{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:48:53Z","timestamp":1781740133852,"version":"3.54.5"},"reference-count":41,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics & Traumatology: Surgery & Research"],"published-print":{"date-parts":[[2022,5]]},"DOI":"10.1016\/j.otsr.2021.103175","type":"journal-article","created":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T12:22:59Z","timestamp":1639225379000},"page":"103175","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Ramp lesion repair via dual posteromedial arthroscopic portals: A cadaveric feasibility study"],"prefix":"10.1016","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5785-1725","authenticated-orcid":false,"given":"C\u00e9cile","family":"Toanen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Beaufils","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Pujol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2021.103175_bib0210","doi-asserted-by":"crossref","first-page":"2230","DOI":"10.1177\/0363546512457348","article-title":"The Swedish National Anterior Cruciate Ligament Register: a report on baseline variables and outcomes of surgery for almost 18,000 patients","volume":"40","author":"Ahld\u00e9n","year":"2012","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0215","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1177\/0363546510388933","article-title":"Arthroscopic prevalence of ramp lesion in 868 patients with anterior cruciate ligament injury","volume":"39","author":"Liu","year":"2011","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0220","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1177\/0363546514522394","article-title":"Hidden lesions of the posterior horn of the medial meniscus: a systematic arthroscopic exploration of the concealed portion of the knee","volume":"42","author":"Sonnery-Cottet","year":"2014","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0225","first-page":"1074","article-title":"Ramp lesions in ACL-deficient knees in children and adolescent population: a high prevalence confirmed in intercondylar and posteromedial exploration","volume":"26","author":"Malatray","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0230","first-page":"1080","article-title":"Ramp lesions associated with ACL injuries are more likely to be present in contact injuries and complete ACL tears","volume":"26","author":"Seil","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0235","doi-asserted-by":"crossref","first-page":"3189","DOI":"10.1177\/0363546518800717","article-title":"Epidemiological evaluation of meniscal ramp lesions in 3214 anterior cruciate ligament-injured knees from the SANTI Study Group Database: a risk factor analysis and study of secondary meniscectomy rates following 769 ramp repairs","volume":"46","author":"Sonnery-Cottet","year":"2018","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0240","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1016\/j.arthro.2017.12.008","article-title":"Diagnostic accuracy of sequential arthroscopic approach for ramp lesions of the posterior horn of the medial meniscus in anterior cruciate ligament-deficient knee","volume":"34","author":"Kim","year":"2018","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0245","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1007\/s00167-019-05579-z","article-title":"Ramp lesions of the medial meniscus are associated with a higher grade of dynamic rotatory laxity in ACL-injured patients in comparison to patients with an isolated injury","volume":"28","author":"Mouton","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0250","doi-asserted-by":"crossref","first-page":"193","DOI":"10.2106\/00004623-198365020-00007","article-title":"Suture of new and old peripheral meniscus tears","volume":"65","author":"Hamberg","year":"1983","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2021.103175_bib0255","unstructured":"Strobel M. Man. Arthrosc. Surg., New York, NY: Springer; n.d., p. 171-8."},{"key":"10.1016\/j.otsr.2021.103175_bib0260","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1177\/0363546519880528","article-title":"Diagnostic performance of magnetic resonance imaging for detecting meniscal ramp lesions in patients with anterior cruciate ligament tears: a systematic review and meta-analysis","volume":"48","author":"Koo","year":"2019","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0265","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1007\/s00167-019-05521-3","article-title":"Ramp lesions are frequently missed in ACL-deficient knees and should be repaired in case of instability","volume":"28","author":"Bumberger","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0270","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1177\/0363546511416597","article-title":"Longitudinal tear of the medial meniscus posterior horn in the anterior cruciate ligament-deficient knee significantly influences anterior stability","volume":"39","author":"Ahn","year":"2011","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0275","doi-asserted-by":"crossref","first-page":"2967","DOI":"10.1007\/s00167-015-3751-0","article-title":"The role of the meniscotibial ligament in posteromedial rotational knee stability","volume":"23","author":"Peltier","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0280","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/0363546515617454","article-title":"Posteromedial meniscocapsular lesions increase tibiofemoral joint laxity with anterior cruciate ligament deficiency, and their repair reduces laxity","volume":"44","author":"Stephen","year":"2016","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0285","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1177\/0363546518774315","article-title":"Effect of meniscocapsular and meniscotibial lesions in ACL-deficient and ACL-reconstructed knees: a biomechanical study","volume":"46","author":"DePhillipo","year":"2018","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0290","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/0749-8063(91)90093-D","article-title":"The \u201call-inside\u201d meniscus repair","volume":"7","author":"Morgan","year":"1991","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0295","doi-asserted-by":"crossref","first-page":"2269","DOI":"10.1016\/j.arthro.2016.02.026","article-title":"Repair of meniscal ramp lesions through a posteromedial portal during anterior cruciate ligament reconstruction: outcome study with a minimum 2-year follow-up","volume":"32","author":"Thaunat","year":"2016","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0300","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.arthro.2014.12.003","article-title":"Posteromedial meniscal tears may be missed during anterior cruciate ligament reconstruction","volume":"31","author":"Peltier","year":"2015","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0305","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/S0749-8063(05)80423-2","article-title":"Arthroscopic assessment of the posterior compartments of the knee via the intercondylar notch: the arthroscopist's field of view","volume":"9","author":"Morin","year":"1993","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0310","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0749-8063(05)80420-7","article-title":"Arthroscopic visual field mapping at the periphery of the medial meniscus: a comparison of different portal approaches","volume":"9","author":"Tolin","year":"1993","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0315","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.otsr.2019.02.003","article-title":"The 45 degrees arthroscope: a forgotten scope in knee surgery","volume":"105","author":"Mariani","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.103175_bib0320","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.otsr.2020.02.018","article-title":"Knee surgery trends and projections in France from 2008 to 2070","volume":"106","author":"Erivan","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.103175_bib0325","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/j.otsr.2019.01.024","article-title":"Analysis of the trends in arthroscopic meniscectomy and meniscus repair procedures in France from 2005 to 2017","volume":"105","author":"Jacquet","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.103175_bib0330","doi-asserted-by":"crossref","DOI":"10.1177\/2325967116657815","article-title":"Meniscal ramp lesions: anatomy, incidence, diagnosis, and treatment","volume":"4","author":"Chahla","year":"2016","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0335","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1177\/0363546516682493","article-title":"Is it necessary to repair stable ramp lesions of the medial meniscus during anterior cruciate ligament reconstruction? A prospective randomized controlled trial","volume":"45","author":"Liu","year":"2017","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0340","first-page":"108","article-title":"Clinical study on the arthroscopic refreshing treatment of anterior cruciate ligament injury combined with stable medial meniscus ramp injury","volume":"17","author":"Yang","year":"2017","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"10.1016\/j.otsr.2021.103175_bib0345","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1016\/j.arthro.2020.05.041","article-title":"Examining techniques for treatment of medial meniscal ramp lesions during anterior cruciate ligament reconstruction: a systematic review","volume":"36","author":"Acosta","year":"2020","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0350","doi-asserted-by":"crossref","first-page":"e24","DOI":"10.2106\/JBJS.ST.N.00097","article-title":"Medial and lateral meniscal inside-out repairs","volume":"5","author":"LaPrade","year":"2015","journal-title":"JBJS Essent Surg Tech"},{"key":"10.1016\/j.otsr.2021.103175_bib0355","doi-asserted-by":"crossref","DOI":"10.1177\/2325967119827267","article-title":"Current trends among US surgeons in the identification, treatment, and time of repair for medial meniscal ramp lesions at the time of ACL surgery","volume":"7","author":"DePhillipo","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.otsr.2021.103175_bib0360","doi-asserted-by":"crossref","first-page":"56","DOI":"10.5792\/ksrr.2015.27.1.56","article-title":"The FasT-Fix repair technique for ramp lesion of the medial meniscus","volume":"27","author":"Li","year":"2015","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.otsr.2021.103175_bib0365","doi-asserted-by":"crossref","first-page":"e265","DOI":"10.1016\/j.eats.2017.09.001","article-title":"Meniscal Ramp lesion repair using an all-inside technique","volume":"7","author":"Negr\u00edn","year":"2018","journal-title":"Arthrosc Tech"},{"key":"10.1016\/j.otsr.2021.103175_bib0370","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1016\/j.eats.2019.08.020","article-title":"Different techniques for the management of meniscal ramp lesions using standard anterior portals","volume":"9","author":"Mostafa Zaky Abdelrazek","year":"2020","journal-title":"Arthrosc Tech"},{"key":"10.1016\/j.otsr.2021.103175_bib0375","doi-asserted-by":"crossref","first-page":"2310","DOI":"10.1007\/s00167-018-4976-5","article-title":"It is safe and effective to use all-inside meniscal repair devices for posteromedial meniscal \u201cramp\u201d lesions","volume":"26","author":"Heilpern","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0380","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s00167-014-2966-9","article-title":"Meta-analysis on biomechanical properties of meniscus repairs: are devices better than sutures?","volume":"23","author":"Buckland","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2021.103175_bib0385","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.arthro.2003.11.008","article-title":"All-inside suture technique using two posteromedial portals in a medial meniscus posterior horn tear","volume":"20","author":"Ahn","year":"2004","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0390","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/0749-8063(95)90058-6","article-title":"The posteromedial portal in knee arthroscopy: an analysis of diagnostic and surgical utility","volume":"11","author":"Gold","year":"1995","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0395","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/S0749-8063(05)80056-8","article-title":"Posterior portals for arthroscopic surgery of the knee","volume":"10","author":"Ogilvie-Harris","year":"1994","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0400","doi-asserted-by":"crossref","first-page":"S287","DOI":"10.1016\/j.otsr.2016.08.008","article-title":"Complications in posteromedial arthroscopic suture of the medial meniscus","volume":"102","author":"Jan","year":"2016","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.103175_bib0405","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1016\/j.arthro.2011.02.031","article-title":"The posteromedial knee arthroscopy portal: a cadaveric study defining a safety zone for portal placement","volume":"27","author":"McGinnis","year":"2011","journal-title":"Arthroscopy"},{"key":"10.1016\/j.otsr.2021.103175_bib0410","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.arthro.2009.09.009","article-title":"Arthroscopy of the posterior knee compartments: neurovascular anatomic relationships during arthroscopic transverse capsulotomy","volume":"26","author":"Pace","year":"2010","journal-title":"Arthroscopy"}],"container-title":["Orthopaedics & Traumatology: Surgery & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056821004400?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056821004400?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:47:46Z","timestamp":1761796066000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056821004400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["S1877056821004400"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2021.103175","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ramp lesion repair via dual posteromedial arthroscopic portals: A cadaveric feasibility study","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2021.103175","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"103175"}}