Many operative approaches have been described and an assortment of special knives or retractors have been devised to facilitate the complete removal of the medial meniscus from the knee joint. The most simple and direct surgical approach is by division of the tibial collateral ligament. This study constitutes a review of 68 patients operated on for removal of the medial meniscus by this procedure. In addition, four other patients had the fibular collateral ligament divided for complete removal of the lateral meniscus because of large cyst formations. This series of cases, covering a period of eight years' experience, has proved that the ultimate stability of the knee joint is not impaired.
Eight years ago I was removing a torn medial meniscus by the usual anterior medial approach. As the anterior portion of the cartilage was freed and pulled forward with a Kocher clamp, the cartilage, which apparently was extremely friable,