Abstract：
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 present the consensus statements on osteochondral lesions of the tibial plafond (OLTP) and on ankle instability with ankle cartilage lesions developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle.
Forty-three experts in cartilage repair of the ankle were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 4 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.
A total of 11 statements on OLTP reached consensus. Four achieved unanimous support and 7 reached strong consensus (greater than 75% agreement). A total of 8 statements on ankle instability with ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, and seven reached strong consensus (greater than 75% agreement).
These consensus statements may assist clinicians in the management of these difficult clinical pathologies.
Level V, mechanism-based reasoning.
Forty-three experts in cartilage repair of the ankle were convened and participated in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within 4 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.
A total of 11 statements on OLTP reached consensus. Four achieved unanimous support and 7 reached strong consensus (greater than 75% agreement). A total of 8 statements on ankle instability with ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. One achieved unanimous support, and seven reached strong consensus (greater than 75% agreement).
These consensus statements may assist clinicians in the management of these difficult clinical pathologies.
Level V, mechanism-based reasoning.
摘要：
召集了一个国际共识专家小组，以根据有关踝关节软骨修复关键主题的最佳现有证据，协同推进共识意见。本文的目的是在2019年踝关节软骨修复国际共识会议上提出的关于胫骨平台骨软骨损伤（OLTP）和踝关节不稳定与踝关节软骨损伤的共识声明。
召集了43名踝关节软骨修复专家，并参与了基于德尔菲法达成共识的过程。在4个工作组中起草了问题和声明，重点是踝关节软骨修复中的特定主题。之后,我们进行了全面的文献综述,并对每个陈述的现有证据进行分级.讨论和辩论是在工作组内没有以一致方式商定发言的情况下进行的。随后进行了最后投票。
关于OLTP的11项声明达成共识。4人获得一致支持，7人达成强烈共识（超过75％的协议）。在2019年踝关节软骨修复国际共识会议期间，共有8项关于踝关节不稳定与踝关节软骨损伤的声明达成共识。一个获得一致支持，七个人达成了强有力的共识(超过75%的共识)。
这些共识声明可能有助于临床医生处理这些困难的临床病理。
V级,基于机制的推理。
召集了43名踝关节软骨修复专家，并参与了基于德尔菲法达成共识的过程。在4个工作组中起草了问题和声明，重点是踝关节软骨修复中的特定主题。之后,我们进行了全面的文献综述,并对每个陈述的现有证据进行分级.讨论和辩论是在工作组内没有以一致方式商定发言的情况下进行的。随后进行了最后投票。
关于OLTP的11项声明达成共识。4人获得一致支持，7人达成强烈共识（超过75％的协议）。在2019年踝关节软骨修复国际共识会议期间，共有8项关于踝关节不稳定与踝关节软骨损伤的声明达成共识。一个获得一致支持，七个人达成了强有力的共识(超过75%的共识)。
这些共识声明可能有助于临床医生处理这些困难的临床病理。
V级,基于机制的推理。
