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Objective: To measure the arthroscopic frequency of RAMP lesion in patients presenting with Anterior Cruciate Ligament tear of the knee.
Methodology: This cross-sectional study was conducted at the Department of Orthopedic Surgery, Khyber Teaching Hospital Peshawar from 06 Aug, 2019 to 06 Feb, 2020. The patients were prepared for Arthroscopy under Spinal anesthesia by consultant orthopedic surgeon who had a further fellowship in arthroscopy and sports medicine, having a minimum of three years experience post-fellowship. All procedures were performed by the same surgeon. Standard two ports (anteromedial and anterolateral) arthroscopic technique was adopted and the inside of knee was thoroughly examined for any RAMP lesion in the posteromedial corner as per operational definition. The positive cases were recorded and one with no RAMP lesion was labelled as negative.
Results: 19(17.1%) patients were recorded with RAMP lesions, diagnosed on knee arthroscopy undergoing Anterior Cruciate Ligament reconstruction of the knee.
Conclusion: The RAMP lesion is a common meniscal injury that can occur at the time of anterior cruciate ligament rupture or as a result of knee laxity associated with anterior cruciate ligament insufficiency. The prevalence of RAMP lesions in this study was 17.1%. Patients younger than 30 years of age and male patients had a higher prevalence of RAMP lesions.
Keywords: Anterior Cruciate Ligament, RAMP Lesions, Arthroscopy
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