Meniscal Ramp Lesion Repair Using an All-Inside Technique
Posteromedial meniscotibial ligament lesions, known as meniscal ramp lesions, are typically associated with ACL injuries, but frequently underdiagnosed. When correctly diagnosed, repair is mandatory in most cases. Retraction of the soft tissues makes it difficult to repair and leads to suture failur...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717303493 |
| _version_ | 1818439398631407616 |
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| author | Roberto Negrín, M.D. Nicolás O. Reyes, M.D. Magaly Iñiguez, M.D. Juan José Pellegrini, M.D. Mauricio Wainer, M.D. Jaime Duboy, M.D. |
| author_facet | Roberto Negrín, M.D. Nicolás O. Reyes, M.D. Magaly Iñiguez, M.D. Juan José Pellegrini, M.D. Mauricio Wainer, M.D. Jaime Duboy, M.D. |
| author_sort | Roberto Negrín, M.D. |
| collection | DOAJ |
| description | Posteromedial meniscotibial ligament lesions, known as meniscal ramp lesions, are typically associated with ACL injuries, but frequently underdiagnosed. When correctly diagnosed, repair is mandatory in most cases. Retraction of the soft tissues makes it difficult to repair and leads to suture failure. Previously described techniques include all-inside and inside-out meniscal sutures, but do not ensure correct meniscotibial closure because of the soft tissue retraction. The purpose of this Technical Note is to describe a meniscal ramp lesion arthroscopic repair with an all-inside technique with the Fast-Fix 360 device, detailing the use of the accessory posteromedial portal, and the addition of an arthroscopic grasper that raises the retracted meniscotibial ligament, to allow correct fixation. |
| first_indexed | 2024-12-14T17:55:50Z |
| format | Article |
| id | doaj.art-57e0a5b79aad4f45b8b70f5cadec4134 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T17:55:50Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-57e0a5b79aad4f45b8b70f5cadec41342022-12-21T22:52:32ZengElsevierArthroscopy Techniques2212-62872018-03-0173e265e270Meniscal Ramp Lesion Repair Using an All-Inside TechniqueRoberto Negrín, M.D.0Nicolás O. Reyes, M.D.1Magaly Iñiguez, M.D.2Juan José Pellegrini, M.D.3Mauricio Wainer, M.D.4Jaime Duboy, M.D.5Address correspondence to Roberto Negrín, M.D., Lo Fontecilla 441, Santiago 6772610, Chile.; Department of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChileDepartment of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChileDepartment of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChileDepartment of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChileDepartment of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChileDepartment of Orthopedics and Traumatology, Clinica Las Condes, Santiago, ChilePosteromedial meniscotibial ligament lesions, known as meniscal ramp lesions, are typically associated with ACL injuries, but frequently underdiagnosed. When correctly diagnosed, repair is mandatory in most cases. Retraction of the soft tissues makes it difficult to repair and leads to suture failure. Previously described techniques include all-inside and inside-out meniscal sutures, but do not ensure correct meniscotibial closure because of the soft tissue retraction. The purpose of this Technical Note is to describe a meniscal ramp lesion arthroscopic repair with an all-inside technique with the Fast-Fix 360 device, detailing the use of the accessory posteromedial portal, and the addition of an arthroscopic grasper that raises the retracted meniscotibial ligament, to allow correct fixation.http://www.sciencedirect.com/science/article/pii/S2212628717303493 |
| spellingShingle | Roberto Negrín, M.D. Nicolás O. Reyes, M.D. Magaly Iñiguez, M.D. Juan José Pellegrini, M.D. Mauricio Wainer, M.D. Jaime Duboy, M.D. Meniscal Ramp Lesion Repair Using an All-Inside Technique Arthroscopy Techniques |
| title | Meniscal Ramp Lesion Repair Using an All-Inside Technique |
| title_full | Meniscal Ramp Lesion Repair Using an All-Inside Technique |
| title_fullStr | Meniscal Ramp Lesion Repair Using an All-Inside Technique |
| title_full_unstemmed | Meniscal Ramp Lesion Repair Using an All-Inside Technique |
| title_short | Meniscal Ramp Lesion Repair Using an All-Inside Technique |
| title_sort | meniscal ramp lesion repair using an all inside technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717303493 |
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