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Approaching Ramp Lesions From the Different World of Posterior Knee Compartment: A Review of Evidence With a Proposal of a New Classification and Treatment Publisher



Keyhani S1 ; Mirahmadi A1 ; Maleki A1 ; Vosoughi F2 ; Verdonk R3 ; Laprade RF4 ; Landreau P5 ; Movahedinia M1
Authors
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Authors Affiliations
  1. 1. Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Orthopedic and Trauma Surgery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Orthopedics and Traumatology, Gent University, Ghent, Belgium
  4. 4. Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, United States
  5. 5. Consultant Orthopaedic Surgeon Knee, Shoulder and Sports Surgery Orthocure & Mediclinic, Dubai, United Arab Emirates

Source: Journal of Experimental Orthopaedics Published:2024


Abstract

Ramp lesions (RLs) are peripheral lesions that occur in the posterior part of the medial meniscus or where it attaches to the joint capsule. The classification of the medial meniscus RLs has been the focus of numerous studies and publications. This review provides an overview of RL's current classification and treatment options in anterior cruciate ligament deficient knees. The study also aims to present a more practical classification system for RLs to assist in treatment decision-making. For the first time, we also presented a new surgical treatment for incomplete inferior and double-complete RL based on the posterior knee arthroscopy that provides direct access to the posterior meniscal borders, enabling effective treatment and stronger biomechanical repair. Level of Evidence: Level V. © 2024 The Author(s). Journal of Experimental Orthopaedics published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.
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