Open AccessAll-Inside Technique for Ramp Lesion Repair: Arthroscopic Suture With Knee Scorpion Suture Passer
Author(s) -
Jonatas Brito de Alencar Neto,
Sérgio Marinho de Gusmão Canuto,
Marcos Antônio da Silva Girão,
Ricardo Oliveira,
Maria Luzete Costa Cavalcante,
Camilo Partezani Helito,
Diego Ariel de Lima
Publication year - 2022
Publication title -
arthroscopy techniques
Language(s) - English
Resource type - Journals
ISSN - 2212-6287
DOI - 10.1016/j.eats.2022.08.008
Subject(s) - medicine , neurovascular bundle , surgery , fibrous joint , lesion , medial meniscus , arthroscopy , osteoarthritis , pathology , alternative medicine
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.