Fig 3.

Intraoperative photographs of a left leg with the patient positioned supine with head of the patient on the right side of the figures toward the chevron. (A) The lateral approach to the distal femur is marked on the skin and centered over the lateral epicondyle (asterisks). (B) The iliotibial band (black arrows) is split in line with the incision. (C) The vastus lateralis muscle (white asterisks) is elevated anteriorly and the periosteum (white arrow) is split along the femur. (D) The periosteum (white arrow) is elevated anteriorly and a retractor can be placed beneath the vastus lateralis muscle (white asterisks).