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

Articular cartilage injuries of the knee are a complex and challenging clinical pathology. The purpose of this study was to establish consensus statements via a Delphi process on bone marrow stimulation (BMS) for knee cartilage injuries. A consensus process on knee cartilage injuries utilizing a mod...

Full description

Saved in:
Bibliographic Details
Published inThe journal of cartilage & joint preservation Vol. 4; no. 3; p. 100195
Main Authors Crook, Bryan S., Hurley, Eoghan T., Danilkowicz, Richard M., Erickson, Brandon J., Gobbi, Alberto, Goyal, Deepak, Lee, Cassandra A., Matzkin, Elizabeth, Strickland, Sabrina M., Parisien, Robert L., Hinckel, Betina
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.09.2024
Elsevier
Subjects
Bone marrow stimulation
Cartilage defect
Consensus
Delphi
Knee cartilage
Microfracture
Microfracture
Cartilage defect
Delphi
Bone marrow stimulation
Consensus
Knee cartilage
Online AccessGet full text

Cover

More Information
Summary:Articular cartilage injuries of the knee are a complex and challenging clinical pathology. The purpose of this study was to establish consensus statements via a Delphi process on bone marrow stimulation (BMS) for knee cartilage injuries. 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. 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. 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.
ISSN:2667-2545
2667-2545
DOI:10.1016/j.jcjp.2024.100195