Large variability exists in the management of posterolateral corner injuries in the global surgical community
Por:
Gelber, PE, Drager, J, Maheshwer, B, Leyes, M, Barenius, B, Robinson, J, Pujol, N, Tischer, T, Margheritini, F, Fritsch, B, Frosh, KH, Chahla, J
Publicada:
1 jul 2020
Ahead of Print:
1 abr 2020
Resumen:
Purpose The management of posterolateral corner (PLC) injuries has significantly evolved over the past 2 decades. The purpose of this study was to determine the current worldview of key concepts on the diagnosis, treatment strategy, and rehabilitation for patients presenting with PLC injuries. Methods A 12-question multiple-choice online survey was designed to address key questions in the diagnosis, treatment, and rehabilitation of PLC injuries. The survey was distributed to the most important international sports medicine societies worldwide. Clinical agreement was defined as > 80% of agreement in responses and general agreement was defined as > 60% of agreement in responses. Results 975 surgeons completed the survey with 49% from Europe, 21% from North America, 12% from Latin America, 12% from Asia, and smaller percentages from Africa and Oceania. Less than 14% of respondents manage more than ten PCL injuries yearly. Clinical agreement of > 80% was only evident in the use of MRI in the diagnosis of PLC injury. Responses for surgical treatment were split between isometric fibular-based reconstruction techniques and anatomically based fibular and tibial-based reconstructions. A general agreement of > 60% was present for the use of a post-operative brace in the early rehabilitation. Conclusion In the global surgical community, there remains a significant variability in the diagnosis, treatment, and postoperative management of PLC injuries. The number of PLC injuries treated yearly by most surgeons remains low. As global clinical consensus for PLC remains elusive, societies will need to play an important role in the dissemination of evidence-based practices for PLC injuries.
Filiaciones:
Gelber, PE:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Orthopaed Surg, St Quinti 89, Barcelona 08041, Spain
Univ Autonoma Barcelona, ICATME Inst Univ Dexeus, Barcelona, Spain
Drager, J:
Rush Univ, Div Sports Med, Med Ctr, Dept Orthopaed Surg, Chicago, IL 60612 USA
Maheshwer, B:
Rush Univ, Div Sports Med, Med Ctr, Dept Orthopaed Surg, Chicago, IL 60612 USA
Leyes, M:
Clin CEMTRO, Madrid, Spain
Barenius, B:
Karolinska Inst, Stockholm South Hosp, Stockholm, Sweden
Robinson, J:
Avon Orthopaed Ctr, Bristol, Avon, England
Pujol, N:
Ctr Hosp Versailles, Le Chesnay, France
Tischer, T:
Univ Rostock, Rostock, Germany
Margheritini, F:
Univ Rome Foro Italico, Rome, Italy
Fritsch, B:
Sydney Orthopaed Res Inst, Sydney, NSW, Australia
Frosh, KH:
Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany
Chahla, J:
Rush Univ, Div Sports Med, Med Ctr, Dept Orthopaed Surg, Chicago, IL 60612 USA
Rush Univ, Med Ctr, Chicago, IL 60612 USA
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