Keyhani Sohrab, Mirahmadi Alireza, Maleki Arash, Vosoughi Fardis, Verdonk Rene, LaPrade Robert F, Landreau Philippe, Movahedinia Mohammad
Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.
Department of Orthopedic and Trauma Surgery Tehran University of Medical Sciences Tehran Iran.
J Exp Orthop. 2024 Oct 4;11(4):e70018. doi: 10.1002/jeo2.70018. eCollection 2024 Oct.
Ramp lesions (RLs) are peripheral lesions that occur in the posterior part of the medial meniscus or where it attaches to the joint capsule. The classification of the medial meniscus RLs has been the focus of numerous studies and publications. This review provides an overview of RL's current classification and treatment options in anterior cruciate ligament deficient knees. The study also aims to present a more practical classification system for RLs to assist in treatment decision-making. For the first time, we also presented a new surgical treatment for incomplete inferior and double-complete RL based on the posterior knee arthroscopy that provides direct access to the posterior meniscal borders, enabling effective treatment and stronger biomechanical repair.
Level V.
斜坡状损伤（RLs）是发生在内侧半月板后部或其附着于关节囊处的周围性损伤。内侧半月板RLs的分类一直是众多研究和出版物的焦点。本综述概述了前交叉韧带损伤膝关节中RLs的当前分类和治疗选择。该研究还旨在提出一种更实用的RLs分类系统，以协助治疗决策。我们还首次提出了一种基于后膝关节镜检查的针对不完全性下侧和双完全性RLs的新手术治疗方法，该方法可直接进入半月板后缘，实现有效治疗和更强的生物力学修复。
V级。
