Penanganan Lesi pada Ramp Lesi Meniskus Umum: Perbaikan atau Pengobatan Konservatif
Tinjauan Pustaka
DOI:
https://doi.org/10.55175/cdk.v52i12.1644Kata Kunci:
Kestabilan lutut, meniskus, lesi rampAbstrak
Lesi ramp merupakan lesi intraartikular yang paling sering ditemukan bersamaan dengan robekan anterior cruciate ligament (ACL) dan sering terlewatkan saat diagnosis. Lesi ini berlokasi pada hubungan meniskokapsular bagian posterior tanduk medial meniskus dan dapat menurunkan stabilitas lutut. Deteksi lesi ramp dapat dilakukan melalui magnetic resonance imaging (MRI) namun sering kurang sensitif, sehingga artroskopi menjadi gold standard. Pilihan tata laksana meliputi pendekatan konservatif pada lesi stabil dan perbaikan operatif pada lesi instabil atau tipe IV–V. Beberapa penelitian menunjukkan bahwa pemulihan fungsional tidak berbeda signifikan antara lesi yang diperbaiki dan yang tidak, namun lesi yang direparasi menunjukkan waktu pemulihan lebih cepat. Perbaikan disarankan pada pasien usia produktif, terutama atlet atau individu dengan aktivitas fisik tinggi yang memerlukan
stabilitas lutut optimal. Integrasi evaluasi radiologis dan pendekatan rehabilitasi yang tepat dapat meningkatkan hasil fungsional dan menurunkan risiko cedera berulang. Artikel ini meninjau bukti terbaru mengenai diagnosis, klasifikasi, dan penatalaksanaan lesi ramp pada robekan meniskus yang berhubungan dengan ACL.
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