London International Consensus and Delphi study on hamstring injuries part 2: operative management
Br J Sports Med. 2023 Jan 17:bjsports-2021-105383. doi: 10.1136/bjsports-2021-105383. Online ahead of print.ABSTRACTThe key indications for surgical repair of hamstring injuries (HSIs) remain unclear in the literature due to a lack of high-level evidence and expert knowledge. The 2020 London International Hamstring Consensus meeting aimed to highlight clear surgical indications and to create a foundation for future research. A literature review was conducted followed by a modified Delphi process, with an international expert panel. Purposive sampling was used with two rounds of online questionnaires and an intermediate round involving a consensus meeting. The initial information gathering (round 1) questionnaire was sent to 46 international experts, which comprised open-ended questions covering decision-making domains in HSI. Thematic analysis of responses outlined key domains, which were evaluated by a smaller international subgroup (n=15) comprising clinical academic sports medicine physicians, physiotherapists and orthopaedic surgeons in a consensus meeting. After group discussion of each domain, a series of consensus statements were prepared, debated and refined. A round 2 questionnaire was sent to 112 international hamstring experts to vote on these statements and determine level of agreement. The consensus threshold was set a priori at 70% agreement. Rounds 1 and 2 survey respondents were 35/46 (76%) and 99/112 (88.4%), respectively. The consensus group agreed that the ...
Source: British Journal of Sports Medicine - Category: Sports Medicine Authors: Ricci Plastow Gino M M J Kerkhoffs David Wood Bruce M Paton Babar Kayani Noel Pollock Nick Court Michael Giakoumis Paul Head Sam Kelly James Moore Peter Moriarty Simon Murphy Paul Read Ben Stirling Laura Tulloch Nicol van Dyk Mathew Wilson Fares Haddad Source Type: research
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