THE EFFECT OF RAMP LESION REPAIR ON RETURN TO SPORTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

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Brief Title

THE EFFECT OF RAMP LESION REPAIR ON RETURN TO SPORTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

Official Title

THE EFFECT OF RAMP LESION REPAIR ON RETURN TO SPORTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

Brief Summary

      Purpose/reason of the research: The anterior cruciate ligament (ACL) is an important ligament
      in maintaining knee function. In patients with anterior cruciate ligament (ACL) injury,
      concomitant intra-articular lesions are usually seen. It has been reported that approximately
      43% of all patients with ACL tears have associated lateral or medial meniscal injuries.

      Injury associated with a tear of the meniscotibial ligament in the posterior horn of the
      medial meniscus is defined as a RAMP lesion. Because the RAMP lesion is located within the
      posteromedial "blind spot", it has historically been underdiagnosed.

      It has been reported that 9-17% of all ACL tears have RAMP lesions. RAMP lesions have been
      found to increase the force on the ACL. Injury to the meniscotibial ligaments has been shown
      to increase rotational instability of the knee.

      Based on the available literature, there is a discrepancy between authors regarding the
      repair of a RAMP lesion during an acute ACL surgery. In chronic ACL rupture, some authors
      have suggested that the RAMP lesion has a suitable biological environment for healing.

      thinks. However, excessive mobility of the meniscocapsular junction has been reported in RAMP
      lesions during knee flexion and extension. It has been suggested that these lesions are
      different from other peripheral tears and are not suitable for spontaneous healing. It is
      suggested that meniscal RAMP lesion repair will be the most effective approach.
      Rehabilitation after repair of a RAMP lesion depends on whether the repair is performed
      concurrently with ACL surgery. When performed with an ACL surgery, the process is followed
      according to the ACL rehabilitation protocol.

      Even if the functionality of the knee is fully restored in the post-ACL surgery period, not
      all patients can return to their previous level of sportive performance due to various
      psychological, social and physiological factors. In the literature, different information can
      be found as criteria for returning to sports after ACL surgery. The rate of returning to
      sports was reported as 65-88% in patients with ACL reconstruction, and 19-82% in patients who
      were followed conservatively. However, there are few studies with short- or long-term
      follow-up after the identification and treatment of RAMP lesions. Accordingly, our aim in
      this study is to comprehensively evaluate the return to sports of participants who have
      undergone isolated anterior cruciate ligament surgery and who have had simultaneous RAMP
      lesion repair with anterior cruciate ligament surgery.

      This assessment will provide the opportunity to examine functional capacity, balance,
      psychological state, activity level and pain with different measurement methods.

      Material and method of the research: The study will consist of 2 groups, including 12
      participants who have undergone isolated ACL surgery and 12 participants who have had
      simultaneous RAMP lesion repair in Istanbul Medipol Mega Hospitals Complex Orthopedics and
      Traumatology Unit, with a total of 24 participants.

Study Type

Interventional

Primary Outcome

Return to Sports After Anterior Cruciate Ligament Injury Scale (ACL-RSI)

Condition

ACL

Intervention

surgery

Study Arms / Comparison Groups

 Ramp lesion repair
Description:

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information

Recruitment Status

Procedure

Estimated Enrollment

21

Start Date

March 1, 2019

Completion Date

July 1, 2020

Primary Completion Date

January 1, 2020

Eligibility Criteria

        Inclusion Criteria:

          -  ACLR

          -  ACLR with RAMP lesion repair

          -  To complete the 9th month after surgery

          -  Home exercise program by physiotherapist after surgery

        Exclusion Criteria:

          -  Additional pathologies requiring surgery other than anterior cruciate ligament and
             RAMP lesion

          -  Misalignment

          -  Other ligamentous lesions

          -  Cartilage pathologies

          -  Joint disorders

          -  History of surgery from the same knee

          -  Chronic inflammatory and rheumatological disease

Gender

All

Ages

N/A - N/A

Accepts Healthy Volunteers

No

Contacts

, ,

Location Countries

Turkey

Location Countries

Turkey

Administrative Informations

NCT ID

NCT05048420

Organization ID

MedipolUni

Responsible Party

Principal Investigator

Study Sponsor

Medipol University

Study Sponsor

, ,

Verification Date

September 2021