The FasT-Fix Repair Technique for Ramp Lesion of the Medial Meniscus.
BACKGROUND
This technical note describes a new arthroscopic technique to repair the peripheral attachment lesion of the posterior horn of the medial meniscus. The operation was performed under arthroscopy using a standard anterior portal.


METHODS
A FasT-Fix needle was inserted obliquely close to the tibial plateau and the first implant was inserted into the joint capsule depending on its bending angle underneath the meniscus. The second implant was inserted through 1/3 periphery of the meniscus into the meniscocapsular area. The pre-tied self-sliding knot was tensioned to achieve secure fixation of the posterior meniscal peripheral attachment at the original attachment point.


METHODS
From August 2011 to February 2014, 23 knees were diagnosed as ramp lesion, underwent meniscal repair using FasT-Fix technique.


RESULTS
All patients were followed up for average 14 months. The Lysholm score improved from preoperative 64.4±4.52 to postoperative 91.2±4.60.


CONCLUSIONS
We believe that the FasT-Fix technique via the standard anterior portal can be a more convenient and less traumatic alternative for repair of the peripheral attachment lesion of the posterior horn of the medial meniscus in the anterior cruciate ligament deficient knee.
Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Wei-Ping
WP
Li
Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Zhong
Z
Chen
Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Bin
B
Song
Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Rui
R
Yang
Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China.
Weiquan
W
Tan
Anterior cruciate ligament; Knee; Medial meniscus; Ramp lesion