Subchondral Pathology

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 “Subchondral Pathology” 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 subchondral pathology reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. No statements achieved unanimous support, but all statements reached strong consensus (greater than 75% agreement). All statements reached at least 81% agreement. Conclusions: This international consensus statements regarding subchondral pathology of the talus derived from leaders in the field will assist clinicians in the assessment and management of this difficult pathology.

Original languageEnglish
Pages (from-to)48S-53S
JournalFoot and Ankle International
Volume39
Issue number1_suppl
DOIs
Publication statusPublished - 2018 Jul 1

Fingerprint

Ankle
Cartilage
Pathology
Practice Guidelines
Talus

Keywords

  • bone grafting
  • bone marrow edema
  • bone transplantation
  • cartilage repair
  • retrograde drilling
  • subchondral bone

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Subchondral Pathology : 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. 48S-53S.

Research output: Contribution to journalArticle

the International Consensus Group on Cartilage Repair of the Ankle. / Subchondral Pathology : Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. In: Foot and Ankle International. 2018 ; Vol. 39, No. 1_suppl. pp. 48S-53S.
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title = "Subchondral Pathology: 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 “Subchondral Pathology” 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 subchondral pathology reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. No statements achieved unanimous support, but all statements reached strong consensus (greater than 75{\%} agreement). All statements reached at least 81{\%} agreement. Conclusions: This international consensus statements regarding subchondral pathology of the talus derived from leaders in the field will assist clinicians in the assessment and management of this difficult pathology.",
keywords = "bone grafting, bone marrow edema, bone transplantation, cartilage repair, retrograde drilling, subchondral bone",
author = "{the International Consensus Group on Cartilage Repair of the Ankle} and Yoshiharu Shimozono and Brown, {Alexandra J.} and Batista, {Jorge P.} and Murawski, {Christopher D.} and Mohamed Gomaa and Kong, {Siu Wah} and Tanawat Vaseenon and Masato Takao and Mark Glazebrook and Jakob Ackermann and Adams, {Samuel B.} and Andrews, {Carol L.} and Chayanin Angthong and Baur, {Onno L.} and Steve Bayer and Christoph Becher and Berlet, {Gregory C.} and Boakye, {Lorraine A.T.} 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 Eric Giza and Simon G{\"o}rtz and Haleem, {Amgad M.} and Kamran Hamid and Laszlo Hangody and Hannon, {Charles P.} and Daniel Haverkamp 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 Labib, {Sameh A.} and Lambers, {Kaj T.A.}",
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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 - Shimozono, Yoshiharu

AU - Brown, Alexandra J.

AU - Batista, Jorge P.

AU - Murawski, Christopher D.

AU - Gomaa, Mohamed

AU - Kong, Siu Wah

AU - Vaseenon, Tanawat

AU - Takao, Masato

AU - Glazebrook, Mark

AU - Ackermann, Jakob

AU - Adams, Samuel B.

AU - Andrews, Carol L.

AU - Angthong, Chayanin

AU - Baur, Onno L.

AU - Bayer, Steve

AU - Becher, Christoph

AU - Berlet, Gregory C.

AU - Boakye, Lorraine A.T.

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 - Giza, Eric

AU - Görtz, Simon

AU - Haleem, Amgad M.

AU - Hamid, Kamran

AU - Hangody, Laszlo

AU - Hannon, Charles P.

AU - Haverkamp, Daniel

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 - Labib, Sameh A.

AU - Lambers, Kaj T.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 “Subchondral Pathology” 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 subchondral pathology reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. No statements achieved unanimous support, but all statements reached strong consensus (greater than 75% agreement). All statements reached at least 81% agreement. Conclusions: This international consensus statements regarding subchondral pathology of the talus derived from leaders in the field will assist clinicians in the assessment and management of this difficult pathology.

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KW - bone grafting

KW - bone marrow edema

KW - bone transplantation

KW - cartilage repair

KW - retrograde drilling

KW - subchondral bone

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