Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

The identification of meniscal ramp lesions can be quite difficult or even impossible with conventional anterior arthroscopic viewing and working portals. Although even the use of transnotch viewing maneuvers into the posteromedial compartment increases the likelihood of diagnosis, it is the postero...

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Bibliographic Details
Main Authors: Kadir Buyukdogan, M.D., Michael S. Laidlaw, M.D., Mark D. Miller, M.D.
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628717301718
Description
Summary:The identification of meniscal ramp lesions can be quite difficult or even impossible with conventional anterior arthroscopic viewing and working portals. Although even the use of transnotch viewing maneuvers into the posteromedial compartment increases the likelihood of diagnosis, it is the posteromedial and trans-septal portals that provide the best direct visualization of these many times “hidden lesions.” In this surgical technique description, we describe a method to not only adequately visualize the ramp lesion, but also provide subtle variations to existing surgical techniques that can help limit injury to neurovascular structures as well as gain satisfactory vertical suture repair of this posteromedial meniscocapsular injury.
ISSN:2212-6287