The frequency of knee arthroscopy involving the posterior compartments has
increased with recent advances in arthroscopic technique and instrumentation.
Total arthroscopic synovectomy, arthroscopic repair or reconstruction of the
posterior cruciate ligament, all-inside repair of the posterior horn of the
meniscus, and removal of loose bodies or tumors posterior to the posterior
cruciate ligament all involve arthroscopic visualization of posterior aspects
of the knee. Posterior knee arthroscopy is technically complex and requires a
detailed knowledge of posterior knee anatomy relevant to the arthroscopist.
With pertinent anatomic knowledge and meticulous technique, posterior knee
arthroscopy can be safely implemented to provide a broad field of view and
increased maneuverability of instruments.