Guideline on anterior cruciate ligament injury.
The Dutch Orthopaedic Association has a long tradition of development of practical clinical guidelines. Here we present the recommendations from the multidisciplinary clinical guideline working group for anterior cruciate ligament injury.   The following 8 clinical questions were formulated by a steering group of the Dutch Orthopaedic Association.        What is the role of physical examination and additional diagnostic tools?        Which patient-related outcome measures should be used?        What are the relevant parameters that influence the indication for an ACL reconstruction?        Which findings or complaints are predictive of a bad result of an ACL injury treatment?        What is the optimal timing for surgery for an ACL injury?        What is the outcome of different conservative treatment modalities?        Which kind of graft gives the best result in an ACL reconstruction?        What is the optimal postoperative treatment concerning rehabilitation, resumption of sports, and physiotherapy?      These 8 questions were answered and recommendations were made, using the "Appraisal of Guidelines for Research and Evaluation" instrument. This instrument seeks to improve the quality and effectiveness of clinical practical guidelines by establishing a shared framework to develop, report, and assess. The steering group has also developed 7 internal indicators to aid in measuring and enhancing the quality of the treatment of patients with an ACL injury, for use in a hospital or practice.
The Dutch Orthopaedic Association, the Netherlands. d.meuffels@erasmusmc.nl
Duncan E
DE
Meuffels
Michelle T
MT
Poldervaart
Ron L
RL
Diercks
Alex W F M
AW
Fievez
Thomas W
TW
Patt
Cor P van der
CP
Hart
Eric R
ER
Hammacher
Fred van der
Fv
Meer
Edwin A
EA
Goedhart
Anton F
AF
Lenssen
Sabrina B
SB
Muller-Ploeger
Margreet A
MA
Pols
Daniel B F
DB
Saris
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D033183:Interdisciplinary Communication; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009426:Netherlands; D009985:Orthopedics / Q000592:standards; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D011859:Radiography; D018570:Risk Assessment; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D016896:Treatment Outcome