Ramp lesion using two posteromedial portals, with bucket handle lesion and acl reconstruction

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Ramp lesion using two posteromedial portals, with bucket handle lesion and acl reconstruction

By Abdellatif DJELTI 5 Videos

637 views

December 12, 2022

Meniscal ramp lesions are common but frequently underrecognized in the ACL-injured
knee. It is important ...
read more ↘ to highlight that both preoperative MRI and arthroscopic evaluation via classic anterior portals are associated with high rates of missed diagnoses.
For that reason, a systematic exploration of the posteromedial compartment is
advocated in all ACL-injured knees. Failure to recognize and repair ramp lesions is
associated with persistent anterior and rotational knee laxity, suggesting it makes
part of a posteromedial instability, in the setting of an ACL tear. Concomitant suture
repair of these lesions, via a posteromedial portal, can restore normal biomechanics
and is associated with excellent clinical outcomes.
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