruciate ligament injuries: an expert consensus from 17 countries.
作者信息
Gao Shuguang, Meng Jiahao, Zeng Chao, Monllau Joan C, LaPrade Robert F, Taft Timothy N, Berg Jeffrey H, Medvecky Michael J, Stone Kevin R, Scarcella Michael J, Cordasco Frank A, Wolf Brian R, Richter Dustin L, Rodeo Scott A, Hewett Timothy E, Levy Bruce A, Pace James Lee, Anand Bobby, Picinini Filippo, D'Ambrosi Riccardo, Sconfienza Luca Maria, Farinelli Luca, Chernchujit Bancha, Stålman Anders, Gilad Amit, Kambhampati Srinivas B S, Sundararajan Silvampatti Ramasamy, Patrick Abayo Remy, Nshimirimana Juvenal, Lertwanich Pisit, Opoku Michael, Buranapuntaruk Thana, Ramos Leonardo Addeo, James Hui Hoi Po, D'Souza Terence, Grassi Alberto, Razi Mohammad, Mariño Jaime, Mosquera Manuel, Barth Johannes, Pardiwala Dinshaw N, Li Yusheng, Xiao Wenfeng, Xiong Yilin, Liu Pan, Yang Liu, Zhou Panghu, Xu Yan, Bai Xizhuang, Yu Tengbo, Li Chunbao, Wei Licheng, Li Liangjun, Wang Juan, Shao Decheng, Guan Zhenpeng, Dai Xuesong, Huang Jingmin, Li Jian, Li Weiping, Wang Guangji, Yue Bing, Gao Zhizeng, Guo Lin, Hua Yinghui, Wu Meng, Wang Jing, Zheng Xiaofei, Bai Lunhao, Chen Jiwu, Zhu Weihong, Zhao Qichun, Zhang Weiguo, Chen Zhiwei, Wei Xiaochun, Lu Wei, Yang Ziquan, Wei Qingjun, Chen Liaobin, Lv Songcen, Liu Ning, Xu Yongsheng, Li Yanlin, Wang Xuesong, Zhang Hui, Xu Weidong, Jiang Qing, Huang Tianlong, Yu Jiakuo, Zheng Jiang, Zhang Keyuan, Wang Jianquan, Lei Guanghua
机构信息
Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Key Laboratory of Aging-related Bone and Joint Diseases Prevention and Treatment, Ministry of Education, Xiangya Hospital, Central South University, Changsha, China.
出版信息
Int J Surg. 2025 Jun 1;111(6):4080-4085. doi: 10.1097/JS9.0000000000002416. Epub 2025 Apr 25.
BACKGROUND
Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries.
OBJECTIVES
To use the modified Delphi method to reach expert consensus on the management of PCL injury.
METHODS
A literature search of PubMed, Cochrane Library, Embase, and Web of Science for articles up to 17 October 2024, to support the development of recommendation statements. An Expert Panel of 90 experienced clinicians from orthopedics and sports medicine participated in a two-round Delphi process. Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement).
RESULTS
The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations.
CONCLUSION
Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with PCL injuries.
背景
后交叉韧带（PCL）损伤是一种相对常见的肌肉骨骼疾病。然而，目前对于此类损伤的决策制定、治疗及术后管理缺乏共识。
目的
运用改良德尔菲法就PCL损伤的管理达成专家共识。
方法
在PubMed、Cochrane图书馆、Embase和科学网中检索截至2024年10月17日的文章，以支持推荐声明的制定。一个由90名来自骨科和运动医学领域的经验丰富的临床医生组成的专家小组参与了两轮德尔菲过程。每个声明分两部分进行评估：第一部分评估内容的适当性（7 - 9分表示适当，4 - 6分表示可能适当），而第二部分评估一致性（5 - 9分表示一致）。
结果
专家小组成员通过德尔菲过程制定了11条声明，涉及以下主题：（1）临床决策，（2）治疗，以及（3）PCL损伤的术后管理。就11条声明达成了最终共识，我们最终将这些声明转化为相应的专家推荐表。
结论
就PCL损伤管理的三个方面的11条声明达成了共识。这些发现为制定循证指南奠定了基础，该指南可加强临床决策、改善治疗策略并优化PCL损伤患者的术后护理。
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