Post-treatment Follow-up, Imaging, and Outcome Scores: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Dijk, Pim A. D. van; Hunt, Kenneth J.; Andrews, Carol L.; Longo, Umile Giuseppe; McCollum, Graham; Simpson, Helene; Sofka, Carolyn M.; Yoshimura, Ichiro; Karlsson, Jón; Ackermann, Jakob; Adams, Samuel B.; Angthong, Chayanin; Batista, Jorge; Baur, O; Bayer, Steve; Berlet, Gregory C.; Boakye, Lorraine; Brown, Alexandra J.; Buda, Roberto; Calder, James; 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.; Hangody, László; Hannon, Charles P.; Haverkamp, Daniël; Hertel, Jay; Hintermann, Beat; Hogan, MaCalus V.; Hurley, Eoghan T.; Kearns, Stephen; Kennedy, John G.; Kerkhoffs, Gino M. M. J.; Kim, Soo Hyun; Kong, Siu Wah; Labib, Sameh A.; Lambers, Kaj T. A.; Lee, Jin Woo; Lee, Keun Bae; Ling, Jeffrey S.; Marangon, Alberto; Mitchell, Adam; Mittwede, Peter N.; Nehrer, Stefan; Niemeyer, Philipp; Nunley, James A.; O’Malley, Martin J.; Osei-Hwedieh, David O.; Paul, Jochen; Pearce, Christopher J.; Pereira, Hélder; Popchak, Adam; Prado, Marcelo Pires; Raikin, Steven M.; Reilingh, Mikel L.; Rothrauff, Benjamin B.; Schon, Lew C.; Shimozono, Yoshiharu; Smyth, Niall A.; Spennacchio, Pietro; Stone, James W.; Sullivan, Martin; Takao, Masato; Tanaka, Yasuhito; Thordarson, David B.; Tuan, Rocky S.; Valderrábano, Víctor; Bergen, Christiaan J. A. van; Dijk, C. Niek van; Vannini, Francesca; Vaseenon, Tanawat; Walther, Markus; Wiewiorski, Martin; Xu, Xiangyang; Yasui, Youichi; Hua, Yinghui; Younger, Alastair

doi:10.1177/1071100718781861

Cited by 21 publications

(19 citation statements)

References 23 publications

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“…Treatment success was defined with the help of agreed parameters (improvement in pain, patient satisfaction, return to work or sports at preinjury level, and pretreatment patient-reported outcome measures) at the International Consensus Meeting on Cartilage Repair of the Ankle. 24…”

Section: Methodsmentioning

confidence: 99%

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Aslan

2022

Foot Ankle Int.

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Background: Osteochondral lesions of the talus (OLT) treatment is widely debated when the lesion size exceeds 150 mm2. The aim of this study was to assess functional outcome and satisfaction rates of the autologous matrix-related chondrogenesis (AMIC) technique and compare the outcomes for OLTs larger than 150 mm2 that were classified as primary, primary with local tumor-related OLT, or revision cases. Methods: A total of 77 patients who were operated by AMIC were included. The average age of the population was 39.6 years. The mean body mass index (BMI) was 27.2. Smoker rate was 28.5% of the population. Forty-two patients were primary cases, 14 patients had primary with local tumor-related OLT, and 18 patients were revision cases. Overall and subgroup functional outcomes were evaluated by visual analog scale (VAS) and Foot and Ankle Disability Index (FADI) scores. Satisfaction rates were queried, and failures were recorded. Results: After a median follow-up of 32 months, the score improvement for primary, primary with local tumor-related, and revision group were for VAS, 5.4 ± 0.4, 5.6 ± 0.7, and 3.6 ± 0.8, and for FADI, 46.5 ± 3.8, 45.3 ±6.5, and 26.6 ± 6.7, respectively ( P < .001). Intergroup comparison showed greater improvement for the primary OLT group when compared to the revision group ( P < .001). The failure rates for the primary, primary with local tumor-related, and revision group were 4.8%, 11.8%, and 38.9%, respectively. Conclusion: AMIC procedure provides good functional outcome and satisfactory rates in patients with primary and primary with local tumor-related OLT larger than 150 mm2, but in revision cases, the AMIC success rate was not encouraging as all had advanced OLT operative interventions. Level of Evidence: Level III, therapeutic retrospective study.

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Section: Methodsmentioning

confidence: 99%

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Aslan

2022

Foot Ankle Int.

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“…The strength of the proposed recommendation was classified based on the percentage of favorable votes: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimity, 100%. 32…”

Section: Methodsmentioning

confidence: 99%

“…The levels of evidence of the references cited for each issue were classified (Table 1), 32 and recommendations were made based on the highest level of evidence.…”

Section: Methodsmentioning

confidence: 99%

Chinese Consensus on Insertional Achilles Tendinopathy

Liu

Hua

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Insertional Achilles tendinopathy (IAT) is a common finding in the clinic. However, consensus on its mechanism, pathological process, diagnosis, treatment, and rehabilitation is lacking. Thus, the Chinese Society of Sports Medicine organized and invited experts representing the fields of ankle disease and tendinopathy to jointly develop an expert consensus on IAT.Study Design:A consensus statement of the Chinese Society of Sports Medicine.Methods:A total of 34 experts in the field of sports medicine and orthopaedics were invited to participate in the compilation of a consensus statement regarding IAT. Consensus was achieved according to the Delphi method. First, 10 working groups composed of 34 experts were established to compile draft statements about clinical problems related to IAT by reviewing and analyzing the available literature. An expert consensus meeting to discuss drafts was then arranged. Each statement was individually presented and discussed, followed by a secret vote. Consensus was reached when more than 50% of the experts voted in its favor. The strength of the proposed recommendation was classified based on the proportion of favorable votes: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimity, 100%.Results:Of the 10 expert consensus statements on the clinical diagnosis and treatment of IAT, there was strong consensus for 8 statements and unanimity for 2 statements.Conclusion:This expert consensus focused on the concepts, causes, pathological process, clinical diagnosis, and treatment of IAT. Accepted recommendations in these areas which will assist clinicians in carrying out standardized management of related diseases.

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“…One of the primary topics, postoperative imaging, was felt to play little to no role in determining treatment success for asymptomatic patients, except for routine postoperative radiographs that were recommended by strong consensus when either bone grafting or osteotomy had been performed. 99 Cross-sectional imaging, preferentially MRI, was only recommended for symptomatic patients. Specifically, 3D fat-suppressed gradient-echo and intermediate-weighted fast spin-echo sequences were recommended to accentuate the contrast between synovial fluid, articular cartilage, and subchondral bone.…”

Section: Post-treatment Imaging Of Osteochondral Lesionsmentioning

confidence: 99%

Osteochondral Lesions of the Ankle and Foot

Haug

Sill

Shrestha

et al. 2023

Semin Musculoskelet Radiol

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Osteochondral lesions (OCLs) in the ankle are more common than OCLs of the foot, but both share a similar imaging appearance. Knowledge of the various imaging modalities, as well as available surgical techniques, is important for radiologists. We discuss radiographs, ultrasonography, computed tomography, single-photon emission computed tomography/computed tomography, and magnetic resonance imaging to evaluate OCLs. In addition, various surgical techniques used to treat OCLs—debridement, retrograde drilling, microfracture, micronized cartilage-augmented microfracture, autografts, and allografts—are described with an emphasis on postoperative appearance following these techniques.

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Post-treatment Follow-up, Imaging, and Outcome Scores: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Cited by 21 publications

References 23 publications

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Functional Outcomes of Autologous Matrix-Related Chondrogenesis to Treat Large Osteochondral Lesions of the Talus

Chinese Consensus on Insertional Achilles Tendinopathy

Osteochondral Lesions of the Ankle and Foot

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