Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Femur

[Picture]

Incise the skin over the middle third of the femur in a line between the anterosuperior iliac spine and the lateral margin of the patella. Incise the superficial and deep fasciae, and separate the rectus femoris and vastus lateralis muscles along their intermuscular septum. The vastus intermedius muscle is thus brought into view; divide it in the line of its fibers down to the femur. Then expose the femur by subperiosteal reflection of the incised vastus intermedius muscle.

The anterolateral approach exposes the middle third of the femur, but postoperative adhesions between the individual muscles of the quadriceps group and between the vastus intermedius and the femur may limit knee flexion. Therefore the quadriceps mechanism must be handled gently. Infections of the middle third of the shaft are best approached posterolaterally. When the shaft must be approached from the medial side, this anterolateral approach is indicated rather than an anteromedial one.



This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 02 December 2007Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Surgical Approaches
Hand
Wrist
Forearm
Elbow
Humerus
Shoulder
Pelvis & Acetabulum
Hip
Femur
Knee
Tibia & Fibula
Ankle
Foot
Arthrodesis
Grey's Anatomy Online
Hide Menu