Meniscal Ramp Lesion Repair Without the Need for a Posteromedial Portal

Area of Science:

• Orthopaedic surgery
• Knee arthroscopy
• Meniscal repair

Background:

• Medial meniscal ramp injuries involve tears of the posterior horn's peripheral insertion.
• Prevalence in anterior cruciate ligament reconstruction ranges from 9% to 40%.
• Diagnosis can be challenging with magnetic resonance imaging alone.

Purpose of the Study:

• To present an alternative all-inside suture technique for medial meniscal ramp injuries.
• To avoid the need for a posteromedial portal in ramp lesion repair.

Main Methods:

• Arthroscopic examination of the posteromedial compartment (Gillquist maneuver) is crucial for diagnosis.
• Traditional repair involves an outside-in technique with a hook-type suture.
• The study details an all-inside suture technique without a posteromedial portal.

Main Results:

• The study presents a novel all-inside suture technique for medial meniscal ramp injuries.
• This technique aims to simplify the repair process by eliminating the need for a posteromedial portal.
• It offers a potentially less invasive approach to treating these specific meniscal tears.

Conclusions:

• Medial meniscal ramp injuries require careful arthroscopic evaluation.
• The presented all-inside technique offers a viable alternative to traditional methods.
• Further research may explore the efficacy and outcomes of this all-inside approach.