Osteochondral Autograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. (July 2018)

• Record Type: Journal Article
• Authors: Hurley, Eoghan T.; Murawski, Christopher D.; Paul, Jochen; Marangon, Alberto; Prado, Marcelo P.; Xu, Xiangyang; Hangody, Laszlo; Kennedy, John G.
• Other Names: Ackermann Jakob non-byline-author.; Adams Samuel B. non-byline-author.; Andrews Carol L. non-byline-author.; Angthong Chayanin non-byline-author.; Batista Jorge P. non-byline-author.; Baur Onno L. non-byline-author.; Bayer Steve non-byline-author.; Becher Christoph non-byline-author.; Berlet Gregory C. non-byline-author.; Boakye Lorraine A. T. non-byline-author.; Brown Alexandra J. non-byline-author.; Buda Roberto non-byline-author.; Calder James D.F. non-byline-author.; Canata Gian Luigi non-byline-author.; Carreira Dominic S. non-byline-author.; Clanton Thomas O. non-byline-author.; Dahmen Jari non-byline-author.; D'Hooghe Pieter non-byline-author.; DiGiovanni Christopher W. non-byline-author.; Dombrowski Malcolm E. non-byline-author.; Drakos Mark C. non-byline-author.; Ferkel Richard D. non-byline-author.; Ferrao Paulo N. F. non-byline-author.; Fortier Lisa A. non-byline-author.; Glazebrook Mark non-byline-author.; Giza Eric non-byline-author.; Gomaa Mohamed non-byline-author.; Görtz Simon non-byline-author.; Haleem Amgad M. non-byline-author.; Hamid Kamran S. non-byline-author.; Hannon Charles P. non-byline-author.; Haverkamp Daniel non-byline-author.; Hertel Jay non-byline-author.; Hintermann Beat non-byline-author.; Hogan MaCalus V. non-byline-author.; Hunt Kenneth J. non-byline-author.; Karlsson Jón non-byline-author.; Kearns Stephen R. non-byline-author.; Kerkhoffs Gino M. M. J. non-byline-author.; Kim Hak Jun non-byline-author.; Kong Siu Wah non-byline-author.; Labib Sameh A. non-byline-author.; Lambers Kaj T. A. non-byline-author.; Lee Jin Woo non-byline-author.; Lee Keun Bae non-byline-author.; Ling Jeffrey S. non-byline-author.; Longo Umile Giuseppe non-byline-author.; McCollum Graham non-byline-author.; Mitchell Adam W. non-byline-author.; Mittwede Peter N. non-byline-author.; Nehrer Stefan non-byline-author.; Niemeyer Philipp non-byline-author.; Nunley James A. non-byline-author.; O'Malley Martin J. non-byline-author.; Osei-Hwedieh David O. non-byline-author.; Pearce Christopher J. non-byline-author.; Pereira Helder non-byline-author.; Popchak Adam non-byline-author.; Raikin Steven M. non-byline-author.; Reilingh Mikel L. non-byline-author.; Rothrauff Benjamin B. non-byline-author.; Schon Lew C. non-byline-author.; Shimozono Yoshiharu non-byline-author.; Simpson Helene non-byline-author.; Smyth Niall A. non-byline-author.; Sofka Carolyn M. non-byline-author.; Spennacchio Pietro non-byline-author.; Stone James W. non-byline-author.; Sullivan Martin non-byline-author.; Takao Masato non-byline-author.; Tanaka Yasuhito non-byline-author.; Thordarson David B. non-byline-author.; Tuan Rocky non-byline-author.; Valderrabano Victor non-byline-author.; van Bergen Christiaan J.A. non-byline-author.; van Dijk C. Niek non-byline-author.; van Dijk Pim A.D. non-byline-author.; Vannini Francesca non-byline-author.; Vaseenon Tanawat non-byline-author.; Walther Markus non-byline-author.; Wiewiorski Martin non-byline-author.; Yasui Youichi non-byline-author.; Yinghui Hua non-byline-author.; Yoshimura Ichiro non-byline-author.; Younger Alastair S. E. non-byline-author.; Zhang Zijun non-byline-author.;
• Is Part Of: Foot & ankle international. Volume 39(2018)Supplement 1
• Page Start: 28S
• Page End: 34S
• Publication Date: 2018-07
• Subjects: osteochondral lesion -- talus -- autograft -- ankle; Foot -- Abnormalities -- Periodicals; Ankle -- Abnormalities -- Periodicals; Orthopedics -- Periodicals; 617.585
• DOI: 10.1177/1071100718781098
• Languages: English
• ISSNs: 1071-1007

Abstract

Background: Treatment guidelines for cartilage lesions of the talus have been 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 on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of "osteochondral autograft" for osteochondral lesions of the talus. 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%; and unanimous, 100%. Results: A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 67% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.