Abstract

Aims This study aims to identify the top unanswered research priorities in the field of knee surgery using consensus-based methodology. Methods Initial research questions were generated using an online survey sent to all 680 members of the British Association for Surgery of the Knee (BASK). Duplicates were removed and a longlist was generated from this scoping exercise by a panel of 13 experts from across the UK who provided oversight of the process. A modified Delphi process was used to refine the questions and determine a final list. To rank the final list of questions, each question was scored between one (low importance) and ten (high importance) in order to produce the final list. Results This consensus exercise took place between December 2020 and April 2022. A total of 286 clinicians from the BASK membership provided input for the initial scoping exercise which generated a list of 105 distinct research questions. Following review and prioritisation, a long list of 51 questions was sent out for two rounds of the Delphi process. Forty-two clinicians responded to the first round and 24 responded to the second round. A final list of 24 research questions was then ranked by 36 clinicians. The topics included arthroplasty, infection, meniscus, osteotomy, patellofemoral, cartilage and ligament pathologies. The management of early osteoarthritis was the highest-ranking question. Conclusion A Delphi exercise involving the BASK membership has identified the future research priorities in knee surgery. This list of questions will allow clinicians, researchers and funders to collaborate in order to deliver high quality research in knee surgery and further advance the care provided to patients with knee pathology.