Surgery 2026

As of 2026, meniscal ramp lesions remain a diagnostic and therapeutic challenge. Despite increasing recognition of these injuries, their diagnosis—particularly in the setting of anterior cruciate ligament (ACL) injury—remains difficult, and ramp lesions are consequently considered among the most frequently missed meniscal injuries. Their arthroscopic identification and surgical management also present technical challenges for the surgeon. Several repair techniques have been described, including the use of all-inside suture devices; however, the high cost of these implants may limit their availability in resource-constrained settings.

To describe two alternative arthroscopic techniques for the repair of meniscal ramp lesions that do not require commercially available all-inside suture devices

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