TY - JOUR
T1 - Meniscal Ramp Repair
T2 - Double-Row Anatomic Repair in Acute Anterior Cruciate Ligament Tears
AU - Vittone, Giulio
AU - Mouton, Caroline
AU - Valcarenghi, Jérôme
AU - Dor, Jérémie
AU - Seil, Romain
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: C.M. reports Chairwoman, European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) Basic Science Committee and editorial board for Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA) and Journal of Experimental Orthopaedics, outside the submitted work. R.S. reports research support from Virtamed, consultant for Smith & Nephew, Olympus , and Amplitude; president of Luxembourg Institute of Research in Orthopedics, Sports Medicine and Science; past president of Society for Orthopaedic Traumatologic Sports Medicine (GOTS; Gesellschaft für Orthopädisch-Traumatologische Sportmedizin)/ESSKA, Chairman of THE MENISCUS 2022; Vice Chairman of ESSKA meniscus certification module; and editorial board member of KSSTA, Arthroskopie, and Sports Orthopaedics and Traumatology (SOT), outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material .
Publisher Copyright:
© 2023 The Authors
PY - 2023/9
Y1 - 2023/9
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85171430160&partnerID=8YFLogxK
UR - https://pubmed.ncbi.nlm.nih.gov/37780648
U2 - 10.1016/j.eats.2023.04.027
DO - 10.1016/j.eats.2023.04.027
M3 - Article
C2 - 37780648
AN - SCOPUS:85171430160
SN - 2212-6287
VL - 12
SP - e1535-e1540
JO - Arthroscopy Techniques
JF - Arthroscopy Techniques
IS - 9
ER -