Repair of Meniscal Ramp Lesions Through a Posteromedial Portal During Anterior Cruciate Ligament Reconstruction: Outcome Study With a Minimum 2-Year Follow-up

Thaunat, Mathieu; Jan, Nicolas; Fayard, Jean Marie; Kajetanek, Charles; Murphy, Colin G.; Pupim, Barbara; Gardon, Roland; Sonnery‐Cottet, Bertrand

doi:10.1016/j.arthro.2016.02.026

Cited by 107 publications

(119 citation statements)

References 22 publications

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“…Although several investigators have reported clinical outcomes of repair of ramp lesions, the number of publications is fairly limited. 4,10,22,36,38 Jan and colleagues 39 reported that arthroscopic suture hook repair via a posteromedial portal provides good healing rates without an increase in morbidity due to the supplementary portal. Reported failure rates range from 2.6% 4 to 12.0%, 38 with 30% of failures occurring between 2 17 and 4 years after the index procedure.…”

Section: Discussionmentioning

confidence: 99%

“…5C). 36 In this position, the 30 optical lens may be adjusted for optimal visualization of the meniscocapsular junction to assess the presence of a ramp lesion without the need for a 70 scope. 7 The posterior horn of the medial meniscus can then be explored with a needle to detect a ramp lesion.…”

Section: Step 2: Exploration Of Posteromedial Compartment and Probingmentioning

confidence: 99%

“…Jogging is permitted after week 12 to 16, pivot activity at 6 months, and full activity at 9 months for all patients. 36…”

Section: Rehabilitation Protocolmentioning

confidence: 99%

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Ramp Lesions

Sonnery‐Cottet

Cruz

Vieira

et al. 2020

Clinics in Sports Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Step 2: Exploration Of Posteromedial Compartment and Probingmentioning

confidence: 99%

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Ramp Lesions

Sonnery‐Cottet

Cruz

Vieira

et al. 2020

Clinics in Sports Medicine

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“…The iatrogenic saphenous nerve and vein were highly attributed to the posteromedial portal. 12 Recently, the use of inside-out meniscal needle technique for ramp lesion had been reported in a case report, 13 but they too have a risk of iatrogenic saphenous nerve and vein injury; moreover, the clinical outcome and second-look arthroscopy were not evaluated. Overall, more nerve and vein symptoms are associated with both techniques.…”

Section: Discussionmentioning

confidence: 99%

Meniscal Ramp Lesion Repair Using the FasT-Fix Technique: Evaluating Healing and Patient Outcomes with Second-Look Arthroscopy

Chen

Song

et al. 2017

J Knee Surg

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Although the suture-hook technique remains popular for meniscal ramp lesions, which frequently occur after anterior cruciate ligament (ACL) injury, it is unclear whether the all-inside FasT-Fix technique (Smith & Nephew, Andover, MA) is appropriate for the repair of ramp lesions. This study evaluated results of arthroscopic FasT-Fix meniscal ramp lesion repair using second-look arthroscopy. From August 2010 to December 2014, 46 knees diagnosed with combined ACL injury and ramp lesion underwent ACL reconstruction with meniscal repair using the FasT-Fix technique. We classified ramp lesions into three types according to tear pattern: meniscotibial ligament tear, meniscocapsular tear, and combined meniscotibial/meniscocapsular tear. Second-look arthroscopy was performed postoperatively. The healing capacity of the ramp lesion was evaluated retrospectively. At the final follow-up (mean = 32 months), the Lysholm knee score and the International Knee Documentation Committee (IKDC) objective score were compared with preoperative scores. All patients ( = 46) underwent a second-look arthroscopy, with 45 (97.8%) exhibiting complete or partial healing after the FasT-Fix technique was used in conjunction with ACL reconstruction. The Lysholm knee score and IKDC objective score were significantly better than preoperative scores at final follow-up. The FasT-Fix technique for meniscal ramp lesion repair-when performed with concomitant ACL reconstruction-exhibits excellent healing results.

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“…In this study, we included 15 patients: the number of male and female patients was eight and seven, respectively. The mean age of patients was 26.8 (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) Inclusion criteria included age between 20 and 50, no history of knee surgery, interval between injury and surgery less than 3 months, and RAMP repair. Patients who did not meet the inclusion criteria were excluded.…”

Section: ► Acl ► Ramp ► Meniscocapsular Junctionmentioning

confidence: 99%

Surgical Treatment of Meniscal RAMP Lesion

et al. 2019

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RAMP lesion, defined as peripheral detachment lesion of posterior horn of medial meniscus, has been shown to accompany anterior cruciate ligament (ACL) ruptures and is thought to play an important role in the knee joint stability. In this study, we aimed to present results of postoperative knee function scores and patient satisfaction after surgical repair of RAMP lesion. We included 15 patients who had undergone knee arthroscopy due to RAMP lesion in 2017. We recorded demographic data, diagnosis, pre- and postoperative International Knee Documentation Committee and Tegner–Lysholm scores of all patients. In this study, we included 15 patients: the number of male and female patients was eight and seven, respectively. The mean age of patients was 26.8 (18–35). Associated injuries included ACL rupture in 12 patients, additional medial meniscus lesion in 3 patients, lateral meniscus lesion in 3 patients, and superomedial patellar plicae syndrome in 2 patients. All patients had the same postoperative rehabilitation protocol. Mean preoperative Tegner–Lysholm knee score was 64.4 (53–75), while it was 82.5 (75–89) postoperatively, and mean preoperative and postoperative Visual Analogue Scale score at last postoperative follow-up were 5.26 (2–8) and 1.06 (0–2), respectively. All differences were found to be statistically significant. Meniscal RAMP lesions are commonly associated with ACL ruptures. RAMP repair significantly increases postoperative knee function scores and patient satisfaction following ACL reconstruction.

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Repair of Meniscal Ramp Lesions Through a Posteromedial Portal During Anterior Cruciate Ligament Reconstruction: Outcome Study With a Minimum 2-Year Follow-up

Abstract: Level IV, therapeutic study, case series (no control group).

Cited by 107 publications

References 22 publications

Ramp Lesions

Ramp Lesions

Meniscal Ramp Lesion Repair Using the FasT-Fix Technique: Evaluating Healing and Patient Outcomes with Second-Look Arthroscopy

Surgical Treatment of Meniscal RAMP Lesion

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