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ABSTRACT: Background
Questions regarding surgical fusion techniques, postoperative treatment, and indications for return to sport after chronic syndesmosis injury or its comorbidities remain unanswered.Purpose
An international group of experts representing the field of injuries in the foot and ankle area was invited to collaboratively advance toward consensus opinions based on the best available evidence regarding chronic syndesmosis injury. All were members of the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS).Study design
Consensus statement.Methods
From November to December 2020, a total of 111 international experts on sports medicine or ankle surgery participated in a 2-stage Delphi process that included an anonymous online survey and an online meeting. A total of 13 items with 38 statements were drafted by 13 core authors. Of these, 4 items with 6 clinical questions and statements were related to surgical fusion techniques, comorbidity treatments, postoperative rehabilitation, and return-to-sports indications and are presented here. Each statement was individually presented and discussed, followed by a general vote. The strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; and unanimous, 100%.Results
Of the 6 questions and statements, 5 achieved unanimous support and 1 reached strong consensus.Conclusion
This APKASS consensus statement, developed by international experts in the field, will assist surgeons and physical therapists with surgical and postoperative treatment strategies for chronic syndesmosis injury.
SUBMITTER: Song Y
PROVIDER: S-EPMC8221682 | biostudies-literature | 2021 Jun
REPOSITORIES: biostudies-literature
Song Yujie Y Shi Zhongmin Z Kurokawa Hiroaki H Tanaka Yasuhito Y Ling Samuel K K SKK Yung Patrick P Angthong Chayanin C Han Seung Hwan SH Hua Yinghui Y Li Hongyun H Jiao Chen C Gui Jianchao J Li Qi Q
Orthopaedic journal of sports medicine 20210621 6
<h4>Background</h4>Questions regarding surgical fusion techniques, postoperative treatment, and indications for return to sport after chronic syndesmosis injury or its comorbidities remain unanswered.<h4>Purpose</h4>An international group of experts representing the field of injuries in the foot and ankle area was invited to collaboratively advance toward consensus opinions based on the best available evidence regarding chronic syndesmosis injury. All were members of the Asia-Pacific Knee, Arthr ...[more]