ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Management after acute rupture of the anterior cruciate ligament (ACL). Part 1: ACL reconstruction has a protective effect on secondary meniscus and cartilage lesions.
Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Virtual reality-based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function, movement patterns, and dynamic balance: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Changes and Compensatory Gait Mechanisms in Lower Extremity Kinematics in Patients With ACL Rupture: A Cross-sectional Controlled Study.Sports health · 2026Article
- Incidence and geographic mapping of meniscal tears in acute ACL injuries with meticulous posterior arthroscopic evaluation: longitudinal tears at the posterior menisco-capsular junction are the most common tear pattern in acute ACL injuries.Knee surgery & related research · 2026Article
- Treatment of isolated injuries of the posterior cruciate ligament-A 2025 Delphi-based structured expert statement by the ligament injury committee of the German Knee Society.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- High posterior tibial slope is associated with higher failure rates in nonoperative management of primary anterior cruciate ligament injury.Journal of experimental orthopaedics · 2025Article
- Unrepaired ramp lesions are associated with a higher risk of secondary medial meniscus bucket handle tear compared to lateral meniscus bucket handle tear after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Impact of Ligamentous Adhesion to the Posterior Cruciate Ligament on Radiological, Arthroscopic, and Clinical Outcomes One Year After ACL Reconstruction: A Cohort Study :.Galen medical journal · 2025Article
- Needleless graft preparation for anterior cruciate ligament reconstruction with 4-strand semitendinosus autograft: a biomechanical in vitro study using a porcine model.BMC musculoskeletal disorders · 2024Article
- Outcomes >30 Years After Initial Nonoperative Treatment of Anterior Cruciate Ligament Injuries.The American journal of sports medicine · 2024Article
- [Treatment of acute injury of the anterior cruciate ligament : Always only reconstruction?]Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Extracorporeal Shockwave Therapy Improves Outcome after Primary Anterior Cruciate Ligament Reconstruction with Hamstring Tendons.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
22 authors at 14 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this consensus project was to validate which endogenous and exogenous factors contribute to the development of post-traumatic osteoarthritis and to what extent ACL (anterior cruciate ligament) reconstruction can prevent secondary damage to the knee joint. Based on these findings, an algorithm for the management after ACL rupture should be established.
methodsThe consensus project was initiated by the Ligament Injuries Committee of the German Knee Society (Deutsche Kniegesellschaft, DKG). A modified Delphi process was used to answer scientific questions. This process was based on key topic complexes previously formed during an initial face-to-face meeting of the steering group with the expert group. For each key topic, a comprehensive review of available literature was performed by the steering group. The results of the literature review were sent to the rating group with the option to give anonymous comments until a final consensus voting was performed. Consensus was defined a-priori as eighty percent agreement.
resultsOf the 17 final statements, 15 achieved consensus, and 2 have not reached consensus. Results of the consensus were summarized in an algorithm for the management after ACL rupture (infographic/Fig. 2).
conclusionThis consensus process has shown that the development of post-traumatic osteoarthritis is a complex multifactorial process. Exogenous (primary and secondary meniscus lesions) and endogenous factors (varus deformity) play a decisive role. Due to the complex interplay of these factors, an ACL reconstruction cannot always halt post-traumatic osteoarthritis of the knee. However, there is evidence that ACL reconstruction can prevent secondary joint damage such as meniscus lesions and that the success of meniscus repair is higher with simultaneous ACL reconstruction. Therefore, we recommend ACL reconstruction in case of a combined injury of the ACL and a meniscus lesion which is suitable for repair. LEVEL OF EVIDENCE: Level V.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.