Technical TricksThe "Swashbuckler": A Modified Anterior Approach for Fractures of the Distal FemurStarr, Adam J.; Jones, Alan L.; Reinert, Charles M. Author Information Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A. Accepted November 19, 1998. Address correspondence and reprint requests to Dr. Adam J. Starr, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-8883, U.S.A. No financial project support of this research project has occurred. The authors have received nothing of value. This manuscript does not contain information about medical devices. Journal of Orthopaedic Trauma: February 1999 - Volume 13 - Issue 2 - p 138-140 Buy Abstract A modified anterior approach to the distal femur is presented. The approach allows surgical exposure of the entire articular surface of the distal femur. The quadriceps muscle bellies are spared during the approach. The skin incision used will not interfere with subsequent total knee arthroplasty, if posttraumatic arthritis develops and arthroplasty is necessary. © 1999 Lippincott Williams & Wilkins, Inc.