AANA19 Knee Access Pass-Epidemiological Evaluation of Meniscal Ramp Lesions in 3214 ACL-Injured Knees_ A Risk Factor Analysis and Study of Secondary Meniscectomy Rates-Dr. Adnan Saithna, M.D.

Epidemiological Evaluation of Meniscal Ramp Lesions in 3214 ACL-Injured Knees_ A Risk Factor Analysis and Study of Secondary Meniscectomy Rates-Dr. Adnan Saithna, M.D.

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Video Summary

This study analyzed 3,214 ACL reconstruction patients to assess the incidence, risk factors, and repair outcomes of ramp lesions—tears in the posterior medial meniscus. Ramp lesions occurred in 24% of cases, with risk factors including male sex, age under 30, chronic injury, revision ACL surgery, high pre-op laxity, and lateral meniscal lesions. Spontaneous healing was unlikely, as lesion incidence increased over time. The secondary meniscectomy rate post-repair was 10.8%, but anterolateral ligament reconstruction reduced this rate significantly. The study emphasizes mandatory posterior medial compartment evaluation during ACL surgery for detecting and repairing ramp lesions to improve outcomes.

Keywords

ACL reconstruction

ramp lesions

posterior medial meniscus

risk factors

anterolateral ligament reconstruction