International Centre for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany.
Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark.
Knee Surg Sports Traumatol Arthrosc. 2023 Sep;31(9):4027-4034. doi: 10.1007/s00167-023-07450-8. Epub 2023 May 12.
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.
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.
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.
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 V.
在股骨软骨和骨软骨病变的治疗中使用微型植入物进行部分表面重建的理由仍存在争议。支持最佳实践指南的证据基于低水平证据的研究。召集了一个专家共识小组，共同探讨关于最佳现有证据的共识意见。本文的目的是报告由此产生的共识声明。
25 名专家参与了基于德尔菲法的共识过程。通过两轮在线调查起草问题和陈述，以初步达成一致意见，并对拟议的声明发表评论。在 2022 年 ESSKA 大会期间，组织了一次全体小组成员会议，以进一步讨论和辩论每一项声明。几天后，通过最后一次在线调查达成最终协议。共识的强度特征如下：共识，51-74%的一致意见；强烈共识，75-99%的一致意见；一致同意，100%的同意。
在患者评估和适应症、手术考虑因素和术后护理领域制定了声明。在这个工作组讨论的 25 个声明中，有 18 个达成了一致意见，7 个达成了强烈共识。
这些共识声明是由该领域的专家提出的，代表了指导方针，以帮助临床医生做出决策，适当使用微型植入物进行部分表面重建治疗股骨软骨和骨软骨病变。
5 级。
