{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T22:05:33Z","timestamp":1789164333790,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen"},{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this consensus project was to validate which endogenous and exogenous factors contribute to the development of post\u2010traumatic osteoarthritis and to what extent ACL (anterior cruciate ligament) reconstruction can prevent secondary damage to the knee joint. Based on these findings, an algorithm for the management after ACL rupture should be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The consensus project was initiated by the Ligament Injuries Committee of the German Knee Society (Deutsche Kniegesellschaft, DKG). A modified Delphi process was used to answer scientific questions. This process was based on key topic complexes previously formed during an initial face\u2010to\u2010face meeting of the steering group with the expert group. For each key topic, a comprehensive review of available literature was performed by the steering group. The results of the literature review were sent to the rating group with the option to give anonymous comments until a final consensus voting was performed. Consensus was defined a\u2010priori as eighty percent agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 17 final statements, 15 achieved consensus, and 2 have not reached consensus. Results of the consensus were summarized in an algorithm for the management after ACL rupture (infographic\/Fig. 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This consensus process has shown that the development of post\u2010traumatic osteoarthritis is a complex multifactorial process. Exogenous (primary and secondary meniscus lesions) and endogenous factors (varus deformity) play a decisive role. Due to the complex interplay of these factors, an ACL reconstruction cannot always halt post\u2010traumatic osteoarthritis of the knee. However, there is evidence that ACL reconstruction can prevent secondary joint damage such as meniscus lesions and that the success of meniscus repair is higher with simultaneous ACL reconstruction. Therefore, we recommend ACL reconstruction in case of a combined injury of the ACL and a meniscus lesion which is suitable for repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level V.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06960-1","type":"journal-article","created":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T16:03:04Z","timestamp":1650470584000},"page":"1665-1674","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Management after acute rupture of the anterior cruciate ligament (ACL). Part 1: ACL reconstruction has a protective effect on secondary meniscus and cartilage lesions"],"prefix":"10.1002","volume":"31","author":[{"given":"Wolf","family":"Petersen","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Sportsclinic Berlin, Department of Orthopedics Martin Luther Hospital Berlin\u2010Grunewald, Caspar\u2010They\u00df\u2010Stra\u00dfe 27\u201031 14193 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Guenther","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Trauma Surgery, and Sports Medicine Cologne Merheim Medical Center (Witten\/Herdecke University) Ostmerheimer Str. 200 51109 Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department for Orthopedic Sports Medicine Technical University Munich Ismaninger Strasse 22 81675 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirco","family":"Herbort","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> OCM Clinic Munich Steinerstrasse 6 81369 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Stein","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> SPORTHOLOGICUM\u00ae Frankfurt Am Main Siesmayerstra\u00dfe 44 60323 Frankfurt am Main Germany"},{"name":"<!--<label>6<\/label>--> Department of Sports Medicine Goethe University Frankfurt Ginnheimer Landstra\u00dfe 39 60487 Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schoepp","sequence":"additional","affiliation":[{"name":"<!--<label>7<\/label>--> Department of Arthroscopic Surgery, Sports Traumatology and Sports Medicine BG Klinikum Duisburg gGmbH, Gro\u00dfenbaumer Allee 250 47249 Duisburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Akoto","sequence":"additional","affiliation":[{"name":"<!--<label>8<\/label>--> Department of Trauma and Orthopaedic Surgery, Sports Traumatology BG Hospital Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"H\u00f6her","sequence":"additional","affiliation":[{"name":"<!--<label>9<\/label>--> SPORTSCLINIC COLOGNE Ostmerheimer Str. 200 51109 K\u00f6ln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Scheffler","sequence":"additional","affiliation":[{"name":"<!--<label>10<\/label>--> Sporthopaedicum Berlin Bismarckstrasse 45\u201047 10627 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelie","family":"Stoehr","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> OCM Clinic Munich Steinerstrasse 6 81369 Munich 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Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Mehl","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department for Orthopedic Sports Medicine Technical University Munich Ismaninger Strasse 22 81675 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andree","family":"Ellermann","sequence":"additional","affiliation":[{"name":"<!--<label>12<\/label>--> ARCUS Sports Clinic Rastatter Str. 17\u201019 75179 Pforzheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Krause","sequence":"additional","affiliation":[{"name":"<!--<label>13<\/label>--> Department of Trauma and Orthopaedic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Mengis","sequence":"additional","affiliation":[{"name":"<!--<label>12<\/label>--> ARCUS 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Andreas B. Imhoff is a consultant for Arthrosurface and Medi Bayreuth and receives royalties from Arthrex and Arthrosurface. Peter E. M\u00fcller is a consultant for Medacta Shoulder System and Aesculap Unicondylar Knee System. Thomas Stoffels receives consulting fees and lecture fees from OPED GmbH. All other authors declare that they have no conflict of interest related to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was not obtained for this study. All procedures performed were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}