Meniscal Ramp Repair: A 2-Portal Posteromedial Approach

Renaud Siboni; Charles Pioger; Christophe Jacquet; Caroline Mouton; Julie Seil; Cécile Toanen; Romain Seil

doi:10.1016/j.eats.2022.02.026

Meniscal Ramp Repair: A 2-Portal Posteromedial Approach

Arthrosc Tech. 2022 Jun 14;11(7):e1163-e1169. doi: 10.1016/j.eats.2022.02.026. eCollection 2022 Jul.

Authors

Renaud Siboni¹, Charles Pioger^{1

2}, Christophe Jacquet³, Caroline Mouton^{1

4}, Julie Seil¹, Cécile Toanen⁵, Romain Seil^{1

6

4

7}

Affiliations

¹ Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg - Clinique d'Eich, Luxembourg.
² Department of Orthopaedic Surgery, Ambroise Paré Hospital, Paris Saclay University, Boulogne-Billancourt, France.
³ Department of Orthopaedic Surgery and Traumatology, Institute for Movement and Locomotion, St. Marguerite Hospital, Marseille, France.
⁴ Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science, Luxembourg.
⁵ Department of Orthopaedic Surgery, Versailles Hospital, 78150, Le Chesnay, France.
⁶ Department of Orthopaedic Surgery, Reims Teaching Hospital, Hôpital Maison Blanche, Reims, France.
⁷ Human Motion, Orthopaedics, Sports Medicine and Digital Methods, Luxembourg.

Abstract

The management of medial meniscus ramp lesions can be challenging. The current gold standard technique to repair these lesions is the transnotch view combined with a single instrumental posteromedial portal. However, it does not provide direct visualization of the ramp and does not allow for an anatomic repair. In this Technical Note, a new technique is described with 2 posteromedial portals: a posteromedial viewing portal and working portal. This 2-portal approach aims to improve visualization of the lesion and its repair, as well as allow for a technically easier repair.