Paediatric ankle cartilage lesions: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Daire J. Hurley, Martin S. Davey, Eoghan T. Hurley, Christopher D. Murawski, James D. F. Calder, Pieter D'Hooghe, Christiaan J. A. van Bergen, Raymond J. Walls, Zakariya Ali, J. Nienke Altink, Jorge Batista, Steve Bayer, Gregory C. Berlet, Roberto Buda, Jari Dahmen, Christopher W. DiGiovanni, Richard D. Ferkel, Arianna L. Gianakos, Eric Giza, Mark GlazebrookStéphane Guillo, Laszlo Hangody, Daniel Haverkamp, Beat Hintermann, MaCalus V. Hogan, Yinghui Hua, Kenneth Hunt, M. Shazil Jamal, J. n Karlsson, Stephen Kearns, Kaj Lambers, Jin Woo Lee, Graham McCollum, Nathaniel P. Mercer, Conor Mulvin, James A. Nunley, Jochen Paul, Christopher Pearce, Helder Pereira, Marcelo Prado, Steven M. Raikin, Ian Savage-Elliott, Lew C. Schon, Yoshiharu Shimozono, James W. Stone, Sjoerd A. S. Stufkens, Martin Sullivan, Masato Takao, Hajo Thermann, David Thordarson, James Toale, Victor Valderrabano, Francesca Vannini, C. Niek van Dijk, Markus Walther, Youichi Yasui, Alastair S. Younger, John G. Kennedy, Gino M. M. J. Kerkhoffs

Research output: Contribution to journalArticleAcademicpeer-review

2 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 “Pediatric Ankle Cartilage Lesions” developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Methods: Forty-three international experts in cartilage repair of the ankle representing 20 countries convened to participate in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within four 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 characterised as follows: consensus: 51–74%; strong consensus: 75–99%; unanimous: 100%. Results: A total of 12 statements on paediatric ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Five achieved unanimous support, and seven reached strong consensus (>75% agreement). All statements reached at least 84% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with the management of paediatric ankle cartilage lesions.
Original languageEnglish
Pages (from-to)90-94
Number of pages5
JournalJournal of ISAKOS
Volume7
Issue number5
Early online date2022
DOIs
Publication statusPublished - Oct 2022

Keywords

  • Ankle
  • Cartilage
  • Talus
  • Terminology
  • Tibial plafond

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