Conservative Management and Biological Treatment Strategies: 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

3 Citations (Scopus)

Abstract

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 “Conservative Management and Biological Treatment Strategies” 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 12 statements on Conservative Management and Biological Treatment Strategies reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Ten statements reached strong consensus (greater than 75% agreement), and 2 achieved consensus. Conclusions: This international consensus derived from leaders in the field will assist clinicians with conservative management and biological treatment strategies for osteochondral lesions of the talus.

Original languageEnglish
Pages (from-to)9S-15S
JournalFoot and Ankle International
Volume39
Issue number1_suppl
DOIs
Publication statusPublished - 2018 Jul 1

Fingerprint

Ankle
Cartilage
Practice Guidelines
Therapeutics
Talus
Conservative Treatment

Keywords

  • biologics
  • concentrated bone marrow aspirate
  • hyaluronic acid
  • OLT
  • orthobiologics
  • osteochondral lesion of the talus
  • platelet-rich plasma
  • PRP

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Conservative Management and Biological Treatment Strategies : 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. 9S-15S.

Research output: Contribution to journalArticle

the International Consensus Group on Cartilage Repair of the Ankle. / Conservative Management and Biological Treatment Strategies : Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. In: Foot and Ankle International. 2018 ; Vol. 39, No. 1_suppl. pp. 9S-15S.
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title = "Conservative Management and Biological Treatment Strategies: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle",
abstract = "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 “Conservative Management and Biological Treatment Strategies” 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 12 statements on Conservative Management and Biological Treatment Strategies reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Ten statements reached strong consensus (greater than 75{\%} agreement), and 2 achieved consensus. Conclusions: This international consensus derived from leaders in the field will assist clinicians with conservative management and biological treatment strategies for osteochondral lesions of the talus.",
keywords = "biologics, concentrated bone marrow aspirate, hyaluronic acid, OLT, orthobiologics, osteochondral lesion of the talus, platelet-rich plasma, PRP",
author = "{the International Consensus Group on Cartilage Repair of the Ankle} and Dombrowski, {Malcolm E.} and Youichi Yasui and Murawski, {Christopher D.} and Fortier, {Lisa A.} and Eric Giza and Haleem, {Amgad M.} and Kamran Hamid and Rocky Tuan and Zijun Zhang and Schon, {Lew C.} and Hogan, {Ma Calus V.} 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 Drakos, {Mark C.} and Ferkel, {Richard D.} and Ferrao, {Paulo N.F.} and Mark Glazebrook and Mohamed Gomaa and Simon G{\"o}rtz and Laszlo Hangody and Hannon, {Charles P.} and Daniel Haverkamp and Jay Hertel and Beat Hintermann and Hunt, {Kenneth J.} and Hurley, {Eoghan T.} and J{\'o}n Karlsson and Kearns, {Stephen R.} and Kennedy, {John G.} and Kerkhoffs, {Gino M.M.J.} and Kim, {Hak Jun} and Kong, {Siu Wah} and Labib, {Sameh A.}",
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T1 - Conservative Management and Biological Treatment Strategies

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 - Dombrowski, Malcolm E.

AU - Yasui, Youichi

AU - Murawski, Christopher D.

AU - Fortier, Lisa A.

AU - Giza, Eric

AU - Haleem, Amgad M.

AU - Hamid, Kamran

AU - Tuan, Rocky

AU - Zhang, Zijun

AU - Schon, Lew C.

AU - Hogan, Ma Calus V.

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 - Drakos, Mark C.

AU - Ferkel, Richard D.

AU - Ferrao, Paulo N.F.

AU - Glazebrook, Mark

AU - Gomaa, Mohamed

AU - Görtz, Simon

AU - Hangody, Laszlo

AU - Hannon, Charles P.

AU - Haverkamp, Daniel

AU - Hertel, Jay

AU - Hintermann, Beat

AU - Hunt, Kenneth J.

AU - Hurley, Eoghan T.

AU - Karlsson, Jón

AU - Kearns, Stephen R.

AU - Kennedy, John G.

AU - Kerkhoffs, Gino M.M.J.

AU - Kim, Hak Jun

AU - Kong, Siu Wah

AU - Labib, Sameh A.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - 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 “Conservative Management and Biological Treatment Strategies” 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 12 statements on Conservative Management and Biological Treatment Strategies reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Ten statements reached strong consensus (greater than 75% agreement), and 2 achieved consensus. Conclusions: This international consensus derived from leaders in the field will assist clinicians with conservative management and biological treatment strategies for osteochondral lesions of the talus.

AB - 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 “Conservative Management and Biological Treatment Strategies” 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 12 statements on Conservative Management and Biological Treatment Strategies reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Ten statements reached strong consensus (greater than 75% agreement), and 2 achieved consensus. Conclusions: This international consensus derived from leaders in the field will assist clinicians with conservative management and biological treatment strategies for osteochondral lesions of the talus.

KW - biologics

KW - concentrated bone marrow aspirate

KW - hyaluronic acid

KW - OLT

KW - orthobiologics

KW - osteochondral lesion of the talus

KW - platelet-rich plasma

KW - PRP

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JO - Foot and Ankle International

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