In patients having arthroscopic medial meniscectomy, percutaneous pie crust or intra-articular release of the proximal medial collateral ligament is preferable to iatrogenic damage to the cartilage of the medial femoral condyle. In patients with tight medial compartments, release is recommended. Release of the medial collateral ligament during arthroscopic partial medial meniscectomy does not result in morbidity and should be encouraged, not feared.
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