Foot & ankle specialist · 2026

Osteochondral Fragment Fixation: Proceedings of the International Congress on Cartilage Repair of the Ankle.

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Tham Alexander, Rubin Jared, Butler James J, Gauthier Paloma, Kennedy John G, Adams Samuel B, Andrews Carol L, Angthong Chayanin, Batista Jorge P, Baur Onno L, Bayer Steven, Becher Christoph, Berlet Gregory C, Boakye Lorraine A T, Buda Roberto, Calder James D F, Canata Gian L, Carreira Dominic S, Clanton Thomas O, Dahmen Jari, D'Hooghe Pieter, DiGiovanni Christopher W, Dombrowski Malcolm E, Ehlers Mallory, Ferkel Richard D, Ferkel Eric I, Ferrao Paulo N F, Giza Eric, Gianakos Arianna L, Glazebrook Mark, 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 Jon, Kearns Stephen R, Kerkhoffs Gino M M J, Kim Hak Jun, Kong Siu Wah, Krebsbach Sebastian, Labib Sameh A, Lambers Kaj T A, Woo Lee Jin, Lee Keun Bae, Ling Jeffrey S, Longo Umile Giuseppe, Marangon Alberto, McCollum Graham, McCullough Kirk, Mitchell Adam W, Mittwede Peter N, Murawski Christopher D, Nehrer Stefan, Nicolescu Raluca, Niemeyer Philipp, Nunley James A, O'Malley Martin, Ortiz Cristian, Osei-Hwedieh David O, Paul Jochen, Pearce Christopher J, Pereira Helder, Phadke Rohan, Popchak Adam, Prado Marcelo P, Raikin Steven M, Reilingh Mikel L, Robert Guilluame, Rothrauff Benjamin B, Schon Lew C, Simpson Helene, Smyth Niall A, Sofka Carolyn M, Spennacchio Pietro, Stone James W, Sullivan Martin, Takao Masato, Tanaka Yasuhito, Therman Hajo, Thordarson David B, Tuan Rocky, Valderrabano Victor, van Bergen Christian J A, van Dijk Pim A D, Van Dijk C Niek, Vannini Francesca, Vaseenon Tanawat, Volesky Monika, Walls Raymond C, Walther Markus, Wiewiorski Martin, Xu Xiangyang, Yasui Youichi, Yinghui Hua, Yoshimura Ichiro, Younger Alastair S E, Zdanowicz Urszala, Zhang Zijun

Аннотация

BackgroundThe optimal approach to fixation techniques in cartilage repair of the ankle remains unclear due to the predominance of low-quality evidence and limited high-level studies. To address this gap, an international group of experts convened to establish consensus-based recommendations grounded in the best available evidence, formulated during the 2017 International Congress on Cartilage Repair of the Ankle.MethodsSeventy-five multidisciplinary experts from 25 countries and 1 territory participated in a structured Delphi-based consensus process. Eleven working groups were tasked with reviewing specific topics within cartilage repair of the ankle, conducting systematic literature reviews, and grading evidence to support each statement. Statements lacking full agreement were further discussed and refined before final voting. Consensus strength was defined as consensus (51%-74%), strong consensus (75%-99%), or unanimous (100%).ResultsFifteen consensus statements related to fixation techniques were developed and all achieved strong consensus, with a minimum agreement level of 82%. These statements provide standardized guidance on indications, technical considerations, and expected outcomes for fixation procedures in osteochondral lesions of the talus.ConclusionThis synthesis of the international expert consensus statements offers unified recommendations to guide the use of fixation techniques in the management of osteochondral lesions of the talus, fostering greater consistency in clinical practice, research methodology, and future guideline development.

Osteochondral Fragment Fixation: Proceedings of the International Congress on Cartilage Repair of the Ankle.

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