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.

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Publication Details

Journal
Arthroscopy Techniques
Published
2025-05-05
DOI
https://doi.org/10.1016/j.eats.2025.103574
Primary Topic
Knee injuries and reconstruction techniques
Type
article
Field-Weighted Citation Impact
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article

Needle-Assisted All-Inside Medial Meniscal Ramp Lesion Repair

Joan Carles Monllau, Maximiliano Ibáñez, Rodolfo Morales-Ávalos, Arcangelo Russo et al.
Arthroscopy Techniques
Knee injuries and reconstruction techniques
article

Needle-Assisted All-Inside Medial Meniscal Ramp Lesion Repair

Joan Carles Monllau, Maximiliano Ibáñez, Rodolfo Morales-Ávalos, Arcangelo Russo, Nicola Pizza, Giuseppe Gianluca Costa, Simone Perelli, Ramón Companys
article en

Abstract

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.

Arthroscopy TechniquesVol. 14(7)
Universitat Autònoma de Barcelona (ES), Universidad Autónoma de Nuevo León (MX), Università degli Studi di Enna Kore (IT), Institut Català de Traumatologia i Medicina de l'Esport (ES)
Openalex Percentile: Top 83%
Knee injuries and reconstruction techniques
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Needle-Assisted All-Inside Medial Meniscal Ramp Lesion Repair — Joan Carles Monllau, Maximiliano Ibáñez, et al. · Arthroscopy Techniques (2025) | TGRS Research Map | TGRS