# Arthroscopic Repair of Meniscal Ramp Lesions in Anterior Cruciate Ligament Reconstructions: Technical Note

## TL;DR

This paper describes a new arthroscopic technique for repairing meniscal ramp injuries during ACL reconstruction surgeries.

## Contribution

A novel arthroscopic technique using a posteromedial portal for safer and more effective repair of meniscal ramp lesions.

## Key findings

- The posteromedial portal provides direct visualization of ramp lesions during ACL reconstruction.
- The technique is safe and yields good surgical outcomes for meniscal ramp injuries.

## 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.