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Diagnosis and treatment of anterior cruciate ligament injuries: Consensus of Chinese experts part II: Graft selection and clinical outcome evaluation.
Chen, Tianwu; Bai, Xizhuang; Bai, Lunhao; Chan, Wai Sin; Chen, Shiyi; Chen, Chen; Chen, Jiwu; Chen, Liaobin; Dai, Guofeng; Gao, Zhizeng; Guo, Yang; Hu, Yong; Hu, Ning; Huang, Huayang; Huang, Xunwu; Huang, Xuan; Huang, Jingmin; Kang, Yifan; Lee, Hung Maan; Li, Hongyun; Li, Yunxia; Li, Jin; Li, Kuanxin; Li, Yanlin; Li, Jian; Li, Qi; Lin, Ruixin; Liu, Xinwei; Liu, Ning; Lü, Wei; Lü, Hongbin; Ma, Xiaogang; Mi, Kun; Qi, Zhiming; Sun, Luning; Tao, Jun; Teng, Xueren; Wang, Xuesong; Wang, Jianquan; Wang, Kai; Wang, Fei; Wang, Hong; Wang, Weiming; Wu, Meng; Xia, Yayi; Xing, Gengyan; Xu, Weidong; Xu, Youjia; Yin, Kun; You, Hongbo.
Afiliação
  • Chen T; Huashan Hospital Fudan University, Shanghai, China.
  • Bai X; Liaoning Provincial People's Hospital, Shenyang, Liaoning Province, China.
  • Bai L; Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
  • Chan WS; Health Bureau of Macau Special Administrative Region Government, Macau Special Administrative Region, China.
  • Chen S; Huashan Hospital Fudan University, Shanghai, China.
  • Chen C; Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
  • Chen J; The First Affiliated Hospital of Shanghai Jiao Tong University, Shanghai, China.
  • Chen L; Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
  • Dai G; Qilu Hospital of Shandong University, Jinan, Shandong Province, China.
  • Gao Z; The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
  • Guo Y; The First Affiliated Hospital of Xiamen University, Xiamen, Fujian Province, China.
  • Hu Y; Sichuan Provincial Orthopedic Hospital, Chengdu, Sichuan Province, China.
  • Hu N; The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Huang H; General Hospital of the Southern Theater Command of the People's Liberation Army, Guangzhou, Guangdong Province, China.
  • Huang X; The Eighth Medical Center of the Chinese People's Liberation Army General Hospital, Beijing, China.
  • Huang X; Changhai Hospital, Naval Medical University, Shanghai, China.
  • Huang J; Tianjin Hospital, Tianjin University, Tianjin, China.
  • Kang Y; Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China.
  • Lee HM; Hualien Tzu Chi Medical Center, Hualien City, Taiwan, China.
  • Li H; Huashan Hospital Fudan University, Shanghai, China.
  • Li Y; Huashan Hospital Fudan University, Shanghai, China.
  • Li J; Ningbo Medical Center LiHuiLi Hospital, Ningbo, Zhejiang Province, China.
  • Li K; The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui Province, China.
  • Li Y; The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
  • Li J; West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
  • Li Q; West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
  • Lin R; Renji Hospital, Shanghai Jiao Tong University, Shanghai, China.
  • Liu X; General Hospital of the Northern Theater Command of the People's Liberation Army, Shenyang, Liaoning Province, China.
  • Liu N; Zhengzhou Orthopedics Hospital, Zhengzhou, Henan Province, China.
  • Lü W; Heilongjiang Provincial Hospital, Harbin, Heilongjiang Province, China.
  • Lü H; Xiangya Hospital Central South University, Changsha, Hunan Province, China.
  • Ma X; Tibet Autonomous Region People's Hospital, Lhasa, Tibet Autonomous Region, China.
  • Mi K; Guangxi International Zhuang Medicine Hospital, Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, China.
  • Qi Z; Dalian Orthopedic Hospital, Dalian, Liaoning Province, China.
  • Sun L; Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
  • Tao J; The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
  • Teng X; Qingdao Municipal Hospital, Qingdao, Shandong Province, China.
  • Wang X; Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
  • Wang J; Peking University Third Hospital, Beijing, China.
  • Wang K; Qinghai Provincial People's Hospital, Xining, Qinghai Province, China.
  • Wang F; The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.
  • Wang H; Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
  • Wang W; Xinhua Hospital Affiliated to Dalian University, Dalian, Liaoning Province, China.
  • Wu M; The Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
  • Xia Y; The Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
  • Xing G; The Third Medical Center of the Chinese People's Liberation Army General Hospital, Beijing, China.
  • Xu W; Changhai Hospital, Naval Medical University, Shanghai, China.
  • Xu Y; The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
  • Yin K; The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.
  • You H; Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
J Orthop Translat ; 48: 163-175, 2024 Sep.
Article em En | MEDLINE | ID: mdl-39257437
ABSTRACT

Background:

In the recent decade, there has been substantial progress in the technologies and philosophies associated with diagnosing and treating anterior cruciate ligament (ACL) injuries in China. The therapeutic efficacy of ACL reconstruction in re-establishing the stability of the knee joint has garnered widespread acknowledgment. However, the path toward standardizing diagnostic and treatment protocols remains to be further developed and refined.

Objective:

In this context, the Chinese Association of Orthopaedic Surgeons (CAOS) and the Chinese Society of Sports Medicine (CSSM) collaboratively developed an expert consensus on diagnosing and treating ACL injury, aiming to enhance medical quality through refining professional standards.

Methods:

The consensus drafting team invited experts across the Greater China region, including the mainland, Hong Kong, Macau, and Taiwan, to formulate and review the consensus using a modified Delphi method as a standardization approach. As members of the CSSM Lower Limb Study Group and the CAOS Arthroscopy and Sports Medicine Study Group, invited experts concentrated on two pivotal issues "Graft Selection" and "Clinical Outcome Evaluation" during the second part of the consensus development.

Results:

This focused discussion ultimately led to a strong consensus on nine specific consensus terms.

Conclusion:

The consensus clearly states that ACL reconstruction has no definitive "gold standard" graft choice. Autografts have advantages in healing capability but are limited in availability and have potential donor site morbidities; allografts reduce surgical trauma but incur additional costs, and there are concerns about slow healing, quality control issues, and a higher failure rate in young athletes; synthetic ligaments allow for early rehabilitation and fast return to sport, but the surgery is technically demanding and incurs additional costs. When choosing a graft, one should comprehensively consider the graft's characteristics, the doctor's technical ability, and the patient's needs. When evaluating clinical outcomes, it is essential to ensure an adequate sample size and follow-up rate, and the research should include patient subjective scoring, joint function and stability, complications, surgical failure, and the return to sport results. Medium and long-term follow-ups should not overlook the assessment of knee osteoarthritis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Translat Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Translat Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China