Management of posterior cruciate ligament injuries: an expert consensus from 17 countries
Shuguang Gao, Jiahao Meng, Chao Zeng, Joan Carles Monllau, Robert F. LaPrade, Timothy N. Taft, Jeffrey H. Berg, Michael J. Medvecky, Kevin R. Stone, Michael J. Scarcella, Frank A. Cordasco, Brian R. Wolf, Dustin L. Richter, Scott A. Rodeo, Timothy E. Hewett, Bruce A. Levy, J. Lee Pace, Bobby Anand, Filippo Picinini, Riccardo D’Ambrosi, Luca Maria Sconfienza, Luca Farinelli, Bancha C้hernchujit, Anders Stålman, Amit Gilad, Srinivas B. S. Kambhampati, Silvampatti Ramasamy Sundararajan, Abayo Remy Patrick, Juvenal Nshimirimana, Pisit Lertwanich, Michael Opoku, Thana Buranapuntaruk, Leonardo Addêo Ramos, Hoi Po James Hui, Terence Dsouza, Alberto Grassi, Mohammad Razi, Jaime Mariño, Manuel Mqsquera, Johannes Barth, Dinshaw N. Pardiwala, Yusheng Li, Wenfeng Xiao, Yilin Xiong, Pan Liu, Yang Liu, Panghu Zhou, Yan Xu, Xizhuang Bai, Tengbo Yu, Chunbao Li, Licheng Wei, Liangjun Li, Juan Wang, Decheng Shao, Zhenpeng Guan, Xuesong Dai, Jingmin Huang, Jian Li, Weiping Li, Guangji Wang, Bing Yue, Zhizeng Gao, Lin Guo, Yinghui Hua, Meng Wu, Jing Wang, Xiaofei Zheng, Lunhao Bai, Jiwu Chen, Weihong Zhu, Qichun Zhao, Weiguo Zhang, Zhiwei Chen, Xiaochun Wei, Wei Lu, Ziquan Yang, Qingjun Wei, Liaobin Chen, Songcen Lv, Ning Liu, Yongsheng Xu, Yanlin Li, Xuesong Wang, Hui Zhang, Weidong Xu, Qing Jiang, Tianlong Huang, Jia‐Kuo Yu, Jiang Zheng, Keyuan Zhang, Jianquan Wang, Guanghua Lei
Abstract
BACKGROUND: Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries. OBJECTIVES: To use the modified Delphi method to reach expert consensus on the management of PCL injury. METHODS: A literature search of PubMed, Cochrane Library, Embase, and Web of Science for articles up to 17 October 2024, to support the development of recommendation statements. An Expert Panel of 90 experienced clinicians from orthopedics and sports medicine participated in a two-round Delphi process. Each statement was evaluated in two parts: the first part assessed content appropriateness (score of 7-9 indicating appropriateness and 4-6 indicating possible appropriateness), while the second part assessed agreement (score of 5-9 indicating agreement). RESULTS: The panel members developed 11 statements using the Delphi process, addressing the following topics: (1) clinical decision-making, (2) treatment, and (3) postoperative management about PCL injuries. The final consensus was reached on 11 statements and we eventually translated these statements into a corresponding table of expert recommendations. CONCLUSION: Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with PCL injuries.