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High degree of consensus amongst an expert panel regarding focal resurfacing of chondral and osteochondral lesions of the femur with mini-implants

Becher, Christoph (author)
International Centre for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr. 9-15, Heidelberg, Germany
Megaloikonomos, Panayiotis D. (author)
International Centre for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr. 9-15, Heidelberg, Germany
Lind, Martin (author)
Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark
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Eriksson, Karl (author)
Karolinska Institutet
Brittberg, Mats, 1953 (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Cartilage Research Unit, Region Halland Orthopaedics, Varberg Hospital, University of Gothenburg, Varberg, Sweden
Beckmann, Johannes (author)
Department of Orthopaedics and Traumatology, Barmherzige Brüder Hospital, Munich, Germany
Verdonk, Peter (author)
Orthoca, AZ Monica, Antwerp, Belgium
Högström, Magnus (author)
Umeå universitet,Ortopedi,Avdelningen för idrottsmedicin
Konradsen, Lars (author)
Department of Orthopedic Surgery, Bispebjerg-Frederiksberg Hospital, Copenhagen, Denmark
Holz, Johannes (author)
OrthoCentrum Hamburg, Hamburg, Germany
Franz, Alois (author)
Hospital for Orthopedic Surgery and Sports Medicine, Siegen, Germany
Feucht, Matthias J. (author)
Orthopaedic Clinic Paulinenhilfe, Diakonie-Hospital, Stuttgart, Germany
Kösters, Clemens (author)
Department of Traumatology and Orthopedics, Maria-Josef-Hospital Greven, Greven, Germany
van Buul, Gerben (author)
Department of Orthopaedics, Sint Maartenskliniek, Nijmegen, Netherlands
Sköldenberg, Olof (author)
Karolinska Institutet
Emans, Pieter J. (author)
Department of Orthopaedic Surgery, Maastricht University Medical Center, Maastricht, Netherlands
Boutefnouchet, Tarek (author)
University Hospitals Birmingham NHS Trust, Mindelsohn Way, Edgbaston, Birmingham, United Kingdom
Nathwani, Dinesh (author)
Imperial College NHS Trust London, London, United Kingdom
McNicholas, Mike J. (author)
Liverpool University Hospitals NHS FT, Liverpool, United Kingdom
O’Donnell, Turlough (author)
Department of Orthopedics, Beacon Hospital, Sandyford, Dublin, Ireland
Spalding, Tim (author)
Cleveland Clinic London, University Hospital Coventry and Warwickshire NHS Trust, Coventry, United Kingdom
Stålman, Anders (author)
Karolinska Institutet
Ostermeier, Sven (author)
MVZ Gelenk-Klinik, Gundelfingen, Germany
Imhoff, Andreas B. (author)
Department of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany
Shearman, Alexander D. (author)
Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
Hirschmann, Michael (author)
Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
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International Centre for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr 9-15, Heidelberg, Germany Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark (creator_code:org_t)
Springer Nature, 2023
2023
English.
In: Knee Surgery, Sports Traumatology, Arthroscopy. - : Springer Nature. - 0942-2056 .- 1433-7347. ; 31:9, s. 4027-4034
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)

Keyword

Chondral
Consensus
Defect
Knee
Mini-implants
Osteochondral
Resurfacing
Chondral

Publication and Content Type

ref (subject category)
art (subject category)

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