Osteochondral Autograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle
Authors: Hurley Eoghan T. , Murawski Christopher D. , Paul Jochen , Marangon Alberto , Prado Marcelo P. , Xu Xiangyang , Hangody Laszlo , Kennedy John G. , Ackermann Jakob , Adams Samuel B. , Andrews Carol L. , Angthong Chayanin , Batista Jorge P. , Baur Onno L. , Bayer Steve , Becher Christoph , Berlet Gregory C. , Boakye Lorraine A. T. , Brown Alexandra J. , Buda Roberto , Calder James D.F. , Canata Gian Luigi , Carreira Dominic S. , Clanton Thomas O. , Dahmen Jari , D’Hooghe Pieter , DiGiovanni Christopher W. , Dombrowski Malcolm E. , Drakos Mark C. , Ferkel Richard D. , Ferrao Paulo N. F. , Fortier Lisa A. , Glazebrook Mark , Giza Eric , Gomaa Mohamed , Görtz Simon , Haleem Amgad M. , Hamid Kamran S. , Hannon Charles P. , Haverkamp Daniel , Hertel Jay , Hintermann Beat , Hogan MaCalus V. , Hunt Kenneth J. , Karlsson Jón , Kearns Stephen R. , Kerkhoffs Gino M. M. J. , Kim Hak Jun , Kong Siu Wah , Labib Sameh A. , Lambers Kaj T. A. , Lee Jin Woo , Lee Keun Bae , Ling Jeffrey S. , Longo Umile Giuseppe , McCollum Graham , Mitchell Adam W. , Mittwede Peter N. , Nehrer Stefan , Niemeyer Philipp , Nunley James A. , O’Malley Martin J. , Osei-Hwedieh David O. , Pearce Christopher J. , Pereira Helder , Popchak Adam , Raikin Steven M. , Reilingh Mikel L. , Rothrauff Benjamin B. , Schon Lew C. , Shimozono Yoshiharu , Simpson Helene , Smyth Niall A. , Sofka Carolyn M. , Spennacchio Pietro , Stone James W. , Sullivan Martin , Takao Masato , Tanaka Yasuhito , Thordarson David B. , Tuan Rocky , Valderrabano Victor , van Bergen Christiaan J.A. , van Dijk C. Niek , van Dijk Pim A.D. , Vannini Francesca , Vaseenon Tanawat , Walther Markus , Wiewiorski Martin , Yasui Youichi , Yinghui Hua , Yoshimura Ichiro , Younger Alastair S. E. , Zhang Zijun 
Published: July 2018

Background:

Treatment guidelines for cartilage lesions of the talus have been 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 on key topics regarding cartilage lesions of the talus. The purpose of this consensus article is to explain the process and delineate the consensus statements derived from this consensus meeting on the use of “osteochondral autograft” for osteochondral lesions of the talus.

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%; and unanimous, 100%.

Results:

A total of 14 statements on osteochondral autograft reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Two achieved unanimous support, 11 reached strong consensus (greater than 75% agreement), and 1 achieved consensus. All statements reached at least 67% agreement.

Conclusions:

This international consensus derived from leaders in the field will assist clinicians with osteochondral autograft as a treatment strategy for osteochondral lesions of the talus.