{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:05:16Z","timestamp":1788779116864,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Satisfactory 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose\/Hypothesis:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent primary ACLR with bone\u2013patellar tendon\u2013bone (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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There 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 ( P &lt; .001). No significant differences were found in postoperative outcomes for combined ACLR with ramp repair versus isolated ACLR ( P &gt; .05). Patients with meniscus ramp repair had increased preoperative knee laxity demonstrated by grade 3 Lachman (44% vs 6%) and pivot-shift (38% vs 12%) test results compared with patients who underwent isolated ACLR ( P \u2264 .005 for both).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967120912427","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T12:00:44Z","timestamp":1587729644000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":64,"title":["Clinical Characteristics and Outcomes After Primary ACL Reconstruction and Meniscus Ramp Repair"],"prefix":"10.1177","volume":"8","author":[{"given":"Nicholas N.","family":"DePhillipo","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota, USA."},{"name":"Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant J.","family":"Dornan","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis J.","family":"Dekker","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary S.","family":"Aman","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Engebretsen","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, Oslo University Hospital, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"key":"bibr1-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B2.22974"},{"key":"bibr2-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.04.001"},{"key":"bibr3-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517704426"},{"key":"bibr4-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.05.011"},{"key":"bibr5-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119827267"},{"key":"bibr6-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518774315"},{"key":"bibr7-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518814258"},{"key":"bibr8-2325967120912427","doi-asserted-by":"publisher","DOI":"10.32098\/mltj.03.2017.12"},{"key":"bibr9-2325967120912427","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00327"},{"key":"bibr10-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117695756"},{"key":"bibr11-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3742-1"},{"key":"bibr12-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513487065"},{"key":"bibr13-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510388933"},{"key":"bibr14-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516682493"},{"key":"bibr15-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290021801"},{"key":"bibr16-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517691961"},{"key":"bibr17-2325967120912427","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3751-0"},{"issue":"4","key":"bibr18-2325967120912427","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1007\/s00167-018-4887-5","volume":"26","author":"Seil 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