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Foot Ankle Int. 2018 Jul;39(1_suppl):23S-27S. doi: 10.1177/1071100718781096.

Fixation Techniques: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

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1 Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
2 Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
3 Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
4 Orthopaedic Department, University of the Witwatersrand, Johannesburg, South Africa.
5 Prince of Wales Hospital Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
6 Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.



The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is 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 "Fixation Techniques" developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle.


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 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% to 74%; strong consensus, 75% to 99%; and unanimous, 100%.


A total of 15 statements on fixation techniques reached consensus during the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. All 15 statements achieved strong consensus, with at least 82% agreement.


This international consensus derived from leaders in the field will assist clinicians with using fixation techniques in the treatment of osteochondral lesions of the talus.


ankle; cartilage; consensus; fixation; osteochondral lesion


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