2017 ISAKOS Biennial Congress ePoster #1345

 

The Clinical Outcomes Of Using Arthroscopic Suture Loop For Treating Unstable Ramp Lesion.

Chen Kang, MMed, Shenzhen CHINA
Shenzhen 2nd People’s Hospital, Shenzhen, Guangdong Province, CHINA

FDA Status Not Applicable

Summary

To evaluate the clinical outcomes of using arthroscopic Suture Loop for treating unstable Ramp lesion in patients with anterior cruciate ligament injury.

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Abstract

Objective

To evaluate the clinical outcomes of using arthroscopic Suture Loop for treating unstable Ramp lesion in patients with anterior cruciate ligament injury.

Method

From February 2010 to October 2014,43 patients in our department were diagnosed as ACL injury associated with unstable Ramp lesion of the posterior horn of the medial meniscus. Ramp lesion was treated with Suture Loop technique. The stability of the knee joint was evaluated by Lachman test using KT-2000 device. Clinical outcomes of the surgery were evaluated with medial side tenderness and locking of the knee joint?MRI and arthroscopic second-look were used for evaluation of the healing of the Ramp lesion during the follow-up with part of patients.

Results

The patients included 26 males and 17 females with an average age of 32.4 ± 8.2 years (14 to 45 years).All of the patients were acceppted ACL reconstruction with single bundle. The mean follow-up period was 30.3±18 months (12 to 48 months).The stability of knee joints was significantly improved at the follow-up(P < 0.001). At the final follow-up,the stability of the knee joints was ignificantly improved (P < 0.001).2 patients had medial side tenderness; Fixed loop removal was performed with 1 patient because of Medial condylar cartilage impingement; None of the patients complained about joint locking. The signal of the ramp area on MRI indicated normal in 33 patients,grade II in 7 and grade III in 3. The healing rate on MRI was 93% (40/43). The Lysholm score improved significantly after the surgery (P <0.001).Arthroscopic second-look was carried out for 30 of the patients showing that all of the lesions were completely healed.

Conclusion

The clinical outcomes of the patients who received arthroscopic Suture Loop treatment for unstable Ramp lesion combined with ACL reconstruction was satisfied after the surgery.The healing rate was 93% on postoperative MRI and 100% from arthroscopic second-look.

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