Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment
Purpose: To examine the Level of Evidence and overall quality of studies addressing arthroscopic posterolateral corner reconstructions of the knee. Methods: A search was performed using the PubMed/Medline, Web of Science, and Google Scholar databases for all studies investigating arthroscopic treatm...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X24000221 |
| _version_ | 1797305220101832704 |
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| author | Steven Heylen, M.D. Patrick Demey, M.D. Matthias Krause, M.D., P.D. Peter Verdonk, M.D., Ph.D. Jozef Michielsen, M.D., Ph.D. |
| author_facet | Steven Heylen, M.D. Patrick Demey, M.D. Matthias Krause, M.D., P.D. Peter Verdonk, M.D., Ph.D. Jozef Michielsen, M.D., Ph.D. |
| author_sort | Steven Heylen, M.D. |
| collection | DOAJ |
| description | Purpose: To examine the Level of Evidence and overall quality of studies addressing arthroscopic posterolateral corner reconstructions of the knee. Methods: A search was performed using the PubMed/Medline, Web of Science, and Google Scholar databases for all studies investigating arthroscopic treatment of posterolateral corner injuries of the knee. Studies reporting outcomes or describing arthroscopic techniques for treatment of posterolateral corner injuries of the knee were the focus of this analysis. Clinical as well as biomechanical and cadaveric studies were included. Studies only investigating open techniques were excluded. Two independent reviewers determined the level of evidence for each included study using the criteria established by the Journal of Bone and Joint Surgery and scored each clinical study from 0 to 100 based on 10 criteria from the modified Coleman Methodology Score. Results: Twenty-four studies matched the inclusion criteria. There were 6 cadaveric technique descriptions, 6 clinical technique descriptions, 3 biomechanical studies, 4 technical repair descriptions, and 5 clinical outcome studies. Thirty-eight percent of all studies were of Level V evidence. Fifty percent of studies were of Level IV evidence, and 12% of studies were of Level III evidence. The mean modified Coleman Methodology Score for the clinical studies was 43 ± 11.4, which is regarded as poor, mainly due to the limited number of patients and the retrospective nature of the studies. Conclusions: Most studies addressing arthroscopic posterolateral corner reconstruction of the knee are of low level of evidence and provide limited information about the best treatment options. Clinical Relevance: The number of publications on arthroscopic posterolateral corner reconstruction techniques continues to rise. This systematic review evaluates the level of evidence of these studies. |
| first_indexed | 2024-03-08T00:22:45Z |
| format | Article |
| id | doaj.art-4757190b506c44179367e92466754501 |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-03-08T00:22:45Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-4757190b506c44179367e924667545012024-02-16T04:30:11ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2024-04-0162100904Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective TreatmentSteven Heylen, M.D.0Patrick Demey, M.D.1Matthias Krause, M.D., P.D.2Peter Verdonk, M.D., Ph.D.3Jozef Michielsen, M.D., Ph.D.4Department of Trauma and Orthopaedics, Heilig Hart Ziekenhuis Lier, Lier, Belgium; Orthopaedic Research and Education Foundation, OrthoClinic Lier, Lier, Belgium; Department of Orthopaedic Surgery, Antwerp University Hospital, Edegem, Belgium; Address correspondence to Steven Heylen, Antwerpsesteenweg 322, 2500 Lier, Belgium.Department of Trauma and Orthopaedics, Heilig Hart Ziekenhuis Lier, Lier, BelgiumDepartment Trauma Surgery and Orthopaedics, UKE, Hamburg, GermanyDepartment of Orthopaedic Surgery, Antwerp University Hospital, Edegem, Belgium; OrthoCA Orthopaedic Center, Antwerp, BelgiumDepartment of Orthopaedic Surgery, Antwerp University Hospital, Edegem, BelgiumPurpose: To examine the Level of Evidence and overall quality of studies addressing arthroscopic posterolateral corner reconstructions of the knee. Methods: A search was performed using the PubMed/Medline, Web of Science, and Google Scholar databases for all studies investigating arthroscopic treatment of posterolateral corner injuries of the knee. Studies reporting outcomes or describing arthroscopic techniques for treatment of posterolateral corner injuries of the knee were the focus of this analysis. Clinical as well as biomechanical and cadaveric studies were included. Studies only investigating open techniques were excluded. Two independent reviewers determined the level of evidence for each included study using the criteria established by the Journal of Bone and Joint Surgery and scored each clinical study from 0 to 100 based on 10 criteria from the modified Coleman Methodology Score. Results: Twenty-four studies matched the inclusion criteria. There were 6 cadaveric technique descriptions, 6 clinical technique descriptions, 3 biomechanical studies, 4 technical repair descriptions, and 5 clinical outcome studies. Thirty-eight percent of all studies were of Level V evidence. Fifty percent of studies were of Level IV evidence, and 12% of studies were of Level III evidence. The mean modified Coleman Methodology Score for the clinical studies was 43 ± 11.4, which is regarded as poor, mainly due to the limited number of patients and the retrospective nature of the studies. Conclusions: Most studies addressing arthroscopic posterolateral corner reconstruction of the knee are of low level of evidence and provide limited information about the best treatment options. Clinical Relevance: The number of publications on arthroscopic posterolateral corner reconstruction techniques continues to rise. This systematic review evaluates the level of evidence of these studies.http://www.sciencedirect.com/science/article/pii/S2666061X24000221 |
| spellingShingle | Steven Heylen, M.D. Patrick Demey, M.D. Matthias Krause, M.D., P.D. Peter Verdonk, M.D., Ph.D. Jozef Michielsen, M.D., Ph.D. Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment |
| title_full | Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment |
| title_fullStr | Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment |
| title_full_unstemmed | Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment |
| title_short | Most Publications Regarding Arthroscopic Treatment of Posterolateral Corner Injuries of the Knee Have a Low Level of Evidence and Provide Limited Information to Determine the Most Effective Treatment |
| title_sort | most publications regarding arthroscopic treatment of posterolateral corner injuries of the knee have a low level of evidence and provide limited information to determine the most effective treatment |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X24000221 |
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