title: Arthroscopic all-inside ramp lesion repair using the posterolateral transseptal portal view.
abstract: OBJECTIVE
  The purpose of this study was to evaluate and describe the clinical results and outcomes of a novel method for all-inside suture repair of medial meniscus ramp lesions through posteromedial and posterolateral transseptal portals during anterior cruciate ligament (ACL) reconstruction. Further, this investigation compared the posterolateral view to the notch view for diagnosis and repair.
  
  
  METHODS
  Between 2011 and 2014, 166 patients had ramp lesions concomitantly with ACL injury; 128 patients (107 men and 21 women) were enrolled in the study after qualification. All patients underwent repair of the posterior horn ramp lesion of the medial meniscus, using a suture hook device with PDS No. 1 through a posteromedial portal while viewing from the posterolateral transseptal portal during ACL reconstruction, with a minimum of a 2-year follow-up.
  
  
  RESULTS
  Patients were followed up for a minimum of 2 years (range 24-47 months). Their average Lysholm score increased from 61.7 ± 3.2 preoperatively to 87.8 ± 3.9 at last follow-up (p < 0.001). Moreover, their average IKDC scores also improved from 53.6 ± 2.1 (pre-op) to 82.1 ± 3.5 (at last follow-up) (p < 0.001). The peroneal nerve and the popliteal neurovascular bundle were not damaged in any of the patients.
  
  
  CONCLUSIONS
  This study provides evidence that the posterolateral transseptal technique protects neurovascular structures. This technique may be used safely and easily for repair of the posterior horn ramp lesion of the medial meniscus during ACL reconstruction.
  
  
  METHODS
  IV.
authors.affiliation: Orthopedic Department Chair, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Sohrab
authors.initials: S
authors.lastname: Keyhani
authors.affiliation: Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Jin Hwan
authors.initials: JH
authors.lastname: Ahn
authors.affiliation: Department of Orthopedics and Traumatology, Ghent University, Ghent, Belgium.
authors.forename: René
authors.initials: R
authors.lastname: Verdonk
authors.affiliation: Guilan University of Medical Sciences, Rasht, Iran. drmehransoleymanha@gmail.com.
authors.forename: Mehran
authors.initials: M
authors.lastname: Soleymanha
authors.affiliation: Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Abbasian
mesh_terms: D000293:Adolescent; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries / Q000601:surgery; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D013536:Suture Techniques; D055815:Young Adult
keywords: Arthroscopy; Knee; Meniscal repair; Meniscus; Ramp lesion