Key Predictors of Medial Meniscal Ramp Lesions in Anterior Cruciate Ligament-Injured Patients: Systematic Review and Meta-Analysis
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Abstract
Meniscal ramp lesions are defined as lesions at the meniscocapsular junction of the posterior horn of the medial
meniscus and are commonly associated with anterior cruciate ligament (ACL) injuries. These lesions contribute
to increased anterior and rotational laxities of the knee and lead to continuous instability and graft failure of ACL
reconstruction (ACLR) if left untreated. This systematic review and meta-analysis aim to identify and quantify the
key preoperative risk factors for medial meniscal ramp lesions (MMRLs) in patients with ACLR. The systematic
searching for articles was done in PubMed, Cochrane CENTRAL, OVID/Medline, and Scopus for publications
from 2008 to June 2024 as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020.
This systematic review included 15 studies involving 9,110 patients, with data extraction and analysis conducted
using random-effect models.
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