治疗后随访、影像学检查及结果评分：踝关节软骨修复国际共识会议论文集

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

作者信息

van Dijk Pim A D, Murawski Christopher D, Hunt Kenneth J, Andrews Carol L, Longo Umile Giuseppe, McCollum Graham, Simpson Helene, Sofka Carolyn M, Yoshimura Ichiro, Karlsson Jón

机构信息

1 Department of Orthopaedic Surgery and Orthopaedic Research Center Amsterdam, Academic Medical Center, University of Amsterdam, the Netherlands.

2 Academic Center for Evidence based Sports medicine (ACES), Amsterdam, the Netherlands.

出版信息

Foot Ankle Int. 2018 Jul;39(1_suppl):68S-73S. doi: 10.1177/1071100718781861.

DOI:10.1177/1071100718781861

PMID:30215316

Abstract

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. The purpose of this article is to report the consensus statements on Post-treatment Follow-up, Imaging and Outcome Scores developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle.

METHODS

Seventy-five international experts in cartilage repair of the ankle representing 25 countries and 1 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 on in unanimous fashion within the working groups. A final vote was then held, and the strength of consensus was characterized as follows: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimous, 100%.

RESULTS

A total of 12 statements on Post-treatment Follow-up, Imaging, and Outcome Scores reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 12 statements reached strong consensus (greater than 75% agreement).

CONCLUSIONS

This international consensus derived from leaders in the field will assist clinicians with post-treatment follow-up, imaging, and outcome scores after management of a cartilage injury of the ankle in the general population. Moreover, healing, rehabilitation, and final outcomes can be optimized for the individual patient.

摘要

背景

支持踝关节软骨修复领域最佳实践指南的证据质量低且证据水平有限。因此，召集了一个国际专家共识小组，以便根据踝关节软骨修复关键主题的现有最佳证据，共同朝着达成共识意见迈进。本文的目的是报告在2017年踝关节软骨修复国际共识会议上制定的关于治疗后随访、影像学检查和结果评分的共识声明。

方法

召集了代表25个国家和1个地区的75名踝关节软骨修复领域的国际专家，参与基于德尔菲法达成共识的过程。在11个专注于踝关节软骨修复特定主题的工作组内起草问题和声明，之后进行全面的文献综述，并对每个声明的现有证据进行分级。在工作组内未就声明达成一致意见的情况下进行讨论和辩论。然后进行最终投票，共识强度的特征如下：共识，51%至74%；强烈共识，75%至99%；一致同意，100%。