Management of posterior cruciate ligament injuries: an expert consensus from 17 countries
4
Issued Date
2025-06-01
Resource Type
eISSN
17439159
Scopus ID
2-s2.0-105008834305
Pubmed ID
40277372
Journal Title
International Journal of Surgery London England
Volume
111
Issue
6
Start Page
4080
End Page
4085
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Surgery London England Vol.111 No.6 (2025) , 4080-4085
Suggested Citation
Gao S., Meng J., Zeng C., Monllau J.C., LaPrade R.F., Taft T.N., Berg J.H., Medvecky M.J., Stone K.R., Scarcella M.J., Cordasco F.A., Wolf B.R., Richter D.L., Rodeo S.A., Hewett T.E., Levy B.A., Pace J.L., Anand B., Picinini F., D'Ambrosi R., Sconfienza L.M., Farinelli L., Chernchujit B., Stålman A., Gilad A., Kambhampati S.B.S., Sundararajan S.R., Patrick A.R., Nshimirimana J., Lertwanich P., Opoku M., Buranapuntaruk T., Ramos L.A., James Hui H.P., D'Souza T., Grassi A., Razi M., Mariño J., Mosquera M., Barth J., Pardiwala D.N., Li Y., Xiao W., Xiong Y., Liu P., Yang L., Zhou P., Xu Y., Bai X., Yu T., Li C., Wei L., Li L., Wang J., Shao D., Guan Z., Dai X., Huang J., Li J., Li W., Wang G., Yue B., Gao Z., Guo L., Hua Y., Wu M., Wang J., Zheng X., Bai L., Chen J., Zhu W., Zhao Q., Zhang W., Chen Z., Wei X., Lu W., Yang Z., Wei Q., Chen L., Lv S., Liu N., Xu Y., Li Y., Wang X., Zhang H., Xu W., Jiang Q., Huang T., Yu J., Zheng J., Zhang K., Wang J., Lei G. Management of posterior cruciate ligament injuries: an expert consensus from 17 countries. International Journal of Surgery London England Vol.111 No.6 (2025) , 4080-4085. 4085. doi:10.1097/JS9.0000000000002416 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111046
Title
Management of posterior cruciate ligament injuries: an expert consensus from 17 countries
Author(s)
Gao S.
Meng J.
Zeng C.
Monllau J.C.
LaPrade R.F.
Taft T.N.
Berg J.H.
Medvecky M.J.
Stone K.R.
Scarcella M.J.
Cordasco F.A.
Wolf B.R.
Richter D.L.
Rodeo S.A.
Hewett T.E.
Levy B.A.
Pace J.L.
Anand B.
Picinini F.
D'Ambrosi R.
Sconfienza L.M.
Farinelli L.
Chernchujit B.
Stålman A.
Gilad A.
Kambhampati S.B.S.
Sundararajan S.R.
Patrick A.R.
Nshimirimana J.
Lertwanich P.
Opoku M.
Buranapuntaruk T.
Ramos L.A.
James Hui H.P.
D'Souza T.
Grassi A.
Razi M.
Mariño J.
Mosquera M.
Barth J.
Pardiwala D.N.
Li Y.
Xiao W.
Xiong Y.
Liu P.
Yang L.
Zhou P.
Xu Y.
Bai X.
Yu T.
Li C.
Wei L.
Li L.
Wang J.
Shao D.
Guan Z.
Dai X.
Huang J.
Li J.
Li W.
Wang G.
Yue B.
Gao Z.
Guo L.
Hua Y.
Wu M.
Wang J.
Zheng X.
Bai L.
Chen J.
Zhu W.
Zhao Q.
Zhang W.
Chen Z.
Wei X.
Lu W.
Yang Z.
Wei Q.
Chen L.
Lv S.
Liu N.
Xu Y.
Li Y.
Wang X.
Zhang H.
Xu W.
Jiang Q.
Huang T.
Yu J.
Zheng J.
Zhang K.
Wang J.
Lei G.
Meng J.
Zeng C.
Monllau J.C.
LaPrade R.F.
Taft T.N.
Berg J.H.
Medvecky M.J.
Stone K.R.
Scarcella M.J.
Cordasco F.A.
Wolf B.R.
Richter D.L.
Rodeo S.A.
Hewett T.E.
Levy B.A.
Pace J.L.
Anand B.
Picinini F.
D'Ambrosi R.
Sconfienza L.M.
Farinelli L.
Chernchujit B.
Stålman A.
Gilad A.
Kambhampati S.B.S.
Sundararajan S.R.
Patrick A.R.
Nshimirimana J.
Lertwanich P.
Opoku M.
Buranapuntaruk T.
Ramos L.A.
James Hui H.P.
D'Souza T.
Grassi A.
Razi M.
Mariño J.
Mosquera M.
Barth J.
Pardiwala D.N.
Li Y.
Xiao W.
Xiong Y.
Liu P.
Yang L.
Zhou P.
Xu Y.
Bai X.
Yu T.
Li C.
Wei L.
Li L.
Wang J.
Shao D.
Guan Z.
Dai X.
Huang J.
Li J.
Li W.
Wang G.
Yue B.
Gao Z.
Guo L.
Hua Y.
Wu M.
Wang J.
Zheng X.
Bai L.
Chen J.
Zhu W.
Zhao Q.
Zhang W.
Chen Z.
Wei X.
Lu W.
Yang Z.
Wei Q.
Chen L.
Lv S.
Liu N.
Xu Y.
Li Y.
Wang X.
Zhang H.
Xu W.
Jiang Q.
Huang T.
Yu J.
Zheng J.
Zhang K.
Wang J.
Lei G.
Author's Affiliation
Tsinghua University
Fudan University
Xi'an Jiaotong University
Karolinska Institutet
Università degli Studi di Milano
University of Science and Technology of China
Sun Yat-Sen University
Tianjin University
Nanjing University
Yale School of Medicine
Chongqing University
Universitat Autònoma de Barcelona
Cleveland Clinic Foundation
Lanzhou University
West China School of Medicine/West China Hospital of Sichuan University
Universidade Federal de São Paulo
Zhejiang University School of Medicine
Nanchang University
Jinan University
China Medical University Shenyang
General Hospital of People's Liberation Army
Chongqing Medical University
Università Politecnica delle Marche
Iran University of Medical Sciences
NUS Yong Loo Lin School of Medicine
Hebei Medical University
Xiangya Hospital Central South University
Hunan Normal University
The Second Xiangya Hospital of Central South University
Dalian Medical University
Shanxi Medical University
University of Iowa Hospitals & Clinics
Renmin Hospital of Wuhan University
University of South China
Renji Hospital
Hospital for Special Surgery - New York
Thammasat University
Peking University Third Hospital
Changhai Hospital
Guangxi Medical University
Siriraj Hospital
Zhongnan Hospital of Wuhan University
Xinjiang Medical University
Shanghai General Hospital
Pontificia Universidad Javeriana
IRCCS Rizzoli Orthopaedic Institute, Bologna
Second Affiliated Hospital of Harbin Medical University
UNM Health Sciences Center
Shamir Medical Center
IRCCS Istituto Ortopedico Galeazzi
Beijing Jishuitan Hospital
UNC Health
Joan C. Edwards School of Medicine
St Mary’s University, Twickenham
Orlando Health
University of Health and Rehabilitation Sciences
Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute
First Affiliated Hospital of Kunming Medical University
Hainan Provincial People's Hospital
Peking University Shougang Hospital
Shenzhen Hospital of Southern Medical University
Twin Cities Orthopedics
Zhengzhou Orthopaedics Hospital
Inner Mongolia Autonomous Region People's Hospital
The Fourth Hospital of Changsha
Sophiahemmet
Centre ostéo-articulaire des Cèdres
People's Hospital of Liaoning Province
South West London Elective Orthopaedic Centre
Ganga Medical Centre & Hospitals Pvt Ltd
Town Center Orthopaedic Associates
Ganga Medical Center & Hospital
Maternity & Gynaecology Center
Chaoprayayomraj Hospital
Children`s Health Andrews Institute
Ejisu Municipality
Fudan University
Xi'an Jiaotong University
Karolinska Institutet
Università degli Studi di Milano
University of Science and Technology of China
Sun Yat-Sen University
Tianjin University
Nanjing University
Yale School of Medicine
Chongqing University
Universitat Autònoma de Barcelona
Cleveland Clinic Foundation
Lanzhou University
West China School of Medicine/West China Hospital of Sichuan University
Universidade Federal de São Paulo
Zhejiang University School of Medicine
Nanchang University
Jinan University
China Medical University Shenyang
General Hospital of People's Liberation Army
Chongqing Medical University
Università Politecnica delle Marche
Iran University of Medical Sciences
NUS Yong Loo Lin School of Medicine
Hebei Medical University
Xiangya Hospital Central South University
Hunan Normal University
The Second Xiangya Hospital of Central South University
Dalian Medical University
Shanxi Medical University
University of Iowa Hospitals & Clinics
Renmin Hospital of Wuhan University
University of South China
Renji Hospital
Hospital for Special Surgery - New York
Thammasat University
Peking University Third Hospital
Changhai Hospital
Guangxi Medical University
Siriraj Hospital
Zhongnan Hospital of Wuhan University
Xinjiang Medical University
Shanghai General Hospital
Pontificia Universidad Javeriana
IRCCS Rizzoli Orthopaedic Institute, Bologna
Second Affiliated Hospital of Harbin Medical University
UNM Health Sciences Center
Shamir Medical Center
IRCCS Istituto Ortopedico Galeazzi
Beijing Jishuitan Hospital
UNC Health
Joan C. Edwards School of Medicine
St Mary’s University, Twickenham
Orlando Health
University of Health and Rehabilitation Sciences
Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute
First Affiliated Hospital of Kunming Medical University
Hainan Provincial People's Hospital
Peking University Shougang Hospital
Shenzhen Hospital of Southern Medical University
Twin Cities Orthopedics
Zhengzhou Orthopaedics Hospital
Inner Mongolia Autonomous Region People's Hospital
The Fourth Hospital of Changsha
Sophiahemmet
Centre ostéo-articulaire des Cèdres
People's Hospital of Liaoning Province
South West London Elective Orthopaedic Centre
Ganga Medical Centre & Hospitals Pvt Ltd
Town Center Orthopaedic Associates
Ganga Medical Center & Hospital
Maternity & Gynaecology Center
Chaoprayayomraj Hospital
Children`s Health Andrews Institute
Ejisu Municipality
Corresponding Author(s)
Other Contributor(s)
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.