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DOI: 10.1055/s-0044-1779312
Arthroscopic Repair of Meniscal Ramp Lesions in Anterior Cruciate Ligament Reconstructions: Technical Note
Reparo artroscópico das lesões da rampa meniscal nas reconstruções do ligamento cruzado anterior: Nota técnicaFinancial Support The present study did not receive any financial support from public, commercial, or not-for-profit sources.
Abstract
Meniscal injuries are frequently associated with anterior cruciate ligament (ACL) tears. Meniscal ramp injuries involve more peripheral structures of the posterior horn of the medial meniscus (MM). Their diagnosis and repair are more challenging compared with common meniscal injuries. Although several ramp suture techniques have been described, their results remain unsatisfactory, and there are potential complications. The present technical note presents the arthroscopic repair of meniscal ramp injuries in ACL reconstruction using a posteromedial portal. Since it provides a direct view of the lesion at surgery, this is a safe technique with good outcomes.
Resumo
Lesões meniscais são frequentemente associadas às rupturas do ligamento cruzado anterior (LCA). As lesões da rampa meniscal envolvem estruturas mais periféricas do corno posterior do menisco medial (MM) e são mais desafiadoras em relação ao seu diagnóstico e reparo em comparação com as lesões comuns do menisco. Diversas técnicas foram descritas para sutura da rampa, porém, ainda apresentando resultados insatisfatórios e com possíveis complicações. A presente nota técnica apresenta de forma clara o reparo artroscópico das lesões da rampa meniscal nas reconstruções do LCA, com auxílio de um portal posteromedial. Por proporcionar uma visão direta da lesão no momento do reparo, trata-se de uma técnica segura e com bons resultados finais.
Work carried out at the Orthopedics Department of the University of Marilia, Marilia, SP, Brazil.
Publikationsverlauf
Eingereicht: 29. November 2021
Angenommen: 29. Mai 2023
Artikel online veröffentlicht:
23. Juni 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Felipe Galvão Abreu, Sérgio Marinho de Gusmão Canuto, Vitor Barion Castro de Pádua. Arthroscopic Repair of Meniscal Ramp Lesions in Anterior Cruciate Ligament Reconstructions: Technical Note. Rev Bras Ortop (Sao Paulo) 2025; 60: s00441779312.
DOI: 10.1055/s-0044-1779312
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