Meniscal Ramp Repair: A 2-Portal Posteromedial Approach.

Siboni, Renaud; Pioger, Charles; Jacquet, Christophe; Mouton, Caroline; Seil, Julie; Toanen, Cécile; Seil, Romain · Arthrosc Tech · 2022

expert_opinion · Level V

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Abstract

<b></b>The management of medial meniscus ramp lesions can be challenging. The current gold standard technique to repair these lesions is the transnotch view combined with a single instrumental posteromedial portal. However, it does not provide direct visualization of the ramp and does not allow for an anatomic repair. In this Technical Note, a new technique is described with 2 posteromedial portals: a posteromedial viewing portal and working portal. This 2-portal approach aims to improve visualization of the lesion and its repair, as well as allow for a technically easier repair.