Table 2.

Advantages and Disadvantages

Advantages	Disadvantages
A high level of suspicion and a comprehensive review of the imaging is vital to detect these lesions: look for posteromedial tibial marrow edema and a slight separation of the posteromedial capsule from the meniscus.	Do not attribute bone marrow changes only to the anterior cruciate ligament (ACL) injury. Actively look for associated lesions.
A systematic approach to verify for the absence of this lesion can yield better ACL reconstruction outcomes with lower failure rates.	Failing to address a meniscal ramp lesion can result in changed knee biomechanics and increased failure rates.
Inside-out sutures allow for more versatility when repairing the meniscus.	Technically demanding, need for an additional approach.
Excellent results have been reported for these repairs due to the favorable zone of the tear and also because they are usually associated with ACL reconstructions, which further improves the biological profile of these lesions.	Although extended surgical time can be expected because of the repair, a careful look into the posteromedial capsule should be routinely performed with the creation of accessory portals if necessary.