Rehabilitation and Return to Sports: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle. (July 2018)

• Record Type: Journal Article
• Authors: D'Hooghe, Pieter; Murawski, Christopher D.; Boakye, Lorraine A. T.; Osei-Hwedieh, David O.; Drakos, Mark C.; Hertel, Jay; Lee, Keun Bae; Popchak, Adam; Wiewiorski, Martin; van Dijk, C. Niek
• 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.; 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.; DiGiovanni Christopher W. non-byline-author.; Dombrowski Malcolm E. 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.; 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.; Labib Sameh A. non-byline-author.; Lambers Kaj T. A. non-byline-author.; Lee Jin Woo 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.; Nunley James A. non-byline-author.; O'Malley Martin J. non-byline-author.; Paul Jochen non-byline-author.; Pearce Christopher J. non-byline-author.; Pereira Helder non-byline-author.; Prado Marcelo P. 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 Pim A.D. non-byline-author.; Vannini Francesca non-byline-author.; Vaseenon Tanawat non-byline-author.; Walther Markus 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: 61S
• Page End: 67S
• Publication Date: 2018-07
• Subjects: return to sports -- ankle cartilage -- talus -- osteochondral lesion -- rehabilitation; Foot -- Abnormalities -- Periodicals; Ankle -- Abnormalities -- Periodicals; Orthopedics -- Periodicals; 617.585
• DOI: 10.1177/1071100718781862
• Languages: English
• ISSNs: 1071-1007

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 Rehabilitation and Return to Sports 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 rehabilitation and return to sports reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 9 statements reached strong consensus, with at least 86% agreement. Conclusions: The rehabilitation process for an ankle cartilage injury requires a multidisciplinary and comprehensive approach. This international consensus derived from leaders in the field will assist clinicians with rehabilitation and return to sports after treatment of a cartilage injury of the ankle.