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ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

Management after acute injury of the anterior cruciate ligament (ACL), part 2: management of the ACL-injured patient.

Wolf Petersen, Martin Häner, Daniel Guenther, Patricia Lutz, Andreas Imhoff, Mirco Herbort, Thomas Stein, Christian Schoepp, Ralph Akoto, Jürgen Höher and 13 more

Abstract readReview
PubMed Publisher
In one paragraph

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 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Non-operative Management of Acute Knee Injuries.Current reviews in musculoskeletal medicine · 2024
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  17. Management after acute injury of the anterior cruciate ligament (ACL), part 2: management of the ACL-injured patient.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Wolf Petersen *Department of Orthopedics, Sportsclinic Berlin, Martin Luther Hospital, Caspar-Theyß-Straße 27-31, 14193, Berlin-GrunewaldBerlin, Germany.
Martin Häner *Department of Orthopedics, Sportsclinic Berlin, Martin Luther Hospital, Caspar-Theyß-Straße 27-31, 14193, Berlin-GrunewaldBerlin, Germany. martin.haener@jsd.de.
Daniel GuentherDepartment of Orthopaedic Surgery, Trauma Surgery, and Sports Medicine Cologne Merheim Medical Center (Witten/Herdecke University), Ostmerheimer Str. 200, 51109, Cologne, Germany.
Patricia LutzDepartment of Orthopaedics and Trauma Surgery, State Hospital Feldkirch, Carinagasse 41, 6800, Feldkirch, Austria.
Andreas ImhoffDepartment for Orthopedic Sports Medicine, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Mirco HerbortOCM Clinic Munich, Steinerstrasse 6, 81369, Munich, Germany.
Thomas SteinSPORTHOLOGICUM® Frankfurt Am Main, Siesmayerstraße 44, 60323, Frankfurt Am Main, Germany.
Christian SchoeppDepartment of Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Klinikum, Duisburg gGmbH, Großenbaumer Allee 250, 47249, Duisburg, Germany.
Ralph AkotoDepartment of Trauma and Orthopaedic Surgery, Sports Traumatology, BG Hospital Hamburg, Hamburg, Germany.
Jürgen HöherSPORTSCLINIC COLOGNE, Ostmerheiemer Str. 200, 51109, Cologne, Germany.
Sven SchefflerSporthopaedicum Berlin, Bismarckstrasse 45-47, 10627, Berlin, Germany.
Amelie StöhrOCM Clinic Munich, Steinerstrasse 6, 81369, Munich, Germany.
Thomas StoffelsOC Stadtmitte, Friedrichstraße 63, 10117, Berlin, Germany.
Julian MehlDepartment for Orthopedic Sports Medicine, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Tobias JungCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, Berlin, Germany.
Christian EberleARCUS Sports Clinic, Rastatter Str. 17-19, 75179, Pforzheim, Germany.
Cara VernacchiaDepartment of Physical Medicine and Rehabilitation, Shirley Ryan Ability Lab, Chicago, IL, USA.
Andree EllermannARCUS Sports Clinic, Rastatter Str. 17-19, 75179, Pforzheim, Germany.
Matthias KrauseDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Natalie MengisARCUS Sports Clinic, Rastatter Str. 17-19, 75179, Pforzheim, Germany.
Peter E MüllerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Raymond BestDepartment of Orthopaedic and Sports Trauma Surgery, Sportklinik Stuttgart, Taubenheimstraße 8, 70372, Stuttgart, Germany.
Andrea AchtnichDepartment for Orthopedic Sports Medicine, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this consensus project was to create a treatment algorithm for the management of the ACL-injured patient which can serve as an aid in a shared decision-making process.

methodsFor this consensus process, a steering and a rating group were formed. In an initial face-to-face meeting, the steering group, together with the expert group, formed various key topic complexes for which various questions were formulated. For each key topic, a structured literature search 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. Sufficient consensus was defined as 80% agreement.

resultsDuring this consensus process, 15 key questions were identified. The literature search for each key question resulted in 24 final statements. Of these 24 final statements, all achieved consensus.

conclusionsThis consensus process has shown that ACL rupture is a complex injury, and the outcome depends to a large extent on the frequently concomitant injuries (meniscus and/or cartilage damage). These additional injuries as well as various patient-specific factors should play a role in the treatment decision. The present treatment algorithm represents a decision aid within the framework of a shared decision-making process for the ACL-injured patient. LEVEL OF EVIDENCE: Level V.

Indexed as

Anterior Cruciate Ligament InjuriesKnee InjuriesMeniscusAnterior Cruciate LigamentHumansACL reconstructionMedial collateral ligamentMeniscusMeniscus repairShared decision-making

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.