RAMP Lesions: A Simple and Reproducible Repair Technique

Description

In this video presentation, Pranshu Agrawal discusses RAMP lesions, which are specific types of meniscal tears located in the posterior horn of the medial meniscus. He introduces these lesions as crucial for knee stability, especially in ACL-injured patients. The lecture details the classification of RAMP lesions into five subtypes, focusing mainly on types 1 and 4, which are typically seen in younger males involved in contact sports.



Agrawal emphasizes the diagnostic challenges faced due to low MRI sensitivity and the lack of routine posteromedial space examinations by knee surgeons during ACL reconstructions. He illustrates the surgical techniques utilized for RAMP lesion repairs, which involve arthroscopic approaches to probe, debride, and suture the meniscal tears. The surgery uses a posterior approach to ensure effective repair and includes follow-up data from a retrospective study analyzing the incidence of these lesions in primary ACL reconstructions.



The key take-home message stresses the importance of awareness and routine examinations for RAMP lesions during ACL surgeries to enhance surgical outcomes. Overall, the presentation combines technical insight with clinical implications, rounded off with suggestions for potential improvements in surgical practices.

DOI: 10.1302/3114-221948

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