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Different Techniques for the Management of Meniscal Ramp Lesions Using Standard Anterior Portals by Mostafa Zaky Abdelrazek, Begad Hesham; Waly, Mohammed Refaat; Abdel Aziz, Mahmoud Ahmed; Abdel Aziz, Ahmed is a Medicine article available to read on EtoBox.

What is Different Techniques for the Management of Meniscal Ramp Lesions Using Standard Anterior Portals about?

There is strong association between meniscal lesions and anterior cruciate ligament injuries. Recently, light was shown on a new entity: ramp lesions. The incidence of these lesions and their management is still unclear. Although some believe that some lesions, when stable, can be managed conservatively, most surgeons repair ramp tears. Accessibility of these tears is challenging; they are best accessed through posterior portals, which is time-consuming and poses potential risk to vital structures. Our technique allows access to and management of ramp lesions through safe standard anterior portals. Ramp lesions are searched for as a routine step during anterior cruciate ligament reconstruction by advancing the scope through the intercondylar notch just beside the medial femoral condyle. If a lesion is found, it is repaired; only very stable small tears are treated with needling to refresh the edges and induce a healing response. A simple suture, horizontal mattress suture, or a circumferential stitch is used.

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Author

Mostafa Zaky Abdelrazek, Begad Hesham; Waly, Mohammed Refaat; Abdel Aziz, Mahmoud Ahmed; Abdel Aziz, Ahmed

Publisher

Elsevier ; Elsevier Inc.; Amsterdam: Elsevier; Elsevier BV (ISSN 2212-6287)

Published

2020

Language

EN

Field

Medicine (Health Sciences)