Summary

Despite the fact that the results of RAMP lesion repair or non-repair in anterior cruciate ligament injury were not significant, many authors still recommended RAMP lesion repair, especially if unstable and extended to the body of the meniscus.

Abstract

Purpose

The RAMP lesion is related with anterior cruciate ligament injury and the management in the sport occupational patient is still lacking evidence and inconclusive many issues including to return to sport timing, rehabilitation protocol and repair or leaved it lesion (non-repair) during anterior cruciate ligament reconstruction.

Methods

The search results process in systematic reviews were performed with PubMed, Scopus and google scholar databased which debated in term of return to sport in the RAMP lesion especially simultaneously anterior cruciate injury based on PRISMA 2009 guideline. Several studies were selected by referring to the level of sport, type of sport injury, return to sport timing, level of return to sport and post operative rehabilitation.

Results

Totally, four studies were selected by inclusion criteria. Three studies, the follow up timing was more than 24 months. A total of 215 patients were analyzed and concluded in these systematic reviews. Result of the range of return to sport timing was 7 to 9 months until be able to return to same level (> 80%) both of repair RAMP lesion with ACLR except non-repair might be delayed. The rehabilitation protocols accepted that could be weight bearing and early range of motion after first day post-operative. The complications and graft failure rate were similar both of amount and type of complications.

Conclusion

However, the result of most of the studies showed patient report outcomes are not significantly different both non-repair and repair RAMP sport activities group. Most authors still recommended to repair in the unstable and extended RAMP lesion with ACLR.