Osteochondral Autograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

the International Consensus Group on Cartilage Repair of the Ankle

Research output: Contribution to journalArticle

Abstract

Background: Treatment guidelines for cartilage lesions of the talus have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of “osteochondral autograft” for osteochondral lesions of the talus. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; and unanimous, 100%. Results: A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 67% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.

Original languageEnglish
Pages (from-to)28S-34S
JournalFoot and Ankle International
Volume39
Issue number1_suppl
DOIs
Publication statusPublished - 2018 Jul 1

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Autografts
Talus
Ankle
Cartilage
Guidelines

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

the International Consensus Group on Cartilage Repair of the Ankle. / Osteochondral Autograft : Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. In: Foot and Ankle International. 2018 ; Vol. 39, No. 1_suppl. pp. 28S-34S.
@article{a356d6c8c7a4454189783f28a394dd52,
title = "Osteochondral Autograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle",
abstract = "Background: Treatment guidelines for cartilage lesions of the talus have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of “osteochondral autograft” for osteochondral lesions of the talus. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51{\%} to 74{\%}; strong consensus, 75{\%} to 99{\%}; and unanimous, 100{\%}. Results: A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75{\%} agreement), and 1 achieved consensus. All statements reached at least 67{\%} agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.",
author = "{the International Consensus Group on Cartilage Repair of the Ankle} and Hurley, {Eoghan T.} and Murawski, {Christopher D.} and Jochen Paul and Alberto Marangon and Prado, {Marcelo P.} and Xiangyang Xu and Laszlo Hangody and Kennedy, {John G.} and Jakob Ackermann and Adams, {Samuel B.} and Andrews, {Carol L.} and Chayanin Angthong and Batista, {Jorge P.} and Baur, {Onno L.} and Steve Bayer and Christoph Becher and Berlet, {Gregory C.} and Boakye, {Lorraine A.T.} and Brown, {Alexandra J.} and Roberto Buda and Calder, {James D.F.} and Canata, {Gian Luigi} and Carreira, {Dominic S.} and Clanton, {Thomas O.} and Jari Dahmen and Pieter D’Hooghe and DiGiovanni, {Christopher W.} and Dombrowski, {Malcolm E.} and Drakos, {Mark C.} and Ferkel, {Richard D.} and Ferrao, {Paulo N.F.} and Fortier, {Lisa A.} and Mark Glazebrook and Eric Giza and Mohamed Gomaa and Simon G{\"o}rtz and Haleem, {Amgad M.} and Kamran Hamid and Hannon, {Charles P.} and Daniel Haverkamp and Jay Hertel and Beat Hintermann and Hogan, {Ma Calus V.} and Hunt, {Kenneth J.} and J{\'o}n Karlsson and Kearns, {Stephen R.} and Kerkhoffs, {Gino M.M.J.} and Kim, {Hak Jun} and Kong, {Siu Wah} and jinwoo lee",
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Osteochondral Autograft : Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. / the International Consensus Group on Cartilage Repair of the Ankle.

In: Foot and Ankle International, Vol. 39, No. 1_suppl, 01.07.2018, p. 28S-34S.

Research output: Contribution to journalArticle

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T1 - Osteochondral Autograft

T2 - Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

AU - the International Consensus Group on Cartilage Repair of the Ankle

AU - Hurley, Eoghan T.

AU - Murawski, Christopher D.

AU - Paul, Jochen

AU - Marangon, Alberto

AU - Prado, Marcelo P.

AU - Xu, Xiangyang

AU - Hangody, Laszlo

AU - Kennedy, John G.

AU - Ackermann, Jakob

AU - Adams, Samuel B.

AU - Andrews, Carol L.

AU - Angthong, Chayanin

AU - Batista, Jorge P.

AU - Baur, Onno L.

AU - Bayer, Steve

AU - Becher, Christoph

AU - Berlet, Gregory C.

AU - Boakye, Lorraine A.T.

AU - Brown, Alexandra J.

AU - Buda, Roberto

AU - Calder, James D.F.

AU - Canata, Gian Luigi

AU - Carreira, Dominic S.

AU - Clanton, Thomas O.

AU - Dahmen, Jari

AU - D’Hooghe, Pieter

AU - DiGiovanni, Christopher W.

AU - Dombrowski, Malcolm E.

AU - Drakos, Mark C.

AU - Ferkel, Richard D.

AU - Ferrao, Paulo N.F.

AU - Fortier, Lisa A.

AU - Glazebrook, Mark

AU - Giza, Eric

AU - Gomaa, Mohamed

AU - Görtz, Simon

AU - Haleem, Amgad M.

AU - Hamid, Kamran

AU - Hannon, Charles P.

AU - Haverkamp, Daniel

AU - Hertel, Jay

AU - Hintermann, Beat

AU - Hogan, Ma Calus V.

AU - Hunt, Kenneth J.

AU - Karlsson, Jón

AU - Kearns, Stephen R.

AU - Kerkhoffs, Gino M.M.J.

AU - Kim, Hak Jun

AU - Kong, Siu Wah

AU - lee, jinwoo

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background: Treatment guidelines for cartilage lesions of the talus have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of “osteochondral autograft” for osteochondral lesions of the talus. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; and unanimous, 100%. Results: A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 67% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.

AB - Background: Treatment guidelines for cartilage lesions of the talus have been based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of “osteochondral autograft” for osteochondral lesions of the talus. Methods: Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 territory were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 11 working groups focusing on specific topics within cartilage repair of the ankle, after which a comprehensive literature review was performed and the available evidence for each statement was graded. Discussion and debate occurred in cases where statements were not agreed upon in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; and unanimous, 100%. Results: A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 67% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.

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