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Table 2 For insertion in the results section as indicated above

From: Defining Core competencies of the European Society for Sports Traumatology, knee surgery and arthroscopy

 

Mean all responses

Mean for specialists

Essential % (5/n)

E + VI % (5 + 4/n)

Level

Sports & Exercise

 Acute muscle and tendon injury: Direct tendon repair

4.14

4.15

40.9%

77.9%

Essential

 Acute muscle and tendon injury: Tendon Anchor reinsertion

4.07

3.96

36.4%

75.7%

Essential

 Emergencies on the field: Fracture / dislocation reduction / realignment, immobilization and analgesia

3.99

4.14

37.5%

71.6%

Essential

 Emergencies on the field: Fracture / dislocation identification, removal from play & assessment

3.95

4.22

36.8%

68.4%

Essential

 Return to sports: Muscle strength evaluation

3.86

4.02

26.3%

67.1%

Very Important

 Acute muscle and tendon injury: Tendon reinforcement plasty

3.79

3.79

25.7%

63.8%

Very Important

 Emergencies on the field: Concussion identification, removal from play & assessment

3.74

4.04

31.0%

60.3%

Essential

 Rehabilitation: Injection therapy (corticosteroids; hyaluronic acid; platelet-rich plasma; collagen)

3.73

3.94

25.1%

57.3%

Very Important

 Acute muscle and tendon injury: Fasciotomy for acute compartment syndrome

3.72

3.88

32.0%

57.8%

Essential

 Emergencies on the field: Spinal injury identification, assessment, spinal immobilization and extrication

3.68

4.12

35.1%

57.7%

Essential

 Rehabilitation: Exercise therapy

3.65

3.84

23.8%

56.3%

Very Important

 Emergencies on the field: Basic life support and automated external defibrillation (AED)

3.62

4.06

35.2%

55.7%

Essential

 Chronic muscle and tendon injury (including overuse): Debridement and tendon revision / augmentation

3.61

3.73

20.1%

54.7%

Very Important

 Rehabilitation: Functional rehabilitation

3.60

3.70

22.9%

53.9%

Very Important

 Return to sports: On the field exercises and tests

3.60

3.92

22.0%

56.3%

Very Important

 Chronic muscle and tendon injury (including overuse): Tendon transfer

3.49

3.60

18.8%

51.8%

Very Important

 Promoting health and preventing problems: Preventing, identifying and addressing doping in sports

3.41

3.62

25.3%

46.7%

Very Important

 Emergencies on the field: Advanced Life Support

3.40

3.80

23.9%

48.9%

Very Important

 Return to sports: Isokinetic evaluation

3.39

3.69

14.0%

46.5%

Very Important

 Chronic muscle and tendon injury (including overuse): Tendon lengthening

3.38

3.40

16.3%

44.6%

Very Important

 Rehabilitation: Use of orthoses

3.37

3.53

13.7%

42.3%

Very Important

 Promoting health and preventing problems: Preventing cardiac and other sudden death in sports

3.31

3.64

23.7%

43.3%

Very Important

 Promoting health and preventing problems: Advising athletes on preventing and managing fatigue

3.30

3.60

13.5%

41.2%

Very Important

 Bursitis, tendinopathy and muscle fibrosis: Ultrasound-guided muscle / bursa / tendon injection

3.26

3.74

11.1%

40.7%

Very Important

 Chronic muscle and tendon injury (including overuse): Tenotomies

3.25

3.54

14.3%

39.8%

Important

 Chronic muscle and tendon injury (including overuse): Fasciotomy for chronic compartment syndrome

3.22

3.60

12.9%

39.0%

Important

 Intra-articular conditions (e.g. hemarthrosis, synovitis): Ultrasound-guided intra-articular aspiration-injection

3.20

3.46

16.4%

43.5%

Very Important

 Promoting health and preventing problems: Advising athletes on chronic disease management

3.17

3.46

8.6%

36.8%

Important

 Acute muscle and tendon injury: Muscle haematoma drainage

3.10

3.33

10.3%

33.4%

Important

 Rehabilitation: Manual therapy

3.09

3.27

9.4%

34.5%

Important

 Acute muscle and tendon injury: Direct muscle repair

3.07

3.20

10.6%

35.8%

Important

 Promoting health and preventing problems: Kinesiophobia prevention, identification and management

3.01

3.34

10.1%

31.9%

Important

 Rehabilitation: Rest / passive therapy

2.99

3.20

8.7%

30.3%

Important

 Chronic muscle and tendon injury (including overuse): Myositis ossificans excision

2.98

3.14

8.2%

27.1%

Important

 Chronic muscle and tendon injury (including overuse): Fibrotic tissue excision

2.92

3.08

6.3%

24.6%

Important

 Return to sports: Electromyography evaluation

2.88

3.02

6.5%

24.4%

Important

 Promoting health and preventing problems: Advising athletes on nutrition

2.87

3.23

5.9%

27.3%

Important

 Promoting health and preventing problems: Kinesiophobia assessment using the Tampa Scale

2.78

3.16

5.3%

21.3%

Important

 Rehabilitation: Aquatic therapy

2.77

3.04

5.6%

21.4%

Important

 Rehabilitation: Extracorporeal shockwave therapy

2.75

3.00

5.5%

19.7%

Important

 Chronic muscle and tendon injury (including overuse): Muscular pseudo-cyst excision

2.74

2.92

5.3%

19.1%

Important

 Rehabilitation: Electrotherapy

2.73

3.00

6.7%

20.1%

Important

Shoulder

 Glenohumeral instability: Arthroscopic anterior repair (labrum, capsule)

4.38

4.76

57.7%

85.4%

Essential

 Rotator cuff tears: Rotator cuff repair of full thickness tear (arthroscopic)

4.37

4.75

56.0%

86.4%

Essential

 Rotator cuff tears: Subscapularis repair (arthroscopic)

4.27

4.60

47.5%

83.8%

Essential

 Rotator cuff tears: Partial rotator cuff repair (arthroscopic)

4.20

4.49

47.5%

78.9%

Essential

 Glenohumeral instability: Arthroscopic posterior repair (labrum, capsule)

4.16

4.49

45.6%

78.1%

Essential

 Biceps tendon disorders: Biceps tenodesis (arthroscopic)

4.13

4.40

42.7%

76.5%

Essential

 Biceps tendon disorders: Biceps tenotomy (arthroscopic)

4.08

4.40

43.9%

73.4%

Essential

 Glenohumeral instability: Open coracoid transfer procedure

4.06

4.48

41.1%

72.5%

Essential

 Joint infections (including Cutibacterium Acnes): Arthroscopic joint debridement

4.06

4.43

42.7%

70.9%

Essential

 Rotator cuff tears: Takedown and repair of partial tear

4.05

4.36

37.2%

75.3%

Essential

 Frozen shoulder: Arthroscopic capsular release

4.05

4.29

40.6%

72.6%

Essential

 Joint infections (including Cutibacterium Acnes): Tissue sample collection for cultivation

4.05

4.44

43.4%

68.5%

Essential

 Glenohumeral instability: Arthroscopic anterior augmentation procedures

4.03

4.26

40.6%

71.8%

Essential

 Biceps tendon disorders: SLAP tear fixation (arthroscopic)

4.02

4.19

37.2%

73.6%

Essential

 Acromioclavicular (AC) joint dislocation: Open reconstruction procedures (chronic)

4.01

4.32

33.1%

74.2%

Essential

 Rotator cuff tears: Reverse shoulder arthroplasty

4.00

4.46

38.8%

72.6%

Essential

 Subacromial impingement syndrome: Acromioplasty (arthroscopic)

3.99

4.19

45.1%

65.1%

Essential

 Rotator cuff tears: Trans-tendon repair of partial tear

3.98

4.17

36.6%

70.8%

Essential

 Glenohumeral instability: Arthroscopic remplissage

3.97

4.24

34.6%

70.9%

Essential

 Acromioclavicular (AC) joint dislocation: Open fixation (acute)

3.97

4.21

37.0%

71.9%

Essential

 Subacromial impingement syndrome: Bursectomy (arthroscopic)

3.97

4.11

44.3%

66.8%

Essential

 Rotator cuff arthropathy: Reverse shoulder arthroplasty (RSA)

3.97

4.59

42.3%

68.4%

Essential

 Osteoarthritis: Glenohumeral arthroplasty (anatomic / reverse)

3.94

4.54

37.8%

67.0%

Essential

 Glenohumeral instability: Open bone graft procedure (anterior, posterior)

3.85

4.24

31.5%

64.7%

Very Important

 Calcifying tendinitis: Calcium deposit removal (arthroscopic)

3.84

3.90

26.9%

64.7%

Very Important

 Acromioclavicular (AC) joint dislocation: Arthroscopic-assisted fixation (acute)

3.83

4.16

33.8%

64.6%

Essential

 Rotator cuff tears: Graft augmentation for irreparable cuff lesions

3.82

3.98

30.7%

64.7%

Very Important

 Acromioclavicular (AC) joint dislocation: Arthroscopic-assisted reconstruction procedures (chronic)

3.80

4.13

29.1%

63.2%

Very Important

 Subacromial impingement syndrome: Coracoacromial ligament release (arthroscopic)

3.79

3.90

35.0%

61.5%

Essential

 Articular cartilage and sub-chondral bone disorders: Distal clavicle excision (arthroscopic)

3.77

4.06

28.1%

62.6%

Very Important

 Rotator cuff tears: Tendon transfers (open)

3.74

3.97

26.0%

59.6%

Very Important

 Hardware breakage or disengagement: Removal of materials (arthroscopic)

3.74

4.02

28.9%

58.2%

Very Important

 Rotator cuff tears: Rotator cuff repair of full thickness tear (open)

3.72

3.54

32.5%

60.4%

Very Important

 Biceps tendon disorders: Biceps tenodesis (open)

3.72

3.79

28.8%

60.1%

Very Important

 Hardware breakage or disengagement: Removal of materials (open)

3.69

4.00

30.3%

54.7%

Very Important

 Rotator cuff tears: Head depressing procedures (arthroscopic, e.g. balloon, superior capsule reconstruction, etc.)

3.67

3.81

24.7%

57.4%

Very Important

 Subacromial impingement syndrome: Coplaning acromioclavicular joint (arthroscopic)

3.67

3.72

30.1%

57.2%

Very Important

 Nerve and neuromuscular disorders: Scapular dyskinesis rehabilitation

3.65

3.89

26.4%

55.8%

Very Important

 Glenohumeral instability: Arthroscopic bone graft procedure (anterior, posterior)

3.64

3.81

25.5%

55.3%

Very Important

 Osteoarthritis: Glenohumeral hemiarthroplasty

3.63

4.00

25.9%

54.3%

Very Important

 Rotator cuff tears: Tendon transfers (arthroscopic)

3.62

3.75

24.2%

56.4%

Very Important

 Articular cartilage and sub-chondral bone disorders: Arthroscopic debridement for chondrolysis

3.62

3.73

24.5%

53.2%

Very Important

 Glenohumeral instability: Open anterior repair (labrum, capsule)

3.61

3.54

27.8%

57.0%

Very Important

 Nerve and neuromuscular disorders: Winging scapula rehabilitation

3.60

3.85

23.9%

53.9%

Very Important

 Fractures: Arthroscopic reduction and fixation of intra-articular glenoid fractures

3.59

3.76

23.3%

51.7%

Very Important

 Fractures: Arthroscopic reduction and fixation of tuberosity fractures

3.54

3.67

24.2%

49.8%

Important

 Rotator cuff tears: Head depressing procedures (open, e.g. balloon, superior capsule reconstruction, etc.)

3.52

3.40

22.8%

51.5%

Very Important

 Frozen shoulder: Mobilisation under anaesthesia

3.52

3.52

26.2%

52.8%

Very Important

 Osteoarthritis: Arthroscopic glenohumeral capsular release and joint debridement

3.52

3.84

24.0%

49.8%

Important

 Glenohumeral instability: Arthroscopic McLaughlin procedure

3.50

3.56

19.9%

48.2%

Important

 Glenohumeral instability: Open McLaughlin procedure

3.50

3.66

19.9%

50.0%

Very Important

 Rotator cuff tears: Partial rotator cuff repair (open)

3.48

3.24

25.2%

52.5%

Very Important

 Glenohumeral instability: Arthroscopic coracoid transfer procedure

3.48

3.46

24.1%

51.1%

Very Important

 Glenohumeral instability: Open posterior repair (labrum, capsule)

3.45

3.30

23.6%

50.2%

Very Important

 Nerve and neuromuscular disorders: Nerve release around the shoulder

3.44

3.71

20.3%

42.4%

Important

 Articular cartilage and sub-chondral bone disorders: Arthroscopic-assisted core decompression for avascular necrosis of humeral head

3.39

3.52

17.4%

44.9%

Important

 Rotator cuff arthropathy: Cuff tear arthropathy (CTA) prosthesis

3.39

3.46

20.2%

44.7%

Important

 Rotator cuff arthropathy: Large hemiarthroplasty

3.27

3.40

15.5%

41.6%

Important

 Articular cartilage and sub-chondral bone disorders: Distal clavicle excision (open)

3.26

3.25

16.2%

43.6%

Important

 Sterno-clavicular instability / dislocation: Open reduction and fixation (acute)

3.23

3.44

15.9%

37.8%

Important

 Sterno-clavicular instability / dislocation: Open reconstruction procedures (chronic)

3.17

3.42

13.0%

34.6%

Important

 Osteoarthritis: Glenohumeral fusion (arthrodesis)

2.94

2.94

12.9%

31.9%

Important

 Subacromial impingement syndrome: Acromioplasty (open)

2.93

2.65

15.1%

34.9%

Important

 Subacromial impingement syndrome: Coplaning acromioclavicular joint (open)

2.91

2.57

14.0%

32.3%

Important

 Subacromial impingement syndrome: Bursectomy (open)

2.88

2.70

15.5%

34.1%

Important

 Subacromial impingement syndrome: Coracoacromial ligament release (open)

2.86

2.62

13.8%

31.9%

Important

 Frozen shoulder: Open capsular release

2.78

2.48

12.6%

29.9%

Important

Elbow & Forearm

 Osteochondritis dissecans: Arthroscopic debridement +/− microfracturing and loose body removal

3.88

3.00

29.5%

67.4%

Essential

 Simple posterolateral rotatory (PLRI) or medial elbow instability (acute, subacute & chronic): Open ligament repair and / or reconstruction

3.86

4.00

33.3%

62.9%

Essential

 Complex Posterolateral / Posteromedial instability of elbow (acute & chronic): ORIF bone injuries +/− graft + ligament repair +/− grafting

3.80

5.00

29.0%

63.4%

Essential

 Ulnar nerve / radial tunnel / pronator syndrome: Release

3.79

4.00

26.7%

60.3%

Essential

 Stiff elbow (excluding osteoarthritis): Arthroscopic arthrolysis

3.73

4.00

26.9%

59.2%

Essential

 Ulnar nerve / radial tunnel / pronator syndrome: Transposition

3.71

4.00

23.8%

59.2%

Essential

 Osteochondritis dissecans: Arthroscopic fixation

3.65

3.00

22.3%

56.2%

Essential

 Complex Posterolateral / Posteromedial instability of elbow (acute & chronic): Radial head arthroplasty

3.64

4.00

23.1%

57.7%

Essential

 Radiohumeral osteoarthritis: Arthroscopic synovectomy, debridement, arthrolysis, removal of osteophytes or loose bodies

3.63

4.00

20.8%

53.8%

Very Important

 Ulnohumeral osteoarthritis: Arthroscopic synovectomy, debridement, arthrolysis, removal of osteophytes or loose bodies

3.60

4.00

22.1%

53.4%

Very Important

 Simple posterolateral rotatory (PLRI) or medial elbow instability (acute, subacute & chronic): Arthroscopic ligament repair and / or reconstruction

3.59

4.00

23.1%

52.3%

Essential

 Plica syndrome / synovial fringe: Arthroscopic resection

3.58

3.00

26.2%

53.8%

Essential

 Osteochondritis dissecans: Open osteochondral graft / mosaicplasty

3.56

3.00

18.8%

52.3%

Very Important

 Osteochondritis dissecans: Arthroscopy mosaicplasty / MACI

3.56

3.00

20.8%

52.3%

Very Important

 Stiff elbow (excluding osteoarthritis): Open arthrolysis

3.56

4.00

23.6%

48.8%

Essential

 Simple posterolateral rotatory (PLRI) or medial elbow instability (acute, subacute & chronic): External fixation

3.52

4.00

21.8%

51.1%

Very Important

 Complex Posterolateral / Posteromedial instability of elbow (acute & chronic): External fixation

3.50

4.00

20.2%

52.7%

Very Important

 Osteochondritis dissecans: Open fixation

3.50

3.00

20.3%

48.4%

Very Important

 Radiohumeral osteoarthritis: Radial head resection +/− soft tissue interposition

3.48

4.00

17.6%

48.1%

Very Important

 Radiohumeral osteoarthritis: Radial head / radiocapitellar arthroplasty

3.47

3.00

16.0%

50.4%

Very Important

 Snapping triceps: Triceps release / resection and ulnar nerve transposition

3.45

3.00

19.5%

42.2%

Important

 Simple posterolateral rotatory (PLRI) or medial elbow instability (acute, subacute & chronic): Arthroscopic lateral plication

3.43

4.00

19.5%

49.2%

Very Important

 Radioulnar joint instability (distal or proximal): Soft tissue reconstruction +/− osteotomy

3.41

3.00

13.4%

44.9%

Very Important

 Ulnohumeral osteoarthritis: Open synovectomy, debridement, arthrolysis, removal of osteophytes or loose bodies

3.38

4.00

18.0%

43.8%

Very Important

 Arthroplasty complications: Single or two stage revision

3.36

4.00

18.1%

44.9%

Very Important

 Arthroplasty complications: Triceps reconstruction +/− allograft

3.35

4.00

16.5%

42.5%

Very Important

 Complex Posterolateral / Posteromedial instability of elbow (acute & chronic): Total elbow arthroplasty

3.33

3.00

19.5%

41.4%

Important

 Radiohumeral osteoarthritis: Open synovectomy, debridement, arthrolysis, removal of osteophytes or loose bodies

3.33

3.00

16.2%

42.3%

Very Important

 Ulnohumeral osteoarthritis: Total elbow arthroplasty

3.32

4.00

17.1%

41.9%

Important

 Chronic Essex-Lopresti injury: Shortening osteotomy ulna

3.29

3.00

15.9%

39.7%

Important

 Arthroplasty complications: Linking of prosthesis

3.23

4.00

13.4%

38.6%

Important

 Arthroplasty complications: Removal of prosthesis +/− allograft tendon interposition

3.23

3.00

15.6%

39.1%

Important

 Chronic Essex-Lopresti injury: Reconstruction of the interosseous ligament / membrane with allograft or autograft

3.12

4.00

12.0%

35.2%

Important

 Ulnohumeral osteoarthritis: Arthrodesis

3.02

2.00

11.7%

32.8%

Important

Hip

 Capsulo-ligamentous disorders: Labral repair-reattachment

3.90

4.60

30.0%

64.6%

Essential

 Synovial disorders: Loose body removal

3.86

4.20

28.9%

63.3%

Essential

 Synovial disorders: Joint lavage and debridement

3.74

4.00

29.1%

55.9%

Essential

 Synovial disorders: Synovial biopsy

3.73

4.30

29.4%

55.6%

Essential

 Capsulo-ligamentous disorders: Labral reconstruction

3.72

3.60

23.8%

57.1%

Essential

 Articular cartilage and sub-chondral bone disorders: Chondral debridement-abrasion

3.72

4.30

26.9%

55.4%

Essential

 Synovial disorders: Synovectomy

3.72

4.30

27.8%

53.2%

Essential

 Capsulo-ligamentous disorders: Labral debridement

3.71

3.80

22.0%

58.3%

Essential

 Tendon disorders (muscular and osseous insertions): Hamstring repair/reinsertion (open)

3.66

3.70

22.6%

52.6%

Essential

 Articular cartilage and sub-chondral bone disorders: Microfracture

3.65

3.80

26.2%

52.3%

Essential

 Bony deformities: Femoral osteochondroplasty

3.65

4.40

23.6%

53.7%

Essential

 Bony deformities: Acetabular rim trimming

3.62

4.50

23.0%

54.9%

Essential

 Synovial disorders: Intra-articular biopsy / hip assessment (post arthroplasty)

3.55

4.20

23.4%

48.4%

Essential

 Tendon disorders (muscular and osseous insertions): Iliotibial band release

3.54

3.10

18.1%

48.8%

Very Important

 Capsulo-ligamentous disorders: Capsular plication and repair

3.48

3.60

16.1%

47.6%

Very Important

 Synovial disorders: Trochanteric bursectomy and spur removal

3.48

3.00

19.2%

43.2%

Important

 Bony deformities: Subspine impingement decompression

3.46

4.50

20.3%

44.9%

Important

 Articular cartilage and sub-chondral bone disorders: Scaffold enhanced microfracture (AMIC)

3.44

3.40

18.3%

48.1%

Very Important

 Bony deformities: Femoral head decompression for avascular necrosis

3.43

3.10

19.3%

45.4%

Important

 Tendon disorders (muscular and osseous insertions): Gluteus medius and minimus repair (open)

3.41

3.40

12.9%

47.7%

Very Important

 Bony deformities: Wall fracture osteosynthesis

3.40

3.50

18.8%

42.7%

Important

 Tendon disorders (muscular and osseous insertions): Open adductor tenotomy

3.39

2.80

16.5%

43.3%

Important

 Tendon disorders (muscular and osseous insertions): Psoas tenotomy

3.39

3.56

12.9%

42.7%

Important

 Synovial disorders: Removal of cement / Loose Body (post arthroplasty)

3.38

3.90

16.3%

43.1%

Important

 Tendon disorders (muscular and osseous insertions): Gluteus medius and minimus repair post-arthroplasty

3.36

3.60

13.4%

45.7%

Important

 Tendon disorders (muscular and osseous insertions): Hamstring repair/reinsertion (endoscopic)

3.31

2.80

18.6%

41.1%

Important

 Bony deformities: Ischiofemoral impingement decompression

3.31

3.80

16.0%

37.0%

Important

 Tendon disorders (muscular and osseous insertions): Gluteus medius and minimus repair (endoscopic)

3.28

3.20

11.0%

41.7%

Important

 Articular cartilage and sub-chondral bone disorders: Chondrocyte transplantation

3.26

3.30

18.6%

39.5%

Important

 Bony deformities: Os acetabuli removal

3.25

4.10

17.8%

36.4%

Important

 Sciatic nerve entrapment: Sciatic nerve release

3.24

3.00

14.5%

35.9%

Important

 Articular cartilage and sub-chondral bone disorders: Open femoral head mosaicplasty

3.22

2.80

20.2%

39.5%

Important

 Bony deformities: Open periacetabular osteotomy

3.21

3.20

12.8%

37.6%

Important

 Bony deformities: Open proximal femoral osteotomy

3.21

3.30

14.4%

33.9%

Important

 Bony deformities: Open femoral osteochondroplasty

3.20

3.60

16.0%

35.3%

Important

 Tendon disorders (muscular and osseous insertions): Rectus tendon ossification removal

3.17

2.90

9.6%

40.0%

Important

 Tendon disorders (muscular and osseous insertions): Gluteus maximus tendon release (Polesello)

3.15

2.50

11.3%

35.5%

Important

 Bony deformities: Os acetabuli fixation

3.13

3.70

15.4%

31.6%

Important

 Bony deformities: Open acetabular rim trimming

3.12

3.50

14.3%

32.8%

Important

 Capsulo-ligamentous disorders: Ligamentum teres reconstruction

3.11

2.30

11.4%

35.8%

Important

 Bony deformities: Reverse open periacetabular osteotomy

3.05

3.40

12.6%

31.1%

Important

Knee

 Ligament lesion: Anterior cruciate ligament (ACL) reconstruction

4.65

4.65

74.7%

92.5%

Essential

 Meniscal tears (all arthroscopic): Meniscal repair

4.64

4.67

71.3%

93.6%

Essential

 Patellofemoral instability: Medial patellofemoral ligament (MPFL) reconstruction

4.47

4.54

61.9%

86.6%

Essential

 Meniscal tears (all arthroscopic): Meniscal root repair

4.46

4.51

58.4%

89.6%

Essential

 Ligament lesion: ACL revision reconstruction

4.42

4.46

57.6%

86.8%

Essential

 Ligament lesion: Lateral collateral ligament (LCL) reconstruction

4.35

4.38

52.0%

86.5%

Essential

 Ligament lesion: Posterolateral corner (PLC) reconstruction

4.35

4.42

54.0%

83.7%

Essential

 Meniscal tears (all arthroscopic): Partial meniscectomy

4.33

4.35

56.6%

82.5%

Essential

 Meniscal tears (all arthroscopic): Meniscal RAMP repair

4.32

4.36

51.4%

84.7%

Essential

 Ligament lesion: Medial collateral ligament (MCL) reconstruction

4.26

4.33

49.0%

81.0%

Essential

 Ligament lesion: Posterior cruciate ligament (PCL) reconstruction

4.25

4.30

46.8%

81.7%

Very Important

 Osteochondritis dissecans: Osteochondral fixation

4.23

4.28

45.8%

79.9%

Very Important

 Patellofemoral instability: Tibial tubercle osteotomy

4.20

4.24

47.4%

76.9%

Essential

 Ligament lesion: Multi-ligament (2 or more) reconstruction

4.19

4.29

45.2%

78.2%

Very Important

 Ligament lesion: Medial collateral ligament (MCL) repair

4.18

4.24

47.4%

78.3%

Essential

 Ligament lesion: Paediatric ACL reconstruction

4.16

4.18

45.2%

76.6%

Very Important

 Chondropathies: Microfracture

4.14

4.09

47.2%

72.0%

Essential

 Patellofemoral instability: Paediatric medial patellofemoral ligament (MPFL) reconstruction

4.14

4.21

48.2%

73.5%

Essential

 Bone deformities / malalignment: Proximal tibial osteotomy (2-plane correction)

4.11

4.15

43.3%

74.5%

Very Important

 Bone deformities / malalignment: Proximal tibial osteotomy (1-plane correction)

4.10

4.12

45.2%

74.2%

Very Important

 Tibiofemoral arthritis: Tricompartmental (Simple) arthroplasty

4.05

4.12

47.1%

71.1%

Essential

 Tibiofemoral arthritis: Medial unicompartmental arthroplasty

4.04

4.10

41.6%

71.8%

Very Important

 Post-arthroplasty complications: First-stage revision (infection)

4.04

4.07

42.1%

71.7%

Very Important

 Bone deformities / malalignment: Distal femoral osteotomy (2-plane correction)

4.00

4.07

39.7%

68.8%

Very Important

 Bone deformities / malalignment: Distal femoral osteotomy (1-plane correction)

3.98

4.00

40.3%

67.7%

Very Important

 Chondropathies: Arthroscopic debridement

3.96

3.87

44.7%

66.8%

Very Important

 Post-arthroplasty complications: Second-stage revision

3.96

4.04

39.0%

68.9%

Very Important

 Post-arthroplasty complications: Single-stage revision

3.92

3.95

35.8%

66.7%

Very Important

 Chondropathies: Autologous osteochondral transfer

3.90

3.91

34.1%

66.7%

Very Important

 Tibiofemoral arthritis: Tricompartmental (Complex) arthroplasty

3.88

3.99

36.4%

66.1%

Very Important

 Ligament lesion: Lateral extra-articular tenodesis

3.87

3.92

36.4%

66.4%

Very Important

 Bone deformities / malalignment: Osteotomy combined with ligament reconstruction or arthroplasty

3.87

3.92

33.2%

66.0%

Very Important

 Synovial disorders: Total synovectomy +/− posterior compartments (arthroscopic)

3.86

3.90

36.3%

62.9%

Very Important

 Synovial disorders: Partial synovectomy (arthroscopic)

3.85

3.88

36.0%

60.7%

Very Important

 Ligament lesion: Anterolateral ligament (ALL) reconstruction

3.77

3.82

34.1%

62.7%

Very Important

 Chondropathies: Scaffold chondral repair

3.76

3.73

29.5%

61.0%

Very Important

 Chondropathies: Osteochondral allografting

3.74

3.79

30.5%

57.4%

Important

 Bone deformities / malalignment: Double osteotomy (1-plane correction)

3.72

3.76

29.3%

58.1%

Important

 Patellofemoral instability: Trochleoplasty (open)

3.69

3.75

29.7%

54.9%

Important

 Chondropathies: Autologous chondrocyte transplantation (ACT)

3.68

3.69

27.1%

58.2%

Important

 Tibiofemoral arthritis: Lateral unicompartmental arthroplasty

3.67

3.71

28.5%

55.0%

Important

 Post-arthroplasty complications: Exploratory arthroscopy

3.66

3.65

31.8%

55.6%

Important

 Tibiofemoral arthritis: Bicompartmental arthroplasty

3.63

3.59

30.9%

56.4%

Important

 Chondropathies: Autologous bone marrow transplantation

3.61

3.62

26.2%

54.4%

Important

 Patellofemoral instability: Rotational osteotomy

3.59

3.68

25.9%

52.2%

Important

 Post-arthroplasty complications: Vacuum dressing

3.58

3.61

26.7%

50.0%

Important

 Meniscal tears (all arthroscopic): Allograft meniscal transplantation

3.55

3.60

28.3%

49.0%

Important

 Patellofemoral degeneration / osteoarthritis: Lateral facetectomy (open)

3.55

3.54

25.6%

53.3%

Important

 Patellofemoral degeneration / osteoarthritis: Patellofemoral arthroplasty

3.53

3.58

24.0%

50.0%

Important

 Patellofemoral degeneration / osteoarthritis: Lateral facetectomy (arthroscopic)

3.42

3.41

23.4%

46.7%

Important

 Meniscal tears (all arthroscopic): Synthetic meniscal implant implantation

3.37

3.37

26.6%

44.8%

Important

 Patellofemoral degeneration / osteoarthritis: Small implant cartilage replacement

3.36

3.34

21.2%

44.8%

Important

 Patellofemoral instability: Trochleoplasty (arthroscopic)

3.31

3.32

23.3%

43.3%

Important

 Post-arthroplasty complications: Arthrodesis

3.26

3.31

19.3%

38.7%

Important

 Synovial disorders: Synovectomy (open)

3.17

3.19

21.5%

38.2%

Important

 Post-arthroplasty complications: Above-knee amputation

3.00

3.07

17.2%

30.3%

Important

Foot & Ankle

 Impingement syndromes: Anterior arthroscopic release of impingement

4.21

4.73

44.6%

77.7%

Essential

 Osteochondritis dissecans (OCD): Anterior arthroscopic debridement & microfracture

4.20

4.60

46.7%

77.5%

Essential

 Osteochondritis dissecans (OCD): Anterior arthroscopic filling & fixing / grafting

4.11

4.20

41.2%

73.9%

Essential

 Impingement syndromes: Posterior arthroscopic treatment of impingement

4.10

4.67

38.3%

74.2%

Essential

 Osteochondritis dissecans (OCD): Posterior arthroscopic debridement & microfracture

4.07

4.47

42.4%

70.3%

Essential

 Lateral ankle ligament injuries: Open repair and reconstruction

4.05

4.47

39.3%

73.8%

Essential

 Osteochondritis dissecans (OCD): Posterior arthroscopic filling & fixing / grafting

3.99

4.07

36.4%

66.9%

Essential

 Lateral ankle ligament injuries: Arthroscopic repair and (minimally-invasive) reconstruction

3.95

4.40

39.2%

62.5%

Essential

 Tendon disorders: Haglund resection

3.94

4.27

36.6%

61.0%

Essential

 Tendon disorders: Open surgical procedures (Flap plasties, flexor hallucis longus transfer) for chronic Achilles rupture

3.91

4.07

29.1%

67.5%

Very Important

 Tendon disorders: Non-operative management of tendon disorders

3.91

4.25

35.8%

62.5%

Essential

 Loose bodies and fractures: Os trigonum removal (posterior arthroscopy)

3.90

4.60

33.6%

63.9%

Very Important

 Loose bodies and fractures: Arthroscopic removal of talocrural loose bodies (anterior / posterior ankle)

3.89

4.27

31.6%

64.1%

Very Important

 Complications of surgery: Managing tendon injuries

3.89

4.00

28.6%

67.0%

Very Important

 Syndesmosis injuries: Arthroscopic syndesmotic repair for acute injury

3.82

4.07

31.4%

63.6%

Very Important

 Impingement syndromes: Arthroscopic (posterior + sinus tarsi) release of subtalar impingement

3.81

3.93

25.6%

62.4%

Very Important

 Lateral ankle ligament injuries: Use of orthoses

3.78

3.80

29.8%

57.3%

Very Important

 Syndesmosis injuries: Arthroscopic reconstruction for chronic injury

3.78

3.73

30.8%

61.7%

Very Important

 Tendon disorders: Retrocalcaneal bursectomy

3.77

4.07

26.7%

54.3%

Important

 Complications of surgery: First-stage revision (infection)

3.75

3.73

28.3%

60.2%

Very Important

 Loose bodies and fractures: Arthroscopic removal of subtalar loose bodies / missed fractures

3.74

4.00

25.4%

58.8%

Very Important

 Tendon disorders: Minimal invasive & endoscopic-assisted sutures for Achilles tendon rupture

3.72

4.00

29.9%

53.8%

Important

 Degenerative disorders / osteoarthritis: Arthroscopic fusion of subtalar joint (combined posterior & subtalar approach)

3.72

4.13

20.7%

59.5%

Very Important

 Complications of surgery: Conservative management of post-arthroscopy pain

3.72

3.80

26.8%

58.0%

Very Important

 Complications of surgery: Operative wound revision – indications & technique

3.67

3.73

23.2%

54.5%

Important

 Complications of surgery: Managing chronic post-operative swelling

3.67

3.67

20.7%

56.8%

Important

 Complications of surgery: Managing neurovascular injuries

3.66

3.53

21.6%

56.8%

Important

 Tendon disorders: Arthroscopic flexor hallucis longus (FHL) transfer for chronic Achilles rupture

3.65

3.80

22.8%

53.5%

Important

 Degenerative disorders / osteoarthritis: Arthroscopic fusion of talocrural joint (anterior & posterior approach)

3.65

4.14

20.0%

55.5%

Important

 Complications of surgery: Single-stage revision

3.65

3.67

23.0%

56.6%

Important

 Complications of surgery: Arthrodesis

3.65

3.73

20.2%

57.9%

Very Important

 Loose bodies and fractures: Arthroscopic management of ankle fractures (including syndesmotic repair)

3.63

3.93

25.9%

56.3%

Important

 Osteochondritis dissecans (OCD): Arthroscopy of talonavicular joint, abrasion & microfracture

3.58

3.27

25.2%

51.3%

Important

 Degenerative disorders / osteoarthritis: Arthroscopy +/− osteotomy of talocrural joint (supramalleolar & calcaneal)

3.56

3.73

17.1%

53.2%

Important

 Nerve entrapment and injury: Neurolysis

3.55

3.60

17.4%

52.2%

Important

 Complications of surgery: Vacuum dressing

3.55

3.57

27.3%

50.9%

Important

 Tendon disorders: Tendoscopy of the Achilles tendon

3.49

3.80

19.0%

45.5%

Important

 Tendon disorders: Peroneal / tibialis posterior tendoscopy

3.49

3.67

15.4%

45.3%

Important

 Loose bodies and fractures: Arthroscopic removal of talonavicular loose bodies

3.47

3.27

18.8%

48.2%

Important

 Tendon disorders: Flexor halluces Longus (FHL) release / muscle belly resection for low-lying muscle belly (LLMB) of peroneus brevis

3.39

3.93

14.9%

43.8%

Important

 Osteochondritis dissecans (OCD): Arthroscopy of 1st metatarsophalangeal joint, abrasion & microfracture

3.35

3.27

20.4%

43.4%

Important

 Degenerative disorders / osteoarthritis: Arthroscopic talonavicular joint fusion

3.33

2.80

10.8%

45.0%

Important

 Nerve entrapment and injury: Repair of nerve injury

3.26

2.87

17.5%

41.2%

Important

 Loose bodies and fractures: Arthroscopic removal of 1st metatarsophalangeal loose bodies

3.24

3.27

15.9%

40.7%

Important

 Degenerative disorders / osteoarthritis: Arthroscopic 1st metatarsophalangeal joint fusion

3.13

2.67

11.9%

38.5%

Important

  1. Survey ratings of all 285 competencies, ordered by overall Mean rating for each specialist area, together with the subgroup Mean rating of specialists in that area, the percentage of 5 and 5 + 4 ratings, and the resulting Level of importance of each competency