{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:33:57Z","timestamp":1789050837517,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Osteochondral lesions of the tibial plafond (OLTPs) are considerably less common than osteochondral lesions of the talus (OLT), and the terminology, prognostic factors, and treatment strategies for these lesions remain poorly characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Experts participated in a structured Delphi-based consensus process during the International Consensus Meeting on Cartilage Repair of the Ankle (ICCRA) meeting held in 2019. Blinded surveys, structured questionnaires, literature review, and in-person discussions were used to develop and refine statements. Consensus strength was defined as consensus (51-74%), strong consensus (75-99%), or unanimous (100%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 11 consensus statements were developed addressing terminology, prognostic factors, and management of OLTP, all of which achieved strong consensus. Unanimous agreement was reached on the terminology \u201costeochondral lesion of the tibial plafond.\u201d Key prognostic factors included lesion characteristics, cystic changes, kissing lesions, and hindfoot alignment. Nonoperative treatment may be considered in asymptomatic or nondisplaced lesions, whereas surgical treatment may be indicated for symptomatic or progressive lesions. Bone marrow stimulation was recommended for small, non-cystic lesions; osteochondral transplantation was supported for larger or cystic lesions. Associated pathology such as kissing lesions and malalignment should be addressed concurrently, and salvage procedures may be considered in advanced cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These international consensus statements establish practical guidance for the assessment and management of OLTP by integrating current evidence with expert opinion. By outlining key prognostic considerations and treatment pathways, these recommendations aim to reduce variability in clinical practice and provide a foundation for future investigation in this challenging pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">V, expert consensus<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400261471631","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:01:08Z","timestamp":1785506468000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Osteochondral Lesions of the Tibial Plafond (OLTPs): Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle"],"prefix":"10.1177","author":[{"given":"Jared","family":"Rubin","sequence":"first","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Tham","sequence":"additional","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Butler","sequence":"additional","affiliation":[{"name":"Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paloma","family":"Gauthier","sequence":"additional","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davis","family":"Hedbany","sequence":"additional","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7286-0689","authenticated-orcid":false,"given":"John G.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge P.","family":"Batista","sequence":"additional","affiliation":[{"name":"Centro Artrosc\u00f3pico Jorge Batista S.A, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bayer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory C.","family":"Berlet","sequence":"additional","affiliation":[{"name":"Orthopedic Foot &amp; Ankle Center, Worthington, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Buda","sequence":"additional","affiliation":[{"name":"Clinic of Orthopaedics and Traumatology, SS. Annunziata Hospital, University of Chieti-Pescara, Chieti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D. F.","family":"Calder","sequence":"additional","affiliation":[{"name":"Fortius Clinic, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2227-3195","authenticated-orcid":false,"given":"Jari","family":"Dahmen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin S.","family":"Davey","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher W.","family":"DiGiovanni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"D\u2019Hooghe","sequence":"additional","affiliation":[{"name":"Fortius Clinic, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"Ferkel","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna L.","family":"Gianakos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, Yale Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Giza","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of California, Davis, Sacramento, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Glazebrook","sequence":"additional","affiliation":[{"name":"QEII Health Sciences Centre, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laszlo","family":"Hangody","sequence":"additional","affiliation":[{"name":"Department of Traumatology, Uzsoki Hospital, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Haverkamp","sequence":"additional","affiliation":[{"name":"Xpert Clinics Orthopedics, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beat","family":"Hintermann","sequence":"additional","affiliation":[{"name":"Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MaCalus V.","family":"Hogan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eoghan T.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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A.","family":"Lambers","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Woo Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"McCollum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel P.","family":"Mercer","sequence":"additional","affiliation":[{"name":"From NYU Langone Health, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher D.","family":"Murawski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"2nd","given":"James A.","family":"Nunley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Paul","sequence":"additional","affiliation":[{"name":"Rennbahnklinik, Muttenz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Pearce","sequence":"additional","affiliation":[{"name":"National University Health System, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helder","family":"Pereira","sequence":"additional","affiliation":[{"name":"Knee and Ankle Unit of Orthopedic Department of P\u00f3voa de Varzim\u2014Vila do Conde, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo P.","family":"Prado","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hospital Israelita Albert Einstein, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Raikin","sequence":"additional","affiliation":[{"name":"Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6659-7001","authenticated-orcid":false,"given":"Ian","family":"Savage-Elliott","sequence":"additional","affiliation":[{"name":"Foot and Ankle, Ochsner Health, Slidell, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James W.","family":"Stone","sequence":"additional","affiliation":[{"name":"The Orthopedic Institute of Wisconsin, Franklin, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjoerd A. 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