Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: Level V.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: Level V.
摘要：
背景：在股骨软骨和骨软骨损伤的治疗中使用微型植入物进行部分表面置换的理由仍在争论中。支持最佳实践指南的证据是基于低水平证据的研究。召集了一个共识专家组，以合作方式朝着关于最佳现有证据的共识意见迈进。本文的目的是报告由此产生的共识声明。
方法：25位专家参与了基于Delphi方法的达成共识的过程。问题和声明是通过两轮在线调查起草的，就拟议的声明达成初步协议和意见。在2022年ESSKA大会期间组织了小组成员之间的面对面会议，以进一步讨论和辩论每个声明。几天后，通过最终的在线调查达成了最终协议。共识的强度被描述为：共识，51-74%的协议；强烈的共识，75-99%的协议；一致，100%协议
结果：在患者评估和适应症领域发表了声明，手术注意事项和术后护理。在这个工作组讨论的25项声明之间，18取得一致，7强烈共识。
结论：共识声明，来自该领域的专家，代表指南，以协助临床医生在股骨软骨和骨软骨损伤治疗中适当使用微型植入物进行部分表面修复的决策。
方法：V级
方法：25位专家参与了基于Delphi方法的达成共识的过程。问题和声明是通过两轮在线调查起草的，就拟议的声明达成初步协议和意见。在2022年ESSKA大会期间组织了小组成员之间的面对面会议，以进一步讨论和辩论每个声明。几天后，通过最终的在线调查达成了最终协议。共识的强度被描述为：共识，51-74%的协议；强烈的共识，75-99%的协议；一致，100%协议
结果：在患者评估和适应症领域发表了声明，手术注意事项和术后护理。在这个工作组讨论的25项声明之间，18取得一致，7强烈共识。
结论：共识声明，来自该领域的专家，代表指南，以协助临床医生在股骨软骨和骨软骨损伤治疗中适当使用微型植入物进行部分表面修复的决策。
方法：V级
