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Angiocatheter-Assisted All-Inside Repair of Meniscal Ramp Lesions: A Simple and Cost-Effective Technique
Mohammad Ayati Firoozabadi1,2, Mohammad Rastegar3, Pouya Tabatabaei Irani1,2
1Joint Reconstruction Research Center Tehran University of Medical Sciences Tehran Iran.
Arthroscopy Techniques
|July 25, 2026
Summary
This study presents a simplified angiocatheter technique for repairing medial meniscus ramp lesions, often linked to ACL injuries. The novel all-inside method, performed via anterior portals, offers a safe, cost-effective alternative to traditional repairs.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Arthroscopy
Background:
- Medial meniscus ramp lesions frequently accompany anterior cruciate ligament (ACL) injuries.
- Untreated ramp lesions can lead to persistent knee instability.
- Current diagnostic and repair methods for ramp lesions can be complex, often requiring specialized portals or devices.
Purpose of the Study:
- To describe a simplified, all-inside arthroscopic technique for medial meniscus ramp lesion repair.
- To present a method utilizing an angiocatheter performed entirely through anterior portals.
- To offer a practical, cost-effective alternative to conventional meniscus repair systems.
Main Methods:
- A simplified all-inside repair technique using an 18-gauge angiocatheter loaded with FiberWire sutures.
- Sutures are passed across the meniscocapsular junction via the angiocatheter.
- Repair is secured using a sliding Duncan knot, performed exclusively through anterior portals.
Main Results:
- The described technique avoids the need for posteromedial dissection.
- Operative time is reduced compared to conventional methods.
- The method eliminates dependence on expensive, specialized implants.
Conclusions:
- Angiocatheter-assisted all-inside repair is a safe and reproducible technique for medial meniscus ramp lesions.
- This simplified approach offers a cost-effective alternative for surgeons.
- The method is practical, especially when conventional repair systems are unavailable.