Abstract：
UNASSIGNED: The aim of this study was to establish consensus statements on the diagnosis, nonoperative management, and indications, if any, for medial patellofemoral complex (MPFC) repair in patients with patellar instability, using the modified Delphi approach.
UNASSIGNED: A total of 60 surgeons from 11 countries were invited to develop consensus statements based on their expertise in this area. They were assigned to one of seven working groups defined by subtopics of interest within patellar instability. Consensus was defined as achieving between 80% and 89% agreement, strong consensus was defined as between 90% and 99% agreement, and 100% agreement was considered to be unanimous.
UNASSIGNED: Of 27 questions and statements on patellar instability, three achieved unanimous consensus, 14 achieved strong consensus, five achieved consensus, and five did not achieve consensus.
UNASSIGNED: The statements that reached unanimous consensus were that an assessment of physeal status is critical for paediatric patients with patellar instability. There was also unanimous consensus on early mobilization and resistance training following nonoperative management once there is no apprehension. The statements that did not achieve consensus were on the importance of immobilization of the knee, the use of orthobiologics in nonoperative management, the indications for MPFC repair, and whether a vastus medialis oblique advancement should be performed.
UNASSIGNED: A total of 60 surgeons from 11 countries were invited to develop consensus statements based on their expertise in this area. They were assigned to one of seven working groups defined by subtopics of interest within patellar instability. Consensus was defined as achieving between 80% and 89% agreement, strong consensus was defined as between 90% and 99% agreement, and 100% agreement was considered to be unanimous.
UNASSIGNED: Of 27 questions and statements on patellar instability, three achieved unanimous consensus, 14 achieved strong consensus, five achieved consensus, and five did not achieve consensus.
UNASSIGNED: The statements that reached unanimous consensus were that an assessment of physeal status is critical for paediatric patients with patellar instability. There was also unanimous consensus on early mobilization and resistance training following nonoperative management once there is no apprehension. The statements that did not achieve consensus were on the importance of immobilization of the knee, the use of orthobiologics in nonoperative management, the indications for MPFC repair, and whether a vastus medialis oblique advancement should be performed.
摘要：
■这项研究的目的是建立关于诊断的共识声明，非手术管理，和适应症，如果有的话,用于髌骨不稳定患者的内侧髌股复合体（MPFC）修复，使用修改后的Delphi方法。
■邀请了来自11个国家的60名外科医生根据他们在该领域的专业知识制定共识声明。他们被分配到七个工作组之一，这些工作组由髌骨不稳定中感兴趣的子主题定义。共识被定义为达成80%至89%的共识，强烈的共识被定义为90%到99%的共识，100%的协议被认为是一致的。
■关于髌骨不稳定的27个问题和陈述，三个达成一致共识，14达成强烈共识，达成五点共识,五人没有达成共识。
■达成一致共识的陈述是，对髌骨不稳定的儿科患者进行评估是至关重要的。一旦没有忧虑，在非手术管理后的早期动员和阻力训练也达成了一致共识。没有达成共识的陈述是关于固定膝盖的重要性，在非手术管理中使用直管生物学，MPFC维修的迹象，以及是否应进行股内侧斜推进。
■邀请了来自11个国家的60名外科医生根据他们在该领域的专业知识制定共识声明。他们被分配到七个工作组之一，这些工作组由髌骨不稳定中感兴趣的子主题定义。共识被定义为达成80%至89%的共识，强烈的共识被定义为90%到99%的共识，100%的协议被认为是一致的。
■关于髌骨不稳定的27个问题和陈述，三个达成一致共识，14达成强烈共识，达成五点共识,五人没有达成共识。
■达成一致共识的陈述是，对髌骨不稳定的儿科患者进行评估是至关重要的。一旦没有忧虑，在非手术管理后的早期动员和阻力训练也达成了一致共识。没有达成共识的陈述是关于固定膝盖的重要性，在非手术管理中使用直管生物学，MPFC维修的迹象，以及是否应进行股内侧斜推进。
