Subvastus anteromedial approach. A, Superficial fascia is incised medial to patella. B, Superficial fascia is bluntly elevated from perimuscular fascia of vastus medialis down to its insertion on medial patellar retinaculum. C, Tendinous insertion elevated by blunt dissection. Dashed line indicates arthrotomy. D, Patella is everted, and knee is flexed. SEE TECHNIQUE 1.43.