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2. Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group.

Author

Svantesson, Eleonor, Hamrin Senorski, Eric, Webster, Kate E, Karlsson, Jón, Diermeier, Theresa, Rothrauff, Benjamin B, Meredith, Sean J, Rauer, Thomas, Irrgang, James J, Spindler, Kurt P, Ma, C Benjamin, Musahl, Volker, and Panther Symposium ACL Injury Clinical Outcomes Consensus Group

Subjects
Panther Symposium ACL Injury Clinical Outcomes Consensus Group, Humans, Osteoarthritis, Knee, Athletic Injuries, Recurrence, Postoperative Complications, Treatment Outcome, Graft Survival, Quality of Life, Anterior Cruciate Ligament Reconstruction, Surveys and Questionnaires, Anterior Cruciate Ligament Injuries, Patient Reported Outcome Measures, ACL, Anterior cruciate ligament, Consensus statement, Outcome, Reconstruction, Osteoarthritis, Knee, Clinical Sciences, Human Movement and Sports Sciences, Orthopedics
Abstract

PurposeA stringent outcome assessment is a key aspect for establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. The aim of this consensus statement was to establish what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used and at what follow-up time those outcomes should be assessed.MethodsTo establish a standardized approach to assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, PA; USA, in June 2019. The group reached consensus on nine statements by using a modified Delphi method.ResultsIn general, outcomes after ACL treatment can be divided into four robust categories-early adverse events, patient-reported outcomes, ACL graft failure/recurrent ligament disruption and clinical measures of knee function and structure. A comprehensive assessment following ACL treatment should aim to provide a complete overview of the treatment result, optimally including the various aspects of outcome categories. For most research questions, a minimum follow-up of 2 years with an optimal follow-up rate of 80% is necessary to achieve a comprehensive assessment. This should include clinical examination, any sustained re-injuries, validated knee-specific PROs and Health-Related Quality of Life questionnaires. In the mid- to long-term follow-up, the presence of osteoarthritis should be evaluated.ConclusionThis consensus paper provides practical guidelines for how the aforementioned entities of outcomes should be reported and suggests the preferred tools for a reliable and valid assessment of outcome after ACL treatment.Level of evidenceV.

Published
2020

9. Anterior Cruciate Ligament

Author

Meredith, Sean J., primary, Diermeier, Theresa, additional, Rothrauff, Benjamin B., additional, Musahl, Volker, additional, and Fu, Freddie H., additional

Published
2022
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10. List of Contributors

Author

Abat, Ferran, primary, Arakgi, Michelle E., additional, Arendt, Elizabeth A., additional, Argentieri, Erin C., additional, Bartels, Douglas W., additional, Baumann, Charles A., additional, Beletsky, Alexander, additional, Bhatia, Sanjeev, additional, Braun, Tatum W., additional, Brown, Charles H., additional, Burge, Alissa J., additional, Burnett, Robert A., additional, Cancienne, Jourdan M., additional, Chahla, Jorge, additional, Chilelli, Brian, additional, Christino, Melissa A., additional, Cole, Brian J., additional, Cosgarea, Andrew J., additional, Cotter, Eric J., additional, Cregar, William M., additional, Damasena, Iswadi, additional, Dean, Robert S., additional, DeJour, David, additional, Delaloye, Jean Romain, additional, DePhillipo, Nicholas N., additional, Diermeier, Theresa, additional, DiFelice, Gregory S., additional, Ellman, Michael B., additional, Ence, Andrew K., additional, Engebretsen, Lars, additional, Farr, Jack, additional, Franck, Florent, additional, Frank, Rachel M., additional, Fritsch, Brett A., additional, Fu, Freddie H., additional, Fulkerson, John P., additional, Graden, Nathan R., additional, Geeslin, Andrew G., additional, Gelber, Pablo Eduardo, additional, Getgood, Alan, additional, Gilat, Ron, additional, Giordanelli, Matthew D., additional, Gomoll, Andreas, additional, Görtz, Simon, additional, Hinckel, Betina B., additional, Huddleston, Hailey P., additional, Kahat, David H., additional, Kane, Patrick, additional, Kennedy, Nicholas I., additional, Kocher, Mininder S., additional, Kunze, Kyle N., additional, Krych, Aaron J., additional, LaGreca, Jaren, additional, LaPrade, Robert F., additional, Lattermann, Christian, additional, LeBus, George, additional, Levy, Bruce A., additional, Lind, Martin, additional, Linklater, James P., additional, Loeb, Alexander E., additional, Macalena, Jeffrey A., additional, Mandelbaum, Bert, additional, Martin, R. Kyle, additional, Meredith, Sean J., additional, Mitchell, Justin J., additional, Moatshe, Gilbert, additional, Monibi, Farrah A., additional, Mueller, Brett, additional, Musahl, Volker, additional, Muzzi, Stefano, additional, O’Brien, Luke T., additional, Perkins, Crystal A., additional, Pioger, Charles, additional, Potter, Hollis G., additional, Pujol, Nicolas, additional, Putnis, Sven E., additional, Raynor, Martin Brett, additional, Rodeo, Scott A., additional, Saithna, Adnan, additional, Scheidt, Michael, additional, Scholz, Henry D., additional, Siljander, Breana, additional, Slone, Harris S., additional, Smigielski, Robert, additional, Sonnery-Cottet, Bertrand, additional, Spalding, Tim, additional, Strauss, Marc, additional, Tabbaa, Suzanne M., additional, Tagliero, Adam J., additional, Tanaka, Miho J., additional, Tauro, Tracy, additional, Teitge, Robert A., additional, Torres-Claramunt, Raúl, additional, van der List, Jelle P., additional, Verdonk, Peter, additional, Vermeijden, Harmen D., additional, Vieira, Thais Dutra, additional, Williams, Brady T., additional, Willimon, S. Clifton, additional, Wise, Kelsey L., additional, Xerogeanes, John W., additional, Yanke, Adam B., additional, and Zochowski, Kelly C., additional

Published
2022
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24. Knotless Labral Repair Using the Inversion Technique in Hip Arthroscopy.

Author

Kolevar, Matthew P., Lingenfelter, Cameron C., Rocca, Michael S., and Meredith, Sean J.

Subjects
FEMORACETABULAR impingement, ARTHROSCOPY, LEARNING curve, FEMUR head, PATIENT reported outcome measures, PHYSICAL mobility
Abstract

Background: Hip arthroscopy is technically demanding with a steep learning curve, and labral repair is an important component of the surgical treatment of femoroacetabular impingement (FAI) syndrome. As hip arthroscopy indications and techniques are evolving, it is important to remain focused on teaching techniques that are easily mastered and have a measurable benefit to patient outcomes. Indications: Patients with FAI syndrome and labral tear who have failed conservative treatment may benefit from hip arthroscopy, labral repair, and femoroplasty. Technique Description: Labral repair is an essential component of the surgical treatment of FAI syndrome. The hip is accessed in standard fashion, and multiple knotless anchors are used for labral repair. Repair sutures are passed around the labrum in an inverted fashion. This inversion technique ensures the labrum is not everted away from the acetabular rim and that the final position of the labrum will restore a good suction seal on the femoral head. Femoroplasty and capsule closure are always performed. Results: Patients can reliably expect improvements in hip pain and function. A cohort of 62 patients was investigated, and these patients demonstrated significant improvement in multiple patient-reported outcomes related to physical function, activity, and pain at 2 years after hip arthroscopy. Forty-seven percent stated they felt "completely better" at 2 years postoperatively. Discussion/Conclusion: Good hip arthroscopy technique in the proper patient can yield excellent results. The inversion labral repair technique reliably restores the suction seal and prevents eversion of the labrum to preserve normal function. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication. [ABSTRACT FROM AUTHOR]

Published
2024
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29. Contributors

Author

Adjei, Joshua, primary, Aibinder, William R., additional, Villa Albers, Marcio Bottene, additional, Altintas, Burak, additional, Anderson, Nicole, additional, Bach, Bernard Raymond, additional, Bokshan, Steven L., additional, Bottoni, Craig R., additional, Boykin, Robert E., additional, Branam, Barton R., additional, Brophy, Robert H., additional, Cagle, Paul J., additional, Camp, Christopher L., additional, Chan, Charles M., additional, Charles, Michael D., additional, Christian, David R., additional, Cognetti, Daniel J., additional, Cole, Brian J., additional, Cordasco, Frank A., additional, Cosgarea, Andrew J., additional, Croft, Stephen, additional, Cvetanovich, Gregory L., additional, DeBerardino, Thomas M., additional, DeFroda, Steven F., additional, Degen, Ryan, additional, Dempsey, Ian J., additional, DePhillipo, Nicholas N., additional, Dines, Joshua S., additional, Doerre, Teresa E., additional, Domos, Peter, additional, Dooley, Matthew S., additional, Douglass, Brenton W., additional, Edmonds, Eric W., additional, ElAttrache, Neal S., additional, Erickson, Brandon J., additional, Floren, Samuel A., additional, Fu, Freddie H., additional, Gandhi, Jigar S., additional, Ganley, Theodore J., additional, Garcia, Grant H., additional, Gause, Trenton, additional, Getgood, Alan, additional, Gomez-Hoyos, Juan, additional, Gomoll, Andreas, additional, Green, Daniel W., additional, Grimm, Nathan L., additional, Harner, Christopher D., additional, Henn, R. Frank, additional, Hill, J. Ryan, additional, Hughes, Jessica L., additional, Huleatt, Joel B., additional, Johnson, Darren L., additional, Kelly, Bryan T., additional, Kennedy, Mitchell I., additional, Kew, Michelle E., additional, Khoury, Anthony N., additional, Kocher, Mininder S., additional, Kreines, Alexander, additional, LaPrade, Robert F., additional, Leska, Tomasina M., additional, Limpisvasti, Orr, additional, Litchfield, Robert, additional, Liu, Joseph N., additional, Loeb, Alexander E., additional, London, Daniel A., additional, Malasitt, Pramote, additional, Marom, Niv, additional, Marshall, Nathan E., additional, Martin, Hal David, additional, Marx, Robert G., additional, Mazzocca, Augustus D., additional, McGough, Joshua D., additional, Melugin, Heath, additional, Meredith, Sean J., additional, Miller, Mark D., additional, Millett, Peter J., additional, Mlynarek, Ryan A., additional, Morrey, Mark E., additional, Nickoli, Michael S., additional, Ode, Gabriella, additional, Owens, Brett D., additional, Parsons, Bradford O., additional, Paschos, Nikolaos K., additional, Patel, Neeraj M., additional, Paxton, E. Scott, additional, Peebles, Liam A., additional, Provencher, Matthew T., additional, Raines, Benjamin Todd, additional, Redondo, Michael L., additional, Rhee, Peter C., additional, Rider, Danielle, additional, Roach, Christopher J., additional, Roessler, Philip P., additional, Romeo, Anthony A., additional, Roselaar, Naomi, additional, Rush, Jeremy K., additional, Schmitz, Matthew R., additional, Shea, Kevin G., additional, Sheean, Andrew J., additional, Sibilska, Aleksandra, additional, Stinson, Zach S., additional, Stone, Austin V., additional, Sullivan, Kayleigh, additional, Tanaka, Miho J., additional, Tennent, David J., additional, Thompson, Stephen R., additional, Tokish, John M., additional, Toth, Alison P., additional, Urchek, Ryan, additional, Uyeki, Colin L., additional, Vogel, Laura A., additional, Warth, Ryan J., additional, Waterman, Brian R., additional, Werner, Brian C., additional, Wixted, Colleen, additional, Xerogeanes, John, additional, Yanke, Adam B., additional, and Zhou, Liang, additional

Published
2019
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40. Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes

Author

Zarro, Michael J, primary, Stitzlein, Matthew G, additional, Lee, Jason S, additional, Rowland, Robert W, additional, Gray, Vicki L, additional, Taylor, Jeffrey B, additional, Meredith, Sean J, additional, Packer, Jonathan D, additional, and Nelson, Christa M, additional

Published
2021
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41. Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group

Author

Meredith, Sean J, Rauer, Thomas, Chmielewski, Terese L, Fink, Christian, Diermeier, Theresa, Rothrauff, Benjamin B, Svantesson, Eleonor, Hamrin Senorski, Eric, Hewett, Timothy E, Sherman, Seth L, Lesniak, Bryson P, University of Zurich, and Meredith, Sean J

Subjects
10021 Department of Trauma Surgery, 2732 Orthopedics and Sports Medicine, 610 Medicine & health, 2746 Surgery
Published
2020

46. Latissimus Dorsi Tendon Transfer and Superior Capsular Reconstruction for Irreparable, Posterosuperior Rotator Cuff Tears

Author

Kadow, Tiffany R., Meredith, Sean J., Garcia, Daniel, Minorini, Rebecca, Delaney, Ruth, Baratz, Mark, and Lin, Albert

Subjects
behavioral disciplines and activities, Research Article
Abstract

BACKGROUND: The purpose of this study was to compare latissimus dorsi tendon transfer (LDTT) and arthroscopic superior capsular reconstruction (SCR) to determine if one is superior to the other regarding improvement in range of motion (ROM) or patient-reported outcomes (PROs). METHODS: A multicenter, retrospective cohort study was conducted on 43 patients with an irreparable, posterosuperior rotator cuff tear who underwent either LDTT or SCR. Preoperative and postoperative forward flexion and external rotation, as well as PROs including ASES, VAS, and SSV, were assessed. Student t-test and chi-square statistical analyses were performed. RESULTS: 16 LDTT, at mean follow-up of 18 months, and 27 SCR, at mean follow-up 15 months, were studied. Mean active forward flexion significantly improved from 85.2° to 137.6° in the SCR cohort (P=0.001). SCR patients demonstrated a significantly greater increase in forward flexion as compared to LDTT patients (52.4° vs 14.1°, P=0.001). Mean active external rotation amongst the LDTT group significantly improved from 41.7° to 61.5° (P=0.032). LDTT demonstrated significantly greater improvement in external rotation as compared to SCR (19.4° vs 0.8°, P=0.011). There were no significant differences in reported ASES, VAS, or SSV scores. CONCLUSION: This study demonstrates successful clinical and patient-reported outcomes with both LDTT and SCR for irreparable, posterosuperior rotator cuff tears, with greater improvement in forward flexion with SCR and greater improvement in external rotation with LDTT.

Published
2021

47. Treatment after ACL injury: Panther Symposium ACL Treatment Consensus Group

Author

Diermeier, Theresa Anita, Rothrauff, Ben B, Engebretsen, Lars, Lynch, Andrew, Svantesson, Eleonor, Hamrin Senorski, Eric Andrew, Meredith, Sean J, Rauer, Thomas, Ayeni, Olufemi R, Paterno, Mark, Xerogeanes, John W, Fu, Freddie H, Karlsson, Jon, Musahl, Volker, and University of Zurich

Subjects
10021 Department of Trauma Surgery, 610 Medicine & health
Published
2021

48. Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group

Author

Meredith, Sean J; https://orcid.org/0000-0003-3725-5309, Rauer, Thomas, Chmielewski, Terese L, Fink, Christian, Diermeier, Theresa, Rothrauff, Benjamin B; https://orcid.org/0000-0002-8301-025X, Svantesson, Eleonor; https://orcid.org/0000-0002-6669-5277, Hamrin Senorski, Eric; https://orcid.org/0000-0002-9340-0147, Hewett, Timothy E, Sherman, Seth L, Lesniak, Bryson P, Meredith, Sean J; https://orcid.org/0000-0003-3725-5309, Rauer, Thomas, Chmielewski, Terese L, Fink, Christian, Diermeier, Theresa, Rothrauff, Benjamin B; https://orcid.org/0000-0002-8301-025X, Svantesson, Eleonor; https://orcid.org/0000-0002-6669-5277, Hamrin Senorski, Eric; https://orcid.org/0000-0002-9340-0147, Hewett, Timothy E, Sherman, Seth L, and Lesniak, Bryson P

Abstract

OBJECTIVES A precise and consistent definition of return to sport (RTS) after anterior cruciate ligament (ACL) injury is lacking, and there is controversy surrounding the process of returning patients to sports and their previous activity level. The aim of the Panther Symposium ACL Injury RTS Consensus Group was to provide a clear definition of RTS after ACL injury and description of the RTS continuum, as well as provide clinical guidance on RTS testing and decision-making. METHODS An international, multidisciplinary group of ACL experts convened as part of a consensus meeting. Consensus statements were developed using a modified Delphi method. Literature review was performed to report the supporting evidence. RESULTS Key points include that RTS is characterised by achievement of the preinjury level of sport and involves a criteria-based progression from return to participation to RTS, and ultimately return to performance. Purely time-based RTS decision-making should be abandoned. Progression occurs along an RTS continuum with decision-making by a multidisciplinary group that incorporates objective physical examination data and validated and peer-reviewed RTS tests, which should involve functional assessment as well as psychological readiness. Consideration should be given to biological healing, contextual factors and concomitant injuries. CONCLUSION The resultant consensus statements and scientific rationale aim to inform the reader of the complex process of RTS after ACL injury that occurs along a dynamic continuum. Research is needed to determine the ideal RTS test battery, the best implementation of psychological readiness testing and methods for the biological assessment of healing and recovery.

Published
2021

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