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Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

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Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, THAILAND

Khon Kaen University, Meung, Khon Kaen, THAILAND

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Sports Medicine

Orthopaedic Sports Medicine Biomechanics

Diagnosis / Condition

Tears Osteoarthritis

Anatomic Location

Knee

Anatomic Structure

Capsuloligamentous Complex Meniscus Medial

Summary: This study demonstrated no significant changes in peak contact pressure, contact area, and contact pressure due to ramp lesion and posterior root tear of the medial meniscus. Knee flexion angle is an important role in the contact characteristic change associated with meniscus lesions.

Background

Ramp lesion is defined as a longitudinal tear at the meniscocapsular junction or meniscotibial ligament of the posterior horn medial meniscus. The meniscal ramp lesion may contribute to residual anteroposterior instability and affect knee biomechanics. Similarly, the meniscal root lesion, an injury extended to the periphery has been believed to result in the reduction of meniscal hoop stress. The purpose of the study was to analyze the contact characteristic change of the tibiofemoral joint that occurs with an unstable ramp lesion of the medial meniscus

Methods

12 Cadaveric knees (6 matched pairs) were tested under 600 N of axial load with a custom testing jig that allowed positioning of the knee in 0°, 45°, and 90° of flexion without otherwise constraining the knee. Knees were randomly assigned to ramp lesion (n=6) and posterior root lesion (n=6). Four testing conditions were tested: (1) intact, (2) ramp lesion, (3) posterior root tear of the medial meniscus, and (4) combined ramp lesion and posterior root tear of the medial meniscus. Tibiofemoral force transmission, joint contact area, contact pressure, and peak contact pressure were measured with a flexible pressure sensor I-Scan System. Biomechanical testing data were compared for statistically significant differences.

Results

Testing conditions significantly affected the medial tibiofemoral joint's force transmission and contact pressure (P = .04 and P = .036). The contact pressure in the isolated ramp lesion (1.71 ± 0.68 MPa, P = .877) and isolated posterior root tear (2.12 ± 0.92 MPa, P = .069) was non-significantly increased compared to the intact condition (1.77 ± 0.91 MPa). In the combined ramp and posterior root lesion, contact pressure (2.13 ± 0.67 MPa, P = .011) was significantly higher than in the intact condition. The knee flexion position significantly affected the medial tibiofemoral joint's contact area and contact pressure (P < .001 and P < .001).

Conclusions

This study demonstrated no significant changes in force transmission, contact area, and contact pressure in isolated ramp lesions. However, ramp lesion combined with posterior root tear could significantly increase the contact characteristic change in the medial tibiofemoral joint than isolated posterior root tear.

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Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

Background

Methods

Results

Conclusions

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Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver

Background

Methods

Results

Conclusions

More 2023 ISAKOS Congress Content