Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

the International Consensus Group on Cartilage Repair of the Ankle

doi:10.1177/1071100718779392

Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

the International Consensus Group on Cartilage Repair of the Ankle

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62 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.

Original language	English
Pages (from-to)	16S-22S
Journal	Foot and Ankle International
Volume	39
Issue number	1_suppl
DOIs	https://doi.org/10.1177/1071100718779392
Publication status	Published - 2018 Jul 1

Bibliographical note

Funding Information:
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA 2Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 3Centre of Sports Traumatology, Koelliker Hospital, Turin, Italy 4The Steadman Clinic, Vail, CO, USA 5Department of Orthopaedic Surgery, Slotervaart Hospital, Amsterdam, the Netherlands 6Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea 7Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA 8Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China 9The Orthopedic Institute of Wisconsin, Franklin, WI, USA

Publisher Copyright:
© 2018, The Author(s) 2018.

Keywords

ankle
bone marrow stimulation
debridement
microfracture
osteochondral lesion
talus

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1177/1071100718779392

Cite this

@article{8ac708460d3548afbf88eba4bdcc5cc1,

title = "Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle",

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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.",

keywords = "ankle, bone marrow stimulation, debridement, microfracture, osteochondral lesion, talus",

author = "{the International Consensus Group on Cartilage Repair of the Ankle} and Hannon, {Charles P.} and Steve Bayer and Murawski, {Christopher D.} and Canata, {Gian Luigi} and Clanton, {Thomas O.} and Daniel Haverkamp and Lee, {Jin Woo} and O{\textquoteright}Malley, {Martin J.} and Hua Yinghui and Stone, {James W.} and Jakob Ackermann and Adams, {Samuel B.} and Andrews, {Carol L.} and Chayanin Angthong and Batista, {Jorge P.} and Baur, {Onno L.} and Christoph Becher and Berlet, {Gregory C.} and Boakye, {Lorraine A.T.} and Brown, {Alexandra J.} and Roberto Buda and Calder, {James D.F.} and Carreira, {Dominic S.} and Jari Dahmen and Pieter D{\textquoteright}Hooghe and DiGiovanni, {Christopher W.} and Dombrowski, {Malcolm E.} and Drakos, {Mark C.} and Ferkel, {Richard D.} and Ferrao, {Paulo N.F.} and Fortier, {Lisa A.} and Mark Glazebrook and Eric Giza and Mohamed Gomaa and Simon G{\"o}rtz and Haleem, {Amgad M.} and Kamran Hamid and Laszlo Hangody and Jay Hertel and Beat Hintermann and Hogan, {Ma Calus V.} and Hunt, {Kenneth J.} and Hurley, {Eoghan T.} and J{\'o}n Karlsson and Kearns, {Stephen R.} and Kennedy, {John G.} and Kerkhoffs, {Gino M.M.J.} and Kim, {Hak Jun} and Kong, {Siu Wah} and Labib, {Sameh A.}",

note = "Funding Information: 1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA 2Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 3Centre of Sports Traumatology, Koelliker Hospital, Turin, Italy 4The Steadman Clinic, Vail, CO, USA 5Department of Orthopaedic Surgery, Slotervaart Hospital, Amsterdam, the Netherlands 6Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea 7Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA 8Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China 9The Orthopedic Institute of Wisconsin, Franklin, WI, USA Publisher Copyright: {\textcopyright} 2018, The Author(s) 2018.",

year = "2018",

month = jul,

day = "1",

doi = "10.1177/1071100718779392",

language = "English",

volume = "39",

pages = "16S--22S",

journal = "Foot and Ankle International",

issn = "1071-1007",

publisher = "AOFAS - American Orthopaedic Foot and Ankle Society",

number = "1_suppl",

}

TY - JOUR

T1 - Debridement, Curettage, and Bone Marrow Stimulation

T2 - Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

AU - the International Consensus Group on Cartilage Repair of the Ankle

AU - Hannon, Charles P.

AU - Bayer, Steve

AU - Murawski, Christopher D.

AU - Canata, Gian Luigi

AU - Clanton, Thomas O.

AU - Haverkamp, Daniel

AU - Lee, Jin Woo

AU - O’Malley, Martin J.

AU - Yinghui, Hua

AU - Stone, James W.

AU - Ackermann, Jakob

AU - Adams, Samuel B.

AU - Andrews, Carol L.

AU - Angthong, Chayanin

AU - Batista, Jorge P.

AU - Baur, Onno L.

AU - Becher, Christoph

AU - Berlet, Gregory C.

AU - Boakye, Lorraine A.T.

AU - Brown, Alexandra J.

AU - Buda, Roberto

AU - Calder, James D.F.

AU - Carreira, Dominic S.

AU - Dahmen, Jari

AU - D’Hooghe, Pieter

AU - DiGiovanni, Christopher W.

AU - Dombrowski, Malcolm E.

AU - Drakos, Mark C.

AU - Ferkel, Richard D.

AU - Ferrao, Paulo N.F.

AU - Fortier, Lisa A.

AU - Glazebrook, Mark

AU - Giza, Eric

AU - Gomaa, Mohamed

AU - Görtz, Simon

AU - Haleem, Amgad M.

AU - Hamid, Kamran

AU - Hangody, Laszlo

AU - Hertel, Jay

AU - Hintermann, Beat

AU - Hogan, Ma Calus V.

AU - Hunt, Kenneth J.

AU - Hurley, Eoghan T.

AU - Karlsson, Jón

AU - Kearns, Stephen R.

AU - Kennedy, John G.

AU - Kerkhoffs, Gino M.M.J.

AU - Kim, Hak Jun

AU - Kong, Siu Wah

AU - Labib, Sameh A.

N1 - Funding Information: 1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA 2Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 3Centre of Sports Traumatology, Koelliker Hospital, Turin, Italy 4The Steadman Clinic, Vail, CO, USA 5Department of Orthopaedic Surgery, Slotervaart Hospital, Amsterdam, the Netherlands 6Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea 7Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA 8Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China 9The Orthopedic Institute of Wisconsin, Franklin, WI, USA Publisher Copyright: © 2018, The Author(s) 2018.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.

AB - 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 “Debridement, Curettage and Bone Marrow Stimulation” 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 14 statements on debridement, curettage, and bone marrow stimulation reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, 12 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 72% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with debridement, curettage and bone marrow stimulation as a treatment strategy for osteochondral lesions of the talus.

KW - ankle

KW - bone marrow stimulation

KW - debridement

KW - microfracture

KW - osteochondral lesion

KW - talus

UR - http://www.scopus.com/inward/record.url?scp=85049908749&partnerID=8YFLogxK

U2 - 10.1177/1071100718779392

DO - 10.1177/1071100718779392

M3 - Article

C2 - 30215307

AN - SCOPUS:85049908749

SN - 1071-1007

VL - 39

SP - 16S-22S

JO - Foot and Ankle International

JF - Foot and Ankle International

IS - 1_suppl

ER -

Debridement, Curettage, and Bone Marrow Stimulation: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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