Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus part I

Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus part I—diagnostics and preoperative planning

Tischer, T., Beaufilis, P., Becker, R. et al. Knee Surg Sports Traumatol Arthrosc (2022). https://doi.org/10.1007/s00167-022-07214-w

Full Text is Freely Available

“The aim of this European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) Consensus is to provide a combination of ‘scientific’ evidence-based and expert-based recommendations about the diagnosis, preoperative assessment, indication and management of patients with failed ACL reconstruction to further improve the outcome after” anterior cruciate ligament reconstruction revision. This document focuses on preoperative diagnostics and planning. The results are organized by 18 questions that have a one to four paragraph answer. The authors also offer an algorithm for ACL reconstruction failure management. The complete report is also available at ESSKA’s website.

View 325 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine.

2 Comments

Charity Pittard on December 14, 2022 at 11:50 pm

While reading this article I found it really interesting that the opinions of these surgeons ranked so lowly with scientific quality. None of them received the highest quality level and most didn’t achieve the second highest level. I know we value and rely on doctors in so many ways and they have vast amounts of knowledge that I will never have, but I feel that this article goes to show how important it is too look at research and get multiple opinions on the best course of action for your health! It is also important to recognize the biases that these doctors have about the surgery, it’s effectiveness, and the quality of life afterwards. Of course doctors want you to get surgery, they were taught that is what you do and they get paid for it! Love the article and hope to see more like it.

Jeffrey B. Driban on December 15, 2022 at 3:25 am

It’s worth keeping in mind that a consensus statement is typically published when there is not enough high-quality evidence to inform clinical practice guidelines or position statements. The consensus process is designed to help incorporate expert opinion when there is a lack of high-quality evidence. Hence, it makes sense that many of the recommendations may have low scientific quality. With that said, there is always a chance for biases to trickle into a consensus statement. It would be more concerning if they made recommendations where the evidence contradicted their recommendations.

Charity Pittard on December 14, 2022 at 11:50 pm

While reading this article I found it really interesting that the opinions of these surgeons ranked so lowly with scientific quality. None of them received the highest quality level and most didn’t achieve the second highest level. I know we value and rely on doctors in so many ways and they have vast amounts of knowledge that I will never have, but I feel that this article goes to show how important it is too look at research and get multiple opinions on the best course of action for your health! It is also important to recognize the biases that these doctors have about the surgery, it’s effectiveness, and the quality of life afterwards. Of course doctors want you to get surgery, they were taught that is what you do and they get paid for it! Love the article and hope to see more like it.
- Jeffrey B. Driban on December 15, 2022 at 3:25 am
  
  It’s worth keeping in mind that a consensus statement is typically published when there is not enough high-quality evidence to inform clinical practice guidelines or position statements. The consensus process is designed to help incorporate expert opinion when there is a lack of high-quality evidence. Hence, it makes sense that many of the recommendations may have low scientific quality. With that said, there is always a chance for biases to trickle into a consensus statement. It would be more concerning if they made recommendations where the evidence contradicted their recommendations.