Evidence map›Paper›PMID 31595426›Full record

SynthesisMusculoskeletal surgery2020

Management of ramp lesions of the knee: a systematic review of the literature.

M Alessio-Mazzola, S Lovisolo, A G Capello, A Zanirato, F Chiarlone, M Formica, L Felli

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Musculoskeletal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Good results after treatment of  RAMP lesions in association with ACL reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
  3. Article
  4. Article
  5. Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026
    Review
  6. Article
  7. Article
  8. Meniscal Ramp Injury Diagnosis.Revista brasileira de ortopedia · 2024
    Article
  9. Review
  10. Article
  11. The effect of anterior cruciate ligament reconstruction and RAMP lesion repair on psychological status.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  12. Article
  13. Ramp Lesions of the Medial Meniscus.Current reviews in musculoskeletal medicine · 2023
    Review
  14. Article
  15. Article
  16. Ramp lesion of the medial meniscus.EFORT open reviews · 2021
    Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

M Alessio-MazzolaOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
S LovisoloOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy. lovisolo.stefano@gmail.com.ORCID http://orcid.org/0000-0002-5687-532X
A G CapelloOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
A ZaniratoOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
F ChiarloneOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
M FormicaOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
L FelliOrthopedic Clinic, Department of Surgical Sciences (DISC), University of Genova, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this systematic review is to evaluate the current literature and to assess the clinical outcomes following meniscal ramp lesion treatment and anterior cruciate ligament (ACL) reconstruction. A consensus of the treatment of this pattern of tears is still lacking.

methodsA systematic review of the literature was performed with a comprehensive search on Medline through PubMed, CINAHL, Cochrane, Embase and Google Scholar databases. The PRISMA 2009 flowchart and checklist were considered to edit the review. The included studies were evaluated based on indications, management, surgical technique and clinical results.

resultsSeven studies (two level II and five level IV evidence) were identified that met inclusion criteria, including a total of 509 patients. The overall main follow-up was 23.6 months. Treatment failure occurred in 8.3% of patients receiving ACL repair and ramp lesion treatment. The repair of ramp lesion is the most used approach in the literature.

conclusionThere is a lack of literature focused on the management of ramp lesion and ACL injuries. The repair resulted in the most used approach with good clinical results and low failure rate. However, further high-quality studies evaluating the long-term outcomes of different surgical strategies are needed.

Indexed as

AdolescentAdultAnterior Cruciate Ligament InjuriesArthroscopyChildConservative TreatmentFemaleFollow-Up StudiesHumansJoint InstabilityKnee InjuriesMaleMenisci, TibialMiddle AgedSeverity of Illness IndexTibial Meniscus InjuriesACLKneeMeniscal repairPosterior hornRamp lesionTear

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.