Background: Medial meniscal tears can occur due to traumatic injury, such as twisting the knee forcefully while weight-bearing, or as a result of degenerative changes over time (wear and tear). The present study was conducted to evaluate efficacy of proximal fibulectomy combined with arthroscopic partial meniscectomy (APM) in patients with medial compartment osteoarthritis and medial meniscal tears. Materials & Methods: 60 patients with medial compartment osteoarthritis and medial meniscal tears of both genders underwent APM and proximal fibulectomy. Preoperative and postoperative Visual Analog Scale (VAS) pain scores, hospital for special surgery (HSS) knee scoreswere recorded. Results: Out of 60 patients, males were 38 and females were 22. Pain (VAS) pre- operatively was 8.4 and post- operatively was 2.1. HSS score pre- operatively was 74.2 and post- operatively was 88.6. Patient satisfaction level was very satisfied in 46, satisfied in 12, fairly satisfied in 2. Complications were infection in 2 and temporary palsy of the superficial peroneal nerve in 1 patient. The difference was significant (P< 0.05). Conclusion: When proximal fibulectomy and APM were coupled, surgical results were satisfactory. APM and concurrent proximal fibulectomy could be viewed as a secure, minimally intrusive course of treatment.