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Yusuf Omar Qalib Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
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Yicun Tang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
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Dawei Wang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Baizhou Xing Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Xingming Xu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Huading Lu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Overview of ramp lesion of the medial meniscus The medial meniscus is attached to the posterior tibial plateau and articular capsule, serving as the fundamental structure in knee joint kinematics. 1 It has a multitude of functions such as

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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B: Definitive sutures (stripped) are tied and knotted over the external wall of the capsule. Meniscal root tears Interest in meniscal root tears and ramp lesions has increased in recent years. Injuries involving meniscal roots strongly

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Sebastian Kopf Center of Orthopaedics and Traumatology, Brandenburg Medical School Theodor Fontane, Germany

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Manuel-Paul Sava Orthopedics and Traumatology 2nd Department, Colentina Clinical Hospital, Bucharest, Romania

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Christian Stärke Department of Orthopaedic Surgery, Otto-von-Guericke University Magdeburg, Germany

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Roland Becker Center of Orthopaedics and Traumatology, Brandenburg Medical School Theodor Fontane, Germany

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contrast, there is still debate about repairing the so-called ‘ramp lesion’ which occurs occasionally with ACL tears. Biomechanical studies have proven the usefulness of a repair 66 , 67 but there has been just one RCT so far showing no difference

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Mahmut Nedim Doral Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Ankara, Turkey

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Onur Bilge Konya N.E. University, Meram Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Konya, Turkey

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Gazi Huri Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Egemen Turhan Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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René Verdonk Ghent University, Faculty of Medicine, Department of Orthopaedics and Traumatology, De Pintelaan, Ghent, Belgium

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in young athletes, root tears, ramp lesions, radial tears and tears in the red-white zone. 47 - 52 Open repair may be still useful, especially for posterior meniscal tears with a very tight medial compartment, if percutaneous release of medial

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Sohrab Keyhani Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohammad Movahedinia Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Arash Sherafat Vaziri Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

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Mehran Soleymanha Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran

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Fardis Vosoughi Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Tahami Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Robert F LaPrade Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

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less damage to cartilage and instruments ( 12 ). Medial meniscus ramp lesions occur when the posterior horn of the meniscus detaches from the meniscotibial or meniscocapsular junction and are detected in up to 40% of anterior cruciate ligament (ACL

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Emanuele Diquattro Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Sonja Jahnke Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Francesco Traina Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Perdisa Department of Orthopaedics, Villa Erbosa Hospital, Bologna, Italy

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Roland Becker Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Sebastian Kopf Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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%), whereas neglecting these injuries results in lateral joint space narrowing ( 34 , 35 , 36 , 37 ). Recently, meniscus ramp lesions were highlighted as a potential risk factor for ACL-R failure, if left untreated. Meniscus ramp is the ligamentous

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