Inframeniscal approach for arthroscopic resection of tears of the posterior one-third of the medial meniscus

Arthroscopic resection of tears of the posterior third of the medial meniscus may be difficult. Meniscectomy by use of routine portals superior to the meniscus is difficult in knees in which valgus stress does not allow access to the posterior meniscus. The operation may be facilitated by the use of portals inferior to the meniscus. This inframeniscal approach avoids the problem of excessive scuffing, possible medial collateral ligament sprain, and the need for a posterior medial portal.