Produção Nacional
Revisado por pares
Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction
2022; Elsevier BV; Volume: 8; Issue: 3 Linguagem: Inglês
10.1016/j.jisako.2022.08.007
ISSN2059-7762
AutoresMaximiliano Barahona, Manuel Mosquera, Vitor Barion Castro de Pádua, Hernán Galán, Juan Del Castillo, Sebastián Mejía, Fernando Bacarreza, Olman Araya, André Kühn, Alex Vaisman, Ariel Graieb, Arturo Almazán, Camilo Partezani Helito, Christian Fuentes, Cristian Collazo, Diego Esquivel, Facundo Gigante, Fernando Couto Motta, Germán Ochoa, Gonzalo Arteaga, Gonzalo Ferrer, Guillermo Zvietcovich, Jesús Cardona, Jorge E. Hurtado, Lucio Erlund, Matías Costa Paz, Matías Roby, Nelson Ponzo, Paula Sarmiento, Roberto Yáñez, Santiago Urbieta, Víctor Marques de Olivera, Álvaro Zamorano, Fernando Radice, Lisandro Nardin, Andrés Gelink, Rodrigo Hernández, Ariel de la Rosa, Sebastián Irarrázaval, Franco Cordivani, Sérgio Marinho de Gusmão Canuto, Giovani Gravini,
Tópico(s)Sports injuries and prevention
ResumoTo create a practice guideline for the appropriate indications of an extra-articular procedure in primary anterior cruciate ligament reconstruction (ACLR).The formal consensus method described by the Haute Autorité de Santé was used. The Latin American Society of Arthroscopy, Articular Replacement, and Sports Injuries (SLARD) recruited three groups of experts on ACLR. Initially, the steering group, consisting of eight surgeons, performed a systematic review of the literature and elaborated on 192 scenarios for primary ACLR. The rating group, composed of 23 surgeons, rated each scenario in two rounds, with an in-between in-person meeting for discussion. Median scores and agreement levels were estimated to classify each scenario as inappropriate, uncertain or appropriate for adding anterolateral reconstruction. Finally, the lecture group, consisting of 10 surgeons, revised each stage of the method, results and interpretation.Of the scenarios, 11.97% were rated as appropriate for adding an extra-articular lateral procedure, 7.81% as inappropriate and 80.21% as uncertain. The key recommendations for the addition of extra-articular lateral techniques were as follows: it is appropriate when the patient is under 25 years of age, has high-grade physical examination findings, practises a pivoting sport and has hyperlaxity; meanwhile, it is inappropriate when the patient has low-grade physical examination findings, has normal laxity and does not practise a pivoting sport.The appropriate indications of extra-articular lateral procedures in primary ACLR were determined on the basis of the best available evidence and expert opinion following a formal consensus method.V.
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