All-Inside Technique for Ramp Lesion Repair: Arthroscopic Suture With Knee Scorpion Suture Passer

Ramp lesions are peripheral tears of the posterior horn of the medial meniscus that involve the meniscocapsular attachments. They are commonly associated with anterior cruciate ligament injury and frequently not diagnosed. There are several suture techniques for ramp lesions. However, most have a lo...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2022-11, Vol.11 (11), p.e2091-e2096
Main Authors: Brito de Alencar Neto, Jonatas, Marinho de Gusmão Canuto, Sérgio, Antônio da Silva Girão, Marcos, Lyra de Oliveira, Ricardo, Costa Cavalcante, Maria Luzete, Helito, Camilo Partezani, Ariel de Lima, Diego
Format: Article
Language:English
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Technical Note
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Summary:Ramp lesions are peripheral tears of the posterior horn of the medial meniscus that involve the meniscocapsular attachments. They are commonly associated with anterior cruciate ligament injury and frequently not diagnosed. There are several suture techniques for ramp lesions. However, most have a long learning curve to be performed adequately and to minimize the risks of neurovascular lesions, cartilage injury, as well as damage to the meniscotibial ligament and meniscus. Thus, as an alternative to minimize costs and provide adequate ramp lesion repair, we present a simple, easy-to-reproduce technique using a Scorpion Suture Passer and all-inside sutures, without the need to leave devices inside the knee, causing no additional lesions and making it less costly than conventional methods. Our technique, which consists of a biomechanically strong suture, with no internal devices, is cheaper, allows several sutures with the same thread and produces satisfactory clinical results. [Display omitted]
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2022.08.008