Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are 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 based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on Rehabilitation and Return to Sports developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. 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%; unanimous, 100%. Results: A total of 9 statements on rehabilitation and return to sports reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 9 statements reached strong consensus, with at least 86% agreement. Conclusions: The rehabilitation process for an ankle cartilage injury requires a multidisciplinary and comprehensive approach. This international consensus derived from leaders in the field will assist clinicians with rehabilitation and return to sports after treatment of a cartilage injury of the ankle.
Bibliographical noteFunding Information:
1Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar 2Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 3Hospital for Special Surgery, New York, NY, USA 4Department of Kinesiology, University of Virginia, Charlottesville, VA, USA 5Department of Orthopedic Surgery, Chonnam National University Medical School and Hospital, Gwangju, South Korea 6Department of Orthopaedic and Trauma Surgery, Kantonsspital Winterthur, Winterthur, Switzerland 7Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands 8Ripoll y De Prado Sports Clinic: Murcia-Madrid-FIFA Medical Center of Excellence, Madrid, Spain
© 2018, The Author(s) 2018.
All Science Journal Classification (ASJC) codes
- Orthopedics and Sports Medicine