Consensus criteria for defining 'successful outcome' after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation.
Consensus criteria for defining 'successful outcome' after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation.
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DOI：
10.1136/bjsports-2013-092299
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发表时间：
2015-03
影响因子：
18.4
通讯作者：
Snyder-Mackler L
中科院分区：
文献类型：
--
作者：
Lynch AD;Logerstedt DS;Grindem H;Eitzen I;Hicks GE;Axe MJ;Engebretsen L;Risberg MA;Snyder-Mackler L
前交叉韧带（ACL）损伤手术和非手术治疗后1年和2年的成功结局没有金标准。这限制了研究人员和临床医生比较和对比干预结果的能力。根据专家对ACL损伤或重建后1年和2年成功结局的定义达成共识。国际运动医学协会的成员，包括美国运动医学骨科学会（AOSSM），欧洲运动创伤学、外科和膝关节镜学会（ESSKA），以及美国物理治疗协会（APTA），通过电子邮件发送了一份调查。使用频率计数分析设盲应答的趋势。计算了总和重要性百分比（SIP），80%的SIP在操作上表示共识。共收到1779份回复。在手术和非手术治疗的6项指标上达成了共识：没有屈服，患者恢复运动，股四头肌和腘绳肌力量大于未受累肢体的90%，患者膝关节积液不超过轻度，以及使用患者报告结局（PRO）。没有一个PRO达成共识，但对于涉及患者性能的PRO，阈值评分在85 - 90之间。共识确定了ACL损伤或重建后成功结局的六项重要措施。这些指标代表了国际功能分类的所有水平;积液、屈服、肌肉力量（身体结构和功能）、PRO（活动和参与）和恢复运动（参与），应纳入这些指标，以便对干预措施进行比较。
No gold standard exists for identifying successful outcomes 1 and 2 years after operative and non-operative management of anterior cruciate ligament (ACL) injury. This limits the ability of researcher and clinicians to compare and contrast results of interventions. to establish a consensus based on expert consensus of measures that define successful outcomes 1 and 2 years after ACL injury or reconstruction. Members of international sports medicine associations, including the American Orthopaedic Society for Sports Medicine (AOSSM), the European Society for Sports Traumatology, Surgery, and Knee Arthroscopy (ESSKA), and the American Physical Therapy Association (APTA), were sent a survey via e-mail. Blinded responses were analyzed for trends with frequency counts. A summed importance percentage (SIP) was calculated and 80% SIP operationally indicated consensus. 1779 responses were obtained. Consensus was achieved for six measures in operative and non-operative management: the absence of giving way, patient return to sports, quadriceps and hamstrings strength greater than 90% of the uninvolved limb, the patient having no more than a mild knee joint effusion, and using patient reported outcomes (PRO). No single PRO achieved consensus, but threshold scores between 85 and 90 were established for PROs concerning patient performance. The consensus identified six measures important for successful outcome after ACL injury or reconstruction. These represent all levels of the International Classification of Functioning; effusion, giving way, muscle strength (body structure and function), PRO (activity and participation), and return to sport (participation) and should be included to allow for comparison between interventions.
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影响因子：
4.8
作者：
Hurd, Wendy J.;Axe, Michael J.;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn
影响因子：
4.8
作者：
Logerstedt, David;Grindem, Hege;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn
影响因子：
158.5
作者：
Frobell, Richard B.;Roos, Ewa M.;Lohmander, L. Stefan
通讯作者：
Lohmander, L. Stefan
DOI：
10.2106/00004623-199808000-00006
发表时间：
1998-08-01
影响因子：
5.3
作者：
Irrgang, JJ;Snyder-Mackler, L;Harner, CD
通讯作者：
Harner, CD
影响因子：
3.8
作者：
Branch, T. P.;Siebold, R.;Jacobs, C. A.
通讯作者：
Jacobs, C. A.