Medial and posteromedial approaches to the tibial plateau. A, Begin the skin incision for the medial approach 2 to 3 cm above the joint line at the medial epicondyle and extend it distally, bisecting the posteromedial border of the tibia and tibial crest. B, Begin the skin incision for the posteromedial approach 2 to 3 cm above the joint line and follow the posteromedial border of the tibia. SEE TECHNIQUES 1.34 AND 1.35.