Abstract：
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 \"Pediatric Ankle Cartilage Lesions\" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle.
Forty-three international experts in cartilage repair of the ankle representing 20 countries convened to participate in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within four 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 characterised as follows: consensus: 51-74%; strong consensus: 75-99%; unanimous: 100%.
A total of 12 statements on paediatric ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Five achieved unanimous support, and seven reached strong consensus (>75% agreement). All statements reached at least 84% agreement.
This international consensus derived from leaders in the field will assist clinicians with the management of paediatric ankle cartilage lesions.
Forty-three international experts in cartilage repair of the ankle representing 20 countries convened to participate in a process based on the Delphi method of achieving consensus. Questions and statements were drafted within four 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 characterised as follows: consensus: 51-74%; strong consensus: 75-99%; unanimous: 100%.
A total of 12 statements on paediatric ankle cartilage lesions reached consensus during the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Five achieved unanimous support, and seven reached strong consensus (>75% agreement). All statements reached at least 84% agreement.
This international consensus derived from leaders in the field will assist clinicians with the management of paediatric ankle cartilage lesions.
摘要：
背景：支持踝关节软骨修复领域最佳实践指南的证据是基于低质量和低水平的证据。因此,我们召集了一个国际共识专家组,根据关于踝关节软骨修复关键主题的现有最佳证据,协同推进共识意见.本文的目的是报告在2019年踝关节软骨修复国际共识会议上提出的关于“小儿踝关节软骨病变”的共识声明。
方法：代表20个国家的43名踝关节软骨修复国际专家召集参加了一个基于德尔菲法达成共识的过程。在四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,共识的强度如下：共识：51-74％；强烈共识：75-99％；一致：100％。
结果：在2019年踝关节软骨修复国际共识会议期间，共有12项关于小儿踝关节软骨损伤的声明达成共识。五个获得一致支持，七人达成强烈共识(>75%同意)。所有声明达成了至少84%的协议。
结论：这项来自该领域领导者的国际共识将有助于临床医生治疗小儿踝关节软骨病变。
方法：代表20个国家的43名踝关节软骨修复国际专家召集参加了一个基于德尔菲法达成共识的过程。在四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,共识的强度如下：共识：51-74％；强烈共识：75-99％；一致：100％。
结果：在2019年踝关节软骨修复国际共识会议期间，共有12项关于小儿踝关节软骨损伤的声明达成共识。五个获得一致支持，七人达成强烈共识(>75%同意)。所有声明达成了至少84%的协议。
结论：这项来自该领域领导者的国际共识将有助于临床医生治疗小儿踝关节软骨病变。
