ArticleOrthopaedic journal of sports medicine2020
Clinical Characteristics and Outcomes After Primary ACL Reconstruction and Meniscus Ramp Repair.
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- 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 · 2023Pooled it
- The diagnostic accuracy of clinical tests for anterior cruciate ligament tears are comparable but the Lachman test has been previously overestimated: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Clinical efficacy of ramp lesion treatment: a systematic review and meta analysis study.European journal of translational myology · 2026Article
- How Are We Matching in ACL Reconstruction Research? A Systematic Review of Methods, Reporting, and Covariate Selection.Orthopaedic journal of sports medicine · 2026Review
- Role of Meniscal Ramp Lesion Repair in Preventing Residual Instability after Anterior Cruciate Ligament Reconstruction.Journal of orthopaedic case reports · 2026Article
- Reliability of MRI diagnosis of RAMP lesions with and without a structured checklist: A study of 200 MRIs.Journal of experimental orthopaedics · 2026Article
- Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usually Repaired: A Multicenter Study.Orthopaedic journal of sports medicine · 2026Article
- Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026Review
- Clinical Outcomes After Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction in Pediatric and Adolescent Patients: A Multicenter Study With a Mean Follow-up of 5 Years.Orthopaedic journal of sports medicine · 2026Article
- Review
- Association between ACL tear chronicity and ramp lesion subtypes: double longitudinal ramp lesions are predominant in chronic ACL tears.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Single-Stage Medial Meniscus Ramp Repair, Lateral Meniscus Root Repair, Revision Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis.Arthroscopy techniques · 2025Article
- Steeper tibial and meniscal slopes as predictive factors for ramp lesions in anterior cruciate ligament injuries.Scientific reports · 2025Article
- High-grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation.Journal of experimental orthopaedics · 2025Article
- Comparing Postoperative Outcomes of Isolated Anterior Cruciate Ligament Reconstruction and the "Terrible Triad" Anterior Cruciate Ligament Reconstruction With Medial Meniscus Ramp and Lateral Meniscus Root Repairs.Orthopaedic journal of sports medicine · 2024Article
- Approaching ramp lesions from the different world of posterior knee compartment: A review of evidence with a proposal of a new classification and treatment.Journal of experimental orthopaedics · 2024Review
- Management of Meniscus Pathology with Concomitant Anterior Cruciate Ligament Injury.Current reviews in musculoskeletal medicine · 2024Review
- Technique for Medial Meniscus Ramp Repair: An Anatomic Approach.Arthroscopy techniques · 2024Article
- How to repair medial meniscal ramp lesions: A systematic review of surgical techniques.Journal of experimental orthopaedics · 2024Review
- A Recess Is Observed Between the Posterior Knee Capsule and the Meniscotibial Ligament Complex in Pediatric Specimens.Arthroscopy, sports medicine, and rehabilitation · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSatisfactory outcomes have been reported after all-inside meniscus ramp repair with combined anterior cruciate ligament reconstruction (ACLR). However, clinical outcomes after ACLR with inside-out meniscus ramp repair are limited. PURPOSE/HYPOTHESIS: The purpose of this study was to evaluate patient-reported outcomes for patients who underwent ACLR and medial meniscus ramp repair compared with those who underwent isolated ACLR; patients in the 2 groups were matched for age, sex, and sport/activity. The null hypothesis was that there would be no significant differences in clinical outcomes between groups at a minimum of 2 years postoperatively. STUDY
designCohort study; Level of evidence 3.
methodsPatients who underwent primary ACLR with bone-patellar tendon-bone (BPTB) autograft by a single surgeon were retrospectively identified. A subgroup of patients with combined ACLR and meniscus ramp repair with a minimum 2-year postoperative follow-up were matched to a cohort who underwent isolated ACLR. Subjective patient-reported questionnaires, knee stability, and return to level of activity/sport were collected.
resultsThere were 851 patients who underwent primary ACLR; of these, 158 (18.6%) had medial meniscus ramp lesions confirmed at arthroscopy. The most common clinical characteristics in patients with ramp lesions were chronic injuries (68.4%), contact mechanism (88%), concomitant lateral meniscus tears (63.2%), and concomitant lateral meniscus posterior root tears (22.2%). Further, 50 patients who underwent combined ACLR and meniscus ramp repair with minimum 2-year follow-up were matched to patients who underwent isolated ACLR. Both groups reported significant improvements in subjective outcomes from preoperative to postoperative assessments (
conclusionThis study demonstrates similar clinical outcomes, knee stability on postoperative physical examination, and return-to-sport rates for patients who underwent combined ACLR with BPTB autograft and inside-out meniscus ramp repair versus a matched cohort who underwent isolated ACLR. Clinicians should have a high index of suspicion for the presence of ramp lesions in patients with ACL tears who have a contact mechanism of injury, grade 3 Lachman test result, and concomitant lateral meniscal abnormality.
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