Osteochondral Lesions of the Tibial Plafond and Ankle Instability With Ankle Cartilage Lesions: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

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

Research output: Contribution to journalArticlepeer-review

Abstract

Background: 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 present the consensus statements on osteochondral lesions of the tibial plafond (OLTP) and on ankle instability with ankle cartilage lesions developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Methods: Forty-three experts in cartilage repair of the ankle were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 4 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 on in unanimous fashion within the working groups. A final vote was then held. Results: A total of 11 statements on OLTP reached consensus. Four achieved unanimous support and 7 reached strong consensus (greater than 75% agreement). A total of 8 statements on ankle instability with ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, and seven reached strong consensus (greater than 75% agreement). Conclusion: These consensus statements may assist clinicians in the management of these difficult clinical pathologies. Level of Evidence: Level V, mechanism-based reasoning.

Original languageEnglish (US)
Pages (from-to)448-452
Number of pages5
JournalFoot and Ankle International
Volume43
Issue number3
DOIs
StatePublished - Mar 2022

Keywords

  • ankle
  • ankle instability
  • cartilage
  • osteochondral lesion
  • tibial plafond

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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