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Rehabilitation and Return to Sports Proceedings from the International Consensus Meeting on Cartilage Repair of the Ankle


Pieter D'Hooghe, MD PhD MBA
QATAR

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Rehabilitation and Return to Sports Proceedings from the International Consensus Meeting on Cartilage Repair of the Ankle

Pieter D'Hooghe, MD PhD MBA, QATAR Christopher D Murawski, MD, UNITED STATES C. Niek van Dijk, MD, PhD, NETHERLANDS

UPMC, Pittsburgh, PA, UNITED STATES

2019 Congress   Paper Abstract   2019 Congress   Not yet rated

 

Anatomic Location

Ankle / Foot / Calf

Anatomic Structure

Cartilage

Diagnosis / Condition

Osteoarthritis

Diagnosis Method

Physical Examination X-ray MRI Ultrasound

Sports Medicine

Basic Science Rehabilition / Physical Therapy Evidence Based Medicine

Treatment / Technique

Biologics

Cartilage

Cartilage Treatment Cartilage Injuries

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Summary: The purpose of this paper is report the consensus statements on Rehabilitation and Return to Sports developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle.

Background

The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are 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.

Methods

Seventy-five international experts in cartilage repair of the ankle representing 25 countries and one 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 - 74%; strong consensus: 75 - 99%; unanimous: 100%.

Results

A total of 9 statements on rehabilitation and return to sports reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 9 statements reached strong consensus with at least 86% agreement.

Conclusions

The rehabilitation process for ankle cartilage injuries requires a multidisciplinary and comprehensive approach. This international consensus derived from leaders in the field will assist clinicians with rehabilitation and return to sports after treatment of a cartilage injury of the ankle.