Information from the abstract
Background Evidence guiding best practices in ankle cartilage repair remains limited and of poor quality. To address this, an international expert group convened to establish consensus opinions on key topics, focusing here on the treatment of small osteochondral lesions, defined as less than 1 cm. Methods Experts from 25 countries participated in a structured Delphi-based consensus process. Blinded surveys, structured questionnaires, and in-person discussions were used to develop and refine statements, supported by literature review and graded evidence (A1-E). Consensus strength was defined as consensus (51%-74%), strong consensus (75%-99%), or unanimous (100%). Results Fourteen of 15 proposed statements achieved consensus, including 13 with ≥86% agreement. Bone marrow stimulation (BMS) was recommended for full-thickness osteochondral lesions of the talus (OLTs) that failed conservative therapy, ideally
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Related topics: Foot and Ankle Surgery · Osteoarthritis Treatment and Mechanisms · Periodontal Regeneration and Treatments
Thai researcher and institutional participation
Tanawat Vaseenon · Chiang Mai University
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