The following video clips are 22 highlights from the 2017 International Consensus on Cartilage Repair of the Ankle as published in FOOT & ANKLE INTERNATIONAL.
Clip
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To find consensus takes time, but the 2017 meeting in Pittsburgh brought a break-through.
There was a unique opportunity available to make an impact on the diagnosis, treatment and rehabilitation of these injuries. A modified version of the Delphi method was utilized to develop the consensus statements, and these videos will help to communicate the consensus statements among orthopedic surgeons and researchers throughout the world.
The process started in 2011 with the goal to gather a group of surgeons from all over the world to agree on the best way to diagnose, treat and rehabilitate osteochondral lesions of the ankle.
These consensus statements were developed to
guide surgeons from all over the world when treating these difficult clinical
injuries.
All experts provided their expertise
in a structure manner and an intense, year-long process allowed the consensus
statements to be developed.
The results were published in the first ever supplemental issue of Foot and Ankle International.
Which radiographic/imaging studies can be utilized to evaluate a known or suspected cartilage lesion of the ankle?
How can
the location of a lesion(s) be documented? |
How can
lesion size be measured on imaging? |
What is the optimal protocol for conservative management (eg, brace, cast, boot, PT, etc) of a cartilage lesion of the ankle?
FOOT & ANKLE INTERNATIONAL Volume 9
For how long can conservative management be attempted before surgery is recommended?
Is there an optimal formulation, cell source, or cell concentration of the available biological products in the setting of cartilage repair?
What are the ideal lesion size guidelines (diameter, depth, etc) for the use of bone marrow stimulation in the primary surgical treatment of an osteochondral lesion of the talus?
How can treatment failure be defined and what are the diagnostic criteria in the setting of cartilage repair of the ankle?
Does a previous debridement, curettage, and/or bone marrow stimulation procedure affect the outcome of a subsequent procedure?
What size drill can be utilized for retrograde drilling of a subchondral lesion of the ankle?
Are postoperative cysts a concern after osteochondral autograft procedures? If so, can they be avoided or treated?
In what cases/lesion types can fixation be considered for the surgical treatment of a cartilage lesion of the ankle?
FOOT & ANKLE INTERNATIONAL Volume 9
How can patients be counseled with regards to goals for postoperative function after bulk osteochondral allograft procedures?
What amount of bone loss necessitates grafting of a defect prior to utilizing a scaffold?
Can biological augmentation of a bone marrow stimulation procedure be considered?
In what cases can the addition of a scaffold to bone marrow stimulation (eg, matrix-augmented bone marrow stimulation) be considered?
How can treatment success be defined?
Should radiographic/imaging studies be obtained on patients after treatment of a cartilage lesion of the ankle? If so, which studies and which specific imaging protocol(s)?
Is there a benefit(s) to early versus delayed weight bearing after cartilage repair of the ankle?
For how long after cartilage repair of the ankle can clinicians and radiologists agree that there will be expected visualization of postoperative subchondral edema on imaging?
Does clinical function correlate with the appearance of post-treatment imaging?
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