TY - JOUR
T1 - High degree of consensus amongst an expert panel regarding focal resurfacing of chondral and osteochondral lesions of the femur with mini-implants
AU - Becher, Christoph
AU - Megaloikonomos, Panayiotis D
AU - Lind, Martin
AU - Eriksson, Karl
AU - Brittberg, Mats
AU - Beckmann, Johannes
AU - Verdonk, Peter
AU - Högström, Magnus
AU - Konradsen, Lars
AU - Holz, Johannes
AU - Franz, Alois
AU - Feucht, Matthias J
AU - Kösters, Clemens
AU - van Buul, Gerben
AU - Sköldenberg, Olof
AU - Emans, Pieter J
AU - Boutefnouchet, Tarek
AU - Nathwani, Dinesh
AU - McNicholas, Mike J
AU - O'Donnell, Turlough
AU - Spalding, Tim
AU - Stålman, Anders
AU - Ostermeier, Sven
AU - Imhoff, Andreas B
AU - Shearman, Alexander D
AU - Hirschmann, Michael
N1 - © 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
PY - 2023/9
Y1 - 2023/9
N2 - INTRODUCTION: The rationale for the use of mini-implants for partial resurfacing in the treatment of femoral chondral and osteochondral lesions is still under debate. The evidence supporting best practise guidelines is based on studies with low-level evidence. A consensus group of experts was convened to collaboratively advance towards consensus opinions regarding the best available evidence. The purpose of this article is to report the resulting consensus statements.METHODS: Twenty-five experts participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted via an online survey of two rounds, for initial agreement and comments on the proposed statements. An in-person meeting between the panellists was organised during the 2022 ESSKA congress to further discuss and debate each of the statements. A final agreement was made via a final online survey a few days later. The strength of consensus was characterised as: consensus, 51-74% agreement; strong consensus, 75-99% agreement; unanimous, 100% agreement.RESULTS: Statements were developed in the fields of patient assessment and indications, surgical considerations and postoperative care. Between the 25 statements that were discussed by this working group, 18 achieved unanimous, whilst 7 strong consensus.CONCLUSION: The consensus statements, derived from experts in the field, represent guidelines to assist clinicians in decision-making for the appropriate use of mini-implants for partial resurfacing in the treatment of femoral chondral and osteochondral lesions.LEVEL OF EVIDENCE: Level V.
AB - INTRODUCTION: The rationale for the use of mini-implants for partial resurfacing in the treatment of femoral chondral and osteochondral lesions is still under debate. The evidence supporting best practise guidelines is based on studies with low-level evidence. A consensus group of experts was convened to collaboratively advance towards consensus opinions regarding the best available evidence. The purpose of this article is to report the resulting consensus statements.METHODS: Twenty-five experts participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted via an online survey of two rounds, for initial agreement and comments on the proposed statements. An in-person meeting between the panellists was organised during the 2022 ESSKA congress to further discuss and debate each of the statements. A final agreement was made via a final online survey a few days later. The strength of consensus was characterised as: consensus, 51-74% agreement; strong consensus, 75-99% agreement; unanimous, 100% agreement.RESULTS: Statements were developed in the fields of patient assessment and indications, surgical considerations and postoperative care. Between the 25 statements that were discussed by this working group, 18 achieved unanimous, whilst 7 strong consensus.CONCLUSION: The consensus statements, derived from experts in the field, represent guidelines to assist clinicians in decision-making for the appropriate use of mini-implants for partial resurfacing in the treatment of femoral chondral and osteochondral lesions.LEVEL OF EVIDENCE: Level V.
KW - Humans
KW - Ankle Injuries/surgery
KW - Cartilage, Articular/surgery
KW - Lower Extremity/surgery
KW - Arthroplasty/methods
KW - Femur/surgery
UR - http://www.scopus.com/inward/record.url?scp=85159353263&partnerID=8YFLogxK
U2 - 10.1007/s00167-023-07450-8
DO - 10.1007/s00167-023-07450-8
M3 - Journal article
C2 - 37173573
SN - 0942-2056
VL - 31
SP - 4027
EP - 4034
JO - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JF - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
IS - 9
ER -