Debridement, Curettage, and Bone Marrow Stimulation

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: 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.

Original languageEnglish
Pages (from-to)16S-22S
JournalFoot and Ankle International
Volume39
Issue number1_suppl
DOIs
Publication statusPublished - 2018 Jul 1

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Curettage
Debridement
Ankle
Cartilage
Bone Marrow
Practice Guidelines
Talus

Keywords

  • ankle
  • bone marrow stimulation
  • debridement
  • microfracture
  • osteochondral lesion
  • talus

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Debridement, Curettage, and Bone Marrow Stimulation : 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. 16S-22S.

Research output: Contribution to journalArticle

the International Consensus Group on Cartilage Repair of the Ankle. / Debridement, Curettage, and Bone Marrow Stimulation : Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. In: Foot and Ankle International. 2018 ; Vol. 39, No. 1_suppl. pp. 16S-22S.
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title = "Debridement, Curettage, and Bone Marrow Stimulation: 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75{\%} agreement), and 1 achieved consensus. All statements reached at least 72{\%} agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.",
keywords = "ankle, bone marrow stimulation, debridement, microfracture, osteochondral lesion, talus",
author = "{the International Consensus Group on Cartilage Repair of the Ankle} and Hannon, {Charles P.} and Steve Bayer and Murawski, {Christopher D.} and Canata, {Gian Luigi} and Clanton, {Thomas O.} and Daniel Haverkamp and Lee, {Jin Woo} and O’Malley, {Martin J.} and Hua Yinghui and Stone, {James W.} and Jakob Ackermann and Adams, {Samuel B.} and Andrews, {Carol L.} and Chayanin Angthong and Batista, {Jorge P.} and Baur, {Onno L.} 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 Carreira, {Dominic S.} 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 Laszlo Hangody and Jay Hertel and Beat Hintermann and Hogan, {Ma Calus V.} 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 - Debridement, Curettage, and Bone Marrow Stimulation

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 - Hannon, Charles P.

AU - Bayer, Steve

AU - Murawski, Christopher D.

AU - Canata, Gian Luigi

AU - Clanton, Thomas O.

AU - Haverkamp, Daniel

AU - Lee, Jin Woo

AU - O’Malley, Martin J.

AU - Yinghui, Hua

AU - Stone, James W.

AU - Ackermann, Jakob

AU - Adams, Samuel B.

AU - Andrews, Carol L.

AU - Angthong, Chayanin

AU - Batista, Jorge P.

AU - Baur, Onno L.

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 - Carreira, Dominic S.

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 - Hangody, Laszlo

AU - Hertel, Jay

AU - Hintermann, Beat

AU - Hogan, Ma Calus V.

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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.

KW - ankle

KW - bone marrow stimulation

KW - debridement

KW - microfracture

KW - osteochondral lesion

KW - talus

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DO - 10.1177/1071100718779392

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JO - Foot and Ankle International

JF - Foot and Ankle International

SN - 1071-1007

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