Fixation Techniques: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle
Authors: Reilingh Mikel L. , Murawski Christopher D. , DiGiovanni Christopher W. , Dahmen Jari , Ferrao Paulo N. F. , Lambers Kaj T. A. , Ling Jeffrey S. , Tanaka Yasuhito , Kerkhoffs Gino M. M. J. , 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. , D’Hooghe Pieter , Dombrowski Malcolm E. , Drakos Mark C. , Ferkel Richard D. , Fortier Lisa A. , Glazebrook Mark , Giza Eric , Gomaa Mohamed , Görtz Simon , Haleem Amgad M. , Hamid Kamran S. , Hangody Laszlo , Hannon Charles P. , Haverkamp Daniel , Hertel Jay , Hintermann Beat , Hogan MaCalus V. , Hunt Kenneth J. , Hurley Eoghan T. , Karlsson Jón , Kearns Stephen R. , Kennedy John G. , Kim Hak Jun , Kong Siu Wah , Labib Sameh A. , Lee Jin Woo , Lee Keun Bae , Longo Umile Giuseppe , Marangon Alberto , McCollum Graham , Mitchell Adam W. , Mittwede Peter N. , Nehrer Stefan , Niemeyer Philipp , Nunley James A. , O’Malley Martin J. , Osei-Hwedieh David O. , Paul Jochen , Pearce Christopher J. , Pereira Helder , Popchak Adam , Prado Marcelo P. , Raikin Steven M. , 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 , 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 , Xu Xiangyang , Yasui Youichi , Yinghui Hua , Yoshimura Ichiro , Younger Alastair S. E. , Zhang Zijun 
Published: July 2018

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is 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 “Fixation Techniques” 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%; and unanimous, 100%. Results: A total of 15 statements on fixation techniques reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 15 statements achieved strong consensus, with at least 82% agreement. Conclusions: This international consensus derived from leaders in the field will assist clinicians with using fixation techniques in the treatment of osteochondral lesions of the talus.