{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:51:28Z","timestamp":1786121488538,"version":"build-2736575974"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Anterior cruciate ligament reconstruction (ACLR) is a common procedure done to regain knee stability, but even after the technical success of the operation, some patients still experience residual instability. Anterior cruciate ligament (ACL) injuries are regularly accompanied by meniscal ramp lesions, which concern the posteromedial meniscocapsular junction and can lead to a persistent anterior and rotational laxity in case of inadequate treatment. Whether ramp lesion repair could help in avoiding residual instability after ACLR is a controversial issue.\n\nMaterials and Methods: The proposed study is a prospective observational comparative study involving 50 participants who planned to undergo arthroscopic ACLR as a primary operation in a tertiary care unit. The findings during intraoperation were used to categorise the patients into two groups: Group A (ACLR and concomitant ramp lesion repair; n = 25) and Group B (isolated ACLR and no ramp lesion; n = 25). The Lachman test and pivot-shift test were used to measure post-operative knee stability, and the Lysholm Knee Scoring Scale and subjective International Knee Documentation Committee (IKDC) score at six months' follow-up were used to measure functional outcomes.\n\nResults: Group A exhibited a high rate of post-operative knee stability, with 88% having a negative Lachman test in comparison to Group B (72%), with residual pivot-shift positivity being significantly low in Group A (16%) compared to Group B (40%) (P = 0.03). The ramp repair group also performed better in terms of functional outcomes, having a higher mean Lysholm score (93.6 \u00b1 4.8 vs 88.9 \u00b1 6.2) and a high percentage of normal IKDC scores (56 vs 32). The parameters of residual instability were much lower in patients who received ramp lesion repair.\n\nConclusion: Meniscal ramp lesion repair done together with ACLR enhanced substantially residual knee instability and short-term functional outcomes. This can be improved by systematic assessment and proper management of ramp lesions during ACLR to increase the stability of the knee post-surgery and maximise patient outcomes.\n\nKeywords: Anterior cruciate ligament reconstruction, functional outcome, knee instability, meniscal ramp lesion, pivot-shift test.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7750","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T10:13:53Z","timestamp":1783678433000},"page":"566-571","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of Meniscal Ramp Lesion Repair in Preventing Residual Instability after Anterior Cruciate Ligament Reconstruction"],"prefix":"10.13107","volume":"16","author":[{"given":"Nisanth Velu","family":"Selvaraj","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Paalana Institute of Medical Sciences, Palakkad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sitansu Sekhar","family":"Samantaray","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B J Government Medical College and Sassoon General Hospital, Pune, Maharashtra"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhail Ahmad","family":"Khanday","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Government Medical College, Anantnag, Jammu and Kashmir"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Priyam Hospital, Perambalur, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K M","family":"Midhun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gurudharmam Mission Hospital Mala, Thrissur, Kerala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supantha","family":"Panja","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T04:44:02Z","timestamp":1786077842000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/role-of-meniscal-ramp-lesion-repair-in-preventing-residual-instability-after-anterior-cruciate-ligament-reconstruction\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7750","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i07.7750","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}