THE EFFECT OF RAMP LESION REPAIR ON RETURN TO SPORTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
NCT ID: NCT05048420
Last Updated: 2021-09-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
21 participants
INTERVENTIONAL
2019-03-01
2020-07-01
Brief Summary
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Injury associated with a tear of the meniscotibial ligament in the posterior horn of the medial meniscus is defined as a RAMP lesion. Because the RAMP lesion is located within the posteromedial "blind spot", it has historically been underdiagnosed.
It has been reported that 9-17% of all ACL tears have RAMP lesions. RAMP lesions have been found to increase the force on the ACL. Injury to the meniscotibial ligaments has been shown to increase rotational instability of the knee.
Based on the available literature, there is a discrepancy between authors regarding the repair of a RAMP lesion during an acute ACL surgery. In chronic ACL rupture, some authors have suggested that the RAMP lesion has a suitable biological environment for healing.
thinks. However, excessive mobility of the meniscocapsular junction has been reported in RAMP lesions during knee flexion and extension. It has been suggested that these lesions are different from other peripheral tears and are not suitable for spontaneous healing. It is suggested that meniscal RAMP lesion repair will be the most effective approach. Rehabilitation after repair of a RAMP lesion depends on whether the repair is performed concurrently with ACL surgery. When performed with an ACL surgery, the process is followed according to the ACL rehabilitation protocol.
Even if the functionality of the knee is fully restored in the post-ACL surgery period, not all patients can return to their previous level of sportive performance due to various psychological, social and physiological factors. In the literature, different information can be found as criteria for returning to sports after ACL surgery. The rate of returning to sports was reported as 65-88% in patients with ACL reconstruction, and 19-82% in patients who were followed conservatively. However, there are few studies with short- or long-term follow-up after the identification and treatment of RAMP lesions. Accordingly, our aim in this study is to comprehensively evaluate the return to sports of participants who have undergone isolated anterior cruciate ligament surgery and who have had simultaneous RAMP lesion repair with anterior cruciate ligament surgery.
This assessment will provide the opportunity to examine functional capacity, balance, psychological state, activity level and pain with different measurement methods.
Material and method of the research: The study will consist of 2 groups, including 12 participants who have undergone isolated ACL surgery and 12 participants who have had simultaneous RAMP lesion repair in Istanbul Medipol Mega Hospitals Complex Orthopedics and Traumatology Unit, with a total of 24 participants.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
FACTORIAL
TREATMENT
NONE
Study Groups
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Ramp lesion repair
surgery
ACL reconstruction and RAMP lesion repair
Anterior cruriciate ligament reconstruction
surgery
ACL reconstruction and RAMP lesion repair
Interventions
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surgery
ACL reconstruction and RAMP lesion repair
Eligibility Criteria
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Inclusion Criteria
* ACLR with RAMP lesion repair
* To complete the 9th month after surgery
* Home exercise program by physiotherapist after surgery
Exclusion Criteria
* Misalignment
* Other ligamentous lesions
* Cartilage pathologies
* Joint disorders
* History of surgery from the same knee
* Chronic inflammatory and rheumatological disease
ALL
No
Sponsors
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Medipol University
OTHER
Responsible Party
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Emre DANSUK
lecturer
Locations
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Istanbul Medipol University
Istanbul, , Turkey (Türkiye)
Countries
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Other Identifiers
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MedipolUni
Identifier Type: -
Identifier Source: org_study_id
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