Evidence map›Paper›PMID 40277372›Full record

ArticleInternational journal of surgery (London, England)2025

Management of posterior cruciate ligament injuries: an expert consensus from 17 countries.

Shuguang Gao, Jiahao Meng, Chao Zeng, Joan C Monllau, Robert F LaPrade, Timothy N Taft, Jeffrey H Berg, Michael J Medvecky, Kevin R Stone, Michael J Scarcella and 83 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. [Research progress on enhanced recovery after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
  3. Article
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

93 authors.

Shuguang GaoDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID 0000-0003-1135-7876
Jiahao MengDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Chao ZengDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Joan C MonllauDepartment of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, Universitat Autònoma de Barcelona, Barcelona, Spain.
Robert F LaPradeComplex Knee Surgeon, Twin Cities Orthopedics, Edina, Minnesota, USA.
Timothy N TaftUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Jeffrey H BergSports medicine and arthroscopic surgery, Town Center Orthopaedic Associates, Reston, Virginia, USA.
Michael J MedveckyOrthopaedic Surgery,Yale School of Medicine, New Haven, Connecticut, USA.
Kevin R StoneThe Stone Clinic, San Francisco, California, USA.
Michael J ScarcellaDepartment of Sports Medicine, Cleveland Clinic, Garfield Heights, Ohio, USA.
Frank A CordascoHospital for Special Surgery, New York, New York, USA.
Brian R WolfUniversity of Iowa, UI Sports Medicine, Iowa City, Iowa, USA.
Dustin L RichterUniversity of New Mexico Health Sciences Center, 1 University of New Mexico, Albuquerque, New Mexico, USA.
Scott A RodeoDepartment of Orthopaedic Surgery, Hospital for Special Surgery,Sports Medicine Institute, New York, New York, USA.
Timothy E HewettDepartment of Orthopaedic Surgery, Marshall University, Huntington, West Virginia, USA.
Bruce A LevyOrlando Health Jewett Orthopedic Institute, Orlando, Florida, USA.
James Lee PaceChildren's Health-Andrews Institute, Plano, Texas, USA.
Bobby AnandSouth West London Elective Orthopaedic Centre (SWLEOC), Epsom, UK.
Filippo PicininiFaculty of Sport, Technology and Health Sciences, St Marys University, Twickenham, London, UK.
Riccardo D'AmbrosiIRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
Luca Maria SconfienzaIRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
Luca FarinelliClinical Orthopaedics, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy.
Bancha ChernchujitDepartment of Orthopedics, Faculty of Medicne, Thammasat University, Pathum Thani, Thailand.
Anders StålmanDepartment of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden.
Amit GiladDepartment of Orthopaedic Surgery, Shamir Assaf Harofeh Medical Center, Be'er Ya'akov, Israel.
Srinivas B S KambhampatiSri Dhaatri Orthopaedic, Maternity & Gynaecology Center, SKDGOC, Vijayawada, Andhra Pradesh, India.
Silvampatti Ramasamy SundararajanDepartment of Arthroscopy and Sports Medicine, Ganga Medical center &Hospital, Coimbatore, India.
Abayo Remy PatrickKicukiro District, Kigali city, Rwanda.
Juvenal NshimirimanaTenga district, Bujumbura city, Burundi.
Pisit LertwanichDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Michael OpokuAs. 36, Block B, Nyame Na Aye Street, Asotwe, Ejisu Municipality, Kumasi-Ashanti, Ghana.
Thana BuranapuntarukDepartment of Orthopedics, Chaoprayayomraj Hospital, Suphanburi, Thailand.
Leonardo Addeo RamosSports Medicine Center, Federal University of Sao Paulo, São Paulo, Brazil.
Hoi Po James HuiDepartments of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Singapore.
Terence D'SouzaDepartment of Arthroscopy and Sports Medicine, Ganga Medical Center & Hospital Pvt Ltd, Coimbatore, Tamil Nadu, India.
Alberto GrassiIstituto Ortopedico Rizzoli, Bologna, Italy.
Mohammad RaziIran University of Medical Sciences, IUMS, Iran.
Jaime MariñoPontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.
Manuel MosqueraClinica La Carolina, Bogota, Colombia.
Johannes BarthCentre Ostéo Articulaire des Cèdres, Echirolles, France.
Dinshaw N PardiwalaCentre for Sports Medicine, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
Yusheng LiDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wenfeng XiaoDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yilin XiongDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Pan LiuDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Liu YangDepartment of Orthopedics, Chongqing General Hospital, Chongqing University, Chongqing, China.
Panghu ZhouDepartment of Orthopedics, Renmin Hospital of Wuhan University, Wuhan University, Wuhan, Hubei, China.
Yan XuDepartment of Sports Medicine, Peking University Third Hospital, Peking University, Beijing, China.
Xizhuang BaiDepartment of Sports Medicine and Joint Surgery, The People's Hospital of Liaoning Province, Shenyang, Liaoning, China.
Tengbo YuDepartment of Orthopedic Surgery, Qingdao Hospital of University of Health and Rehabilitation Science (Qingdao Municipal Hospital), Qingdao, Shandong, China.
Chunbao LiDepartment of Sports Medicine, The Fourth Center of the PLA General Hospital, Beijing, China.
Licheng WeiDepartment of Orthopedics, the fourth hospital of Changsha, Changsha, Hunan, China.
Liangjun LiDepartment of Sports Medicine, The Affiliated Changsha Central Hospital, University of South China, Changsha, Hunan, China.
Juan WangDepartment of Joint Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, China.
Decheng ShaoDepartment of Sports Medicine, Hebei Medical University Third Hospital. Shijiazhuang, Hebei, China.
Zhenpeng GuanDepartment of Orthopedics, Peking University Shougang Hospital, Peking University, Beijing, China.
Xuesong DaiDepartment of Orthopedics, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jingmin HuangDepartment of sports injury and arthroscopy, Tianjin hospital, Tianjin University, Tianjin, China.
Jian LiSports Medicine Center, Orthopedic Department, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Weiping LiDepartment of Sports medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Guangji WangDepartment of Sports Medicine, Hainan Provincial People's Hospital, Haikou, Hainan, China.
Bing YueDepartment of Bone and Joint Surgery, Shanghai Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Zhizeng GaoDepartment of Sports Medicine of Orthopedic Hospital, The First Affiliated Hospital of Nanchang university. Nanchang, Jiangxi, China.
Lin GuoSports Medicine Center, Southwest Hospital, Army Military Medical University, Chongqing, China.
Yinghui HuaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Meng WuDepartment of Orthopaedics, Lanzhou University Second Hospital, Lanzhou, Gansu, China.
Jing WangDepartment of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Xiaofei ZhengDepartment of Sports Medicine, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Speed Capability, The Guangzhou Key Laboratory of Precision Orthopedics and Regenerative Medicine, Jinan University, Guangzhou, Guangdong, China.
Lunhao BaiDepartment of Orthopedic Surgery, Shengjing Hospital of China Medical University, shenyang, Liaoning, China.
Jiwu ChenDepartment of Sports Medicine, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China.
Weihong ZhuDepartment of Orthopaedics, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Qichun ZhaoDepartment of Sports Medicine, First Affliated Hospital of University of Science and Technology of China, HeFei, Anhui, China.
Weiguo ZhangDepartment of Sports Medicine, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Zhiwei ChenDepartment of Orthopaedics, First Affiliated Hospital of Hengyang Medical College, University of South China, Hengyang, Hunan, China.
Xiaochun WeiDepartment of Orthopaedics, The second hospital. Shanxi Medical University, Taiyuan, Shanxi, China.
Wei LuSouthern Medical University Shenzhen Hospital, Shenzhen, China.
Ziquan YangDepartment of Orthopaedics, The first hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Qingjun WeiDepartment of Joint Surgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China.
Liaobin ChenDepartment of Orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Songcen LvDepartment of Joint and Sports Medicine, The Second affiliated hospital of Harbin medical university, Harbin, China.
Ning LiuDepartment of Sports medicine, Zhengzhou Orthopaedic hospital, Henan, China.
Yongsheng XuOrthopedic Center (Sports Medicine Center), Inner Mongolia Autonomous Region People's Hospital, Hohhot, Inner Mongolia Autonomous Region, China.
Yanlin LiDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Xuesong WangDepartment of Sports medicine, Beijing Jishuitan hospital, Beijing, China.
Hui ZhangDepartment of Sports medicine, Beijing Jishuitan hospital, Beijing, China.
Weidong XuDepartment of Orthopaedics, Changhai Hospital, the Navy Military Medical University, China.
Qing JiangDivision of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Tianlong HuangDepartment of Orthopaedics, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jiakuo YuOrthopaedic and Sports Medicine Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Changping District, Beijing, China.
Jiang ZhengDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.
Keyuan ZhangDepartment of Sports Medicine, First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang, China.
Jianquan WangDepartment of Sports Medicine, Peking University Third Hospital, Peking University, Beijing, China.
Guanghua LeiDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID 0000-0003-2987-138

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosterior 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.

objectivesTo use the modified Delphi method to reach expert consensus on the management of PCL injury.

methodsA 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).

resultsThe 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.

conclusionConsensus 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.

Indexed as

Knee InjuriesPosterior Cruciate LigamentClinical Decision-MakingConsensusDelphi TechniqueHumansconsensusdiagnosisposterior cruciate ligamenttreatment

Identifiers

PMID40277372
PMCPMC12165477

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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.