Bone marrow stimulation for knee cartilage injuries—an international Delphi consensus statement

Autor: Bryan S. Crook, Eoghan T. Hurley, Richard M. Danilkowicz, Brandon J. Erickson, Alberto Gobbi, Deepak Goyal, Cassandra A. Lee, Elizabeth Matzkin, Sabrina M. Strickland, Robert L. Parisien, Betina Hinckel
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Cartilage & Joint Preservation, Vol 4, Iss 3, Pp 100195- (2024)
Druh dokumentu: article
ISSN: 2667-2545
DOI: 10.1016/j.jcjp.2024.100195
Popis: Introduction: Articular cartilage injuries of the knee are a complex and challenging clinical pathology. Objectives: The purpose of this study was to establish consensus statements via a Delphi process on bone marrow stimulation (BMS) for knee cartilage injuries. Methods: A consensus process on knee cartilage injuries utilizing a modified Delphi technique was conducted. Seventy-nine surgeons across 17 countries participated in these consensus statements. Fourteen questions were generated on BMS, with 3 rounds of questionnaires and final voting occurring. Consensus was defined as achieving 80% to 89% agreement, whereas strong consensus was defined as 90% to 99% agreement, and unanimous consensus was defined as 100% agreement with a proposed statement. Results: Of the 14 total questions and consensus statements on BMS developed from 3 rounds of voting, 0 achieved unanimous consensus, 3 achieved strong consensus, 4 achieved consensus, and 7 did not achieve consensus. Conclusions: The statements that achieved strong consensus related to lesion site preparation, ability to differentiate healthy/damaged cartilage, and distance between BMS holes. The statements that did not achieve consensus were primarily related to the indications for BMS, as well as the instrumentation and whether orthobiologics/scaffolds should be utilized.
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