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

• Record Type: Journal Article
• Authors: Smyth, Niall A.; Murawski, Christopher D.; Adams, Samuel B.; Berlet, Gregory C.; Buda, Roberto; Labib, Sameh A.; Nunley, James A.; Raikin, Steven M.
• Other Names: Ackermann Jakob 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.; Boakye Lorraine A. T. non-byline-author.; Brown Alexandra J. 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.; Hangody Laszlo 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.; Hurley Eoghan T. non-byline-author.; Karlsson Jón non-byline-author.; Kearns Stephen R. non-byline-author.; Kennedy John G. non-byline-author.; Kerkhoffs Gino M. M. J. non-byline-author.; Kim Hak Jun non-byline-author.; Kong Siu Wah 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.; Marangon Alberto 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.; O'Malley Martin J. non-byline-author.; Osei-Hwedieh David O. non-byline-author.; Paul Jochen non-byline-author.; Pearce Christopher J. non-byline-author.; Pereira Helder non-byline-author.; Popchak Adam non-byline-author.; Prado Marcelo P. 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.; 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.; Xu Xiangyang 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: 35S
• Page End: 40S
• Publication Date: 2018-07
• Subjects: osteochondral lesion -- talus -- allograft -- ankle; Foot -- Abnormalities -- Periodicals; Ankle -- Abnormalities -- Periodicals; Orthopedics -- Periodicals; 617.585
• DOI: 10.1177/1071100718781097
• Languages: English
• ISSNs: 1071-1007

Abstract

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is 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 "Osteochondral Allograft" 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%; and unanimous, 100%. Results: A total of 15 statements on osteochondral allograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support and 14 reached strong consensus (greater than 75% agreement). All statements reached at least 85% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with osteochondral allograft as a treatment strategy for osteochondral lesions of the talus.