Meniscal Ramp Lesion Repair Using an All-Inside Technique.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29881699.
- Also identified by DOI 10.1016/j.eats.2017.09.001 and PMC identifier 5989817.
- Licence recorded as CC BY-NC-ND.
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Abstract
Posteromedial meniscotibial ligament lesions, known as meniscal ramp lesions, are typically associated with ACL injuries, but frequently underdiagnosed. When correctly diagnosed, repair is mandatory in most cases. Retraction of the soft tissues makes it difficult to repair and leads to suture failure. Previously described techniques include all-inside and inside-out meniscal sutures, but do not ensure correct meniscotibial closure because of the soft tissue retraction. The purpose of this Technical Note is to describe a meniscal ramp lesion arthroscopic repair with an all-inside technique with the Fast-Fix 360 device, detailing the use of the accessory posteromedial portal, and the addition of an arthroscopic grasper that raises the retracted meniscotibial ligament, to allow correct fixation.