{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:43:40Z","timestamp":1787031820932,"version":"build-2736575974"},"reference-count":14,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>This study was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta- Analyses) guidelines. PubMed and Medline databases were searched in October 2023 for studies reporting outcomes of arthroscopic anterior cruciate ligament (ACL) reconstruction and stable medial meniscal ramp lesion treatment. Studies focused on diagnostic approaches, biomechanical properties, unstable ramp lesions, isolated ramp lesions, and concomitant intraarticular\/extraarticular pathologies other than ACL rupture are excluded. A total of 314 studies were obtained after the initial search. Six studies met the inclusion criteria. Data from 186 stable medial meniscal ramp lesions that were left unrepaired were retrieved. At the last follow-up, mean preoperative Lysholm and IKDC scores were significantly improved and similar with repair patients and no ramp lesion patients, postoperatively. Healing rate was reported between 58.6% and 87.8%. Knee stability was similar in repaired and nonrepaired patients and a ramp existed and no ramp lesion patients. Although the return to sports rate was similar between ramp existed and no ramp lesion patients, the time to return to sports was higher in ramp existed patients than no ramp patients. Improved functional outcome scores, similar healing rates, knee stability, and return to sports rates can be obtained in repaired and nonrepaired patients as well as ramp lesions existing and no ramp lesion patients when the stable ramp lesions are left unrepaired. The time to return to sport is significantly higher than no ramp lesion patients.\n\nLevel of Evidence III<\/jats:p>","DOI":"10.52628\/90.3.11174","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T16:38:29Z","timestamp":1737650309000},"page":"543-548","source":"Crossref","is-referenced-by-count":5,"title":["The fate of unrepaired stable ramp lesions: a systematic review"],"prefix":"10.52628","volume":"90","author":[{"given":"A","family":"MISIR","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"YUCE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"DePhillipo NN, Moatshe G, Chahla J, Aman ZS, Storaci HW, Morris ER, et al. Quantitative and Qualitative Assessment of the Posterior Medial Meniscus Anatomy: Defining Meniscal Ramp Lesions. Am J Sports Med. 2019 Feb;47(2):372-8.","DOI":"10.1177\/0363546518814258"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Balazs GC, Greditzer HG 4th, Wang D, Marom N, PotterHG, Marx RG, et al. Ramp Lesions of the Medial Meniscus in Patients Undergoing Primary and Revision ACL Reconstruction: Prevalence and Risk Factors. Orthop J Sports Med. 2019 May;7(5):2325967119843509.","DOI":"10.1177\/2325967119843509"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Chahla J, Dean CS, Moatshe G, Mitchell JJ, Cram TR, Yacuzzi C, et al. Meniscal Ramp Lesions: Anatomy, Incidence, Diagnosis, and Treatment. Orthop J Sports Med. 2016 Jul;4(7):2325967116657815.","DOI":"10.1177\/2325967116657815"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Hatayama K, Terauchi M, Saito K, Takase R, Higuchi H. Healing Status of Meniscal Ramp Lesion Affects Anterior Knee Stability After ACL Reconstruction. Orthop J Sports Med 2020 May;8(5):2325967120917674.","DOI":"10.1177\/2325967120917674"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Sonnery-Cottet B, Serra Cruz R, Vieira TD, Goes RA, Saithna. Ramp Lesions: An Unrecognized Posteromedial Instability? Clin Sports Med. 2020 Jan;39(1):69-81.","DOI":"10.1016\/j.csm.2019.08.010"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Naendrup JH, Pfeiffer TR, Chan C, Nagai K, Novaretti JV,Sheean AJ, et al. Effect of Meniscal Ramp Lesion Repair on Knee Kinematics, Bony Contact Forces, and In Situ Forces in the Anterior Cruciate Ligament. Am J Sports Med. 2019 Feb;47(13):3195-202.","DOI":"10.1177\/0363546519872964"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Pujol N, Beaufils P. Healing results of meniscal tears left in situ during anterior cruciate ligament reconstruction: a review of clinical studies. Knee Surg Sports Traumatol Arthrosc. 2009 Apr;17(4):396-401.","DOI":"10.1007\/s00167-008-0711-y"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Liu X, Zhang H, Feng H, Hong L, Wang XS, Song GY. Is It Necessary to Repair Stable Ramp Lesions of the Medial Meniscus During Anterior Cruciate Ligament Reconstruction? A Prospective Randomized Controlled Trial. Am J Sports Med. 2017 Apr;45(5):1004-11.","DOI":"10.1177\/0363546516682493"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Albayrak K, Buyukkuscu MO, Kurk MB, Kaya O, Kulduk A, Misir A. Leaving the stable ramp lesion unrepaired does not negatively affect clinical and functional outcomes as well as return to sports rates after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3773-81.","DOI":"10.1007\/s00167-020-06402-w"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Balazs GC, Greditzer HG 4th, Wang D, Marom N, Potter HG, Rodeo SA, et al. Non-treatment of stable ramp lesions does not degrade clinical outcomes in the setting of primary ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2020 Nov;28(11):3576-86.","DOI":"10.1007\/s00167-020-06017-1"},{"key":"ref10","unstructured":"Yang J, Guan K, Wang JZ. Clinical study on the arthroscopic refreshing treatment of anterior cruciate ligament injury combined with stable medial meniscus ramp injury. J Musculoskelet Neuronal Interact. 2017 Jun;17(2):108-13."},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Di Vico G, Di Donato SL, Balato G, Correra G, D\u2019Addona A, Maffulli N, et al. Correlation between time from injury to surgery and the prevalence of ramp and hidden lesions during anterior cruciate ligament reconstruction. A new diagnostic algorithm. Muscles Ligaments Tendons J. 2018 Jan;7(3):491-7.","DOI":"10.32098\/mltj.03.2017.12"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD. Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scand J Med Sci Sports. 2000 Feb;10(1):2-11.","DOI":"10.1034\/j.1600-0838.2000.010001002.x"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Tuph\u00e9 P, Foissey C, Unal P, Vieira TD, Chambat P, Fayard JM, Thaunat M. Long-term Natural History of Unrepaired Stable Ramp Lesions: A Retrospective Analysis of 28 Patients with a Minimum Follow-up of 20 Years. Am J Sports Med. 2022 Oct;50(12):3273-9.","DOI":"10.1177\/03635465221120058"}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T16:38:37Z","timestamp":1737650317000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actaorthopaedica.be\/archive\/volume-90\/issue-3\/reviews\/the-fate-of-unrepaired-stable-ramp-lesions-a-systematic-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,12]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.52628\/90.3.11174","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}