Meniscal Ramp Repair: Double-Row Anatomic Repair in Acute Anterior Cruciate Ligament Tears

• Published in: Arthroscopy techniques (Amsterdam) Vol. 12; no. 9; pp. e1535 - e1540
• Main Authors: Vittone, Giulio, Mouton, Caroline, Valcarenghi, Jérôme, Dor, Jérémie, Seil, Romain
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.09.2023; Elsevier
• Subjects: Technical Note
• ISSN: 2212-6287; 2212-6287
• DOI: 10.1016/j.eats.2023.04.027

The surgical management of medial meniscus ramp lesions can be challenging. Currently, repairs are performed via a trans-notch view, combined with a single posteromedial working portal. This technique, however, does not allow for a direct and complete visualization of the structures being injured, making a precise appreciation of the injured structures, as well as an anatomical repair, difficult. To overcome this limitation, a 2-portal posteromedial approach has recently been described. It allows better visualization of the mediolateral extent of the tear and a precise identification of the injured structures. In this Technical Note, an anatomic repair technique using this approach is presented. It consists of a double-row of sutures to repair individually both the meniscotibial and meniscocapsular ligament, thus restoring the 2 main components of the posterior horn of the medial meniscus to their natural insertion site. [Display omitted]