Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction

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dc.article.number139463
dc.contributor.authorBarahona M.
dc.contributor.authorMosquera M.
dc.contributor.authorDe Padua V.
dc.contributor.authorGalan H.
dc.contributor.authorDel Castillo J.
dc.contributor.authorMejias S.
dc.contributor.authorBacarreza F.
dc.contributor.authorAraya O.
dc.contributor.authorKuhn A.
dc.contributor.authorVaisman A.
dc.contributor.authorGraieb A.
dc.contributor.authorAlmazan A.
dc.contributor.authorHelito C.
dc.contributor.authorFuentes C.
dc.contributor.authorCollazo C.
dc.contributor.authorEsquivel D.
dc.contributor.authorGigante F.
dc.contributor.authorMotta F.
dc.contributor.authorOchoa G.
dc.contributor.authorArteaga G.
dc.contributor.authorFerrer G.
dc.contributor.authorZvietcovich G.
dc.contributor.authorCardona J.
dc.contributor.authorHurtado J.
dc.contributor.authorErlund L.
dc.contributor.authorCosta-Paz M.
dc.contributor.authorRoby M.
dc.contributor.authorPonzo N.
dc.contributor.authorSarmiento P.
dc.contributor.authorYanez R.
dc.contributor.authorUrbieta S.
dc.contributor.authorMarques de Olivera V.
dc.contributor.authorZamorano A.
dc.contributor.authorRadice F.
dc.contributor.authorNardin L.
dc.contributor.authorGelink A.
dc.contributor.authorHernandez R.
dc.contributor.authorRosa A.D.L.
dc.contributor.authorIrarrazaval S.
dc.contributor.authorCordivani F.
dc.contributor.authorCanuto S.
dc.contributor.authorGravini G.
dc.contributor.otherCEDEUS (Chile)
dc.date.accessioned2025-05-01T10:33:04Z
dc.date.available2025-05-01T10:33:04Z
dc.date.issued2023
dc.description.abstract© 2022 The Author(s)Objectives: To create a practice guideline for the appropriate indications of an extra-articular procedure in primary anterior cruciate ligament reconstruction (ACLR). Methods: 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. Results: 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. Conclusions: 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. Level of evidence: V.
dc.description.funderNational Agency for Research and Development
dc.description.funderFONDECYT
dc.description.funderANID
dc.format.extent11 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.jisako.2022.08.007
dc.identifier.eisbn9780128194706
dc.identifier.eissn1549-7828
dc.identifier.isbn9783031764011
dc.identifier.issn20597762 20597754
dc.identifier.pubmedid40156360
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85151707230
dc.identifier.urihttps://doi.org/10.1016/j.jisako.2022.08.007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103944
dc.identifier.wosidWOS:001053432200001
dc.information.autorucEscuela de Medicina; Irarrazaval Dominguez Sebastian; 0000-0002-1215-1709; 12853
dc.information.autorucEscuela de Medicina; Irarrazaval Dominguez Sebastian; 0000-0002-1215-1709; 12853
dc.issue.numero2
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final183
dc.pagina.inicio177
dc.publisherSpringer
dc.relation.ispartofIntersections Interdisciplinary Research on Architecture, Design, City and Territory
dc.revistaJournal of ISAKOS
dc.rightsacceso abierto
dc.subjectACLR
dc.subjectAnterolateral ligament
dc.subjectFormal consensus
dc.subjectLateral tenodesis
dc.subject.ddc620
dc.subject.deweyIngenieríaes_ES
dc.subject.ods11 Sustainable cities and communities
dc.subject.odspa11 Ciudades y comunidades sostenibles
dc.titleLatin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction
dc.typeartículo
dc.volumen8
sipa.codpersvinculados12853
sipa.codpersvinculados12853
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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