Needle-Assisted All-Inside Medial Meniscal Ramp Lesion Repair

Multiple techniques have been described to address ramp lesions. Suture hook repair from the posteromedial portal is currently considered the gold standard but can be technically demanding, especially for larger lesions extending into the medial portion of the meniscus. In this technical note, an anatomic repair technique for both the meniscocapsular and meniscotibial ligaments is presented. It requires a bent spinal needle introduced through the posteromedial portal for tear reduction and standard all-inside suture devices introduced from the anteromedial portal.