PT  - JOURNAL ARTICLE
AU  - Whittaker, Jackie L
AU  - Culvenor, Adam G
AU  - Juhl, Carsten Bogh
AU  - Berg, Bjørnar
AU  - Bricca, Alessio
AU  - Filbay, Stephanie Rose
AU  - Holm, Pætur
AU  - Macri, Erin
AU  - Urhausen, Anouk P
AU  - Ardern, Clare L
AU  - Bruder, Andrea M
AU  - Bullock, Garrett S
AU  - Ezzat, Allison M
AU  - Girdwood, Michael
AU  - Haberfield, Melissa
AU  - Hughes, Mick
AU  - Ingelsrud, Lina Holm
AU  - Khan, Karim M
AU  - Le, Christina Y
AU  - Losciale, Justin M
AU  - Lundberg, Matilde
AU  - Miciak, Maxi
AU  - Øiestad, Britt Elin
AU  - Patterson, Brooke
AU  - Räisänen, Anu M
AU  - Skou, Søren T
AU  - Thorlund, Jonas Bloch
AU  - Toomey, Clodagh
AU  - Truong, Linda K
AU  - Meer, Belle L. van
AU  - West, Thomas James
AU  - Young, James Justin
AU  - Lohmander, L Stefan
AU  - Emery, Carolyn
AU  - Risberg, May Arna
AU  - van Middelkoop, Marienke
AU  - Roos, Ewa M
AU  - Crossley, Kay M
TI  - OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis
AID  - 10.1136/bjsports-2022-106299
DP  - 2022 Dec 01
TA  - British Journal of Sports Medicine
PG  - 1393--1405
VI  - 56
IP  - 24
4099  - http://bjsm.bmj.com/content/56/24/1393.short
4100  - http://bjsm.bmj.com/content/56/24/1393.full
SO  - Br J Sports Med2022 Dec 01; 56
AB  - The goal of the OPTIKNEE consensus is to improve knee and overall health, to prevent osteoarthritis (OA) after a traumatic knee injury. The consensus followed a seven-step hybrid process. Expert groups conducted 7 systematic reviews to synthesise the current evidence and inform recommendations on the burden of knee injuries; risk factors for post-traumatic knee OA; rehabilitation to prevent post-traumatic knee OA; and patient-reported outcomes, muscle function and functional performance tests to monitor people at risk of post-traumatic knee OA. Draft consensus definitions, and clinical and research recommendations were generated, iteratively refined, and discussed at 6, tri-weekly, 2-hour videoconferencing meetings. After each meeting, items were finalised before the expert group (n=36) rated the level of appropriateness for each using a 9-point Likert scale, and recorded dissenting viewpoints through an anonymous online survey. Seven definitions, and 8 clinical recommendations (who to target, what to target and when, rehabilitation approach and interventions, what outcomes to monitor and how) and 6 research recommendations (research priorities, study design considerations, what outcomes to monitor and how) were voted on. All definitions and recommendations were rated appropriate (median appropriateness scores of 7–9) except for two subcomponents of one clinical recommendation, which were rated uncertain (median appropriateness score of 4.5–5.5). Varying levels of evidence supported each recommendation. Clinicians, patients, researchers and other stakeholders may use the definitions and recommendations to advocate for, guide, develop, test and implement person-centred evidence-based rehabilitation programmes following traumatic knee injury, and facilitate data synthesis to reduce the burden of knee post-traumatic knee OA.