Lateral/medial parapatellar arthrotomy of the pediatric distal femur
The skin incision begins proximally at the level of the midpatella and initially extends to the joint line. The incision is adjacent to the patellar tendon.
Incise the capsule in the same plane.
Once the knee capsule is incised, retractors can be used to improve visualization of the fracture site.
The incision may be extended (dotted line) if exposure of the articular surface is necessary for reduction and fixation.
Pitfall: Be careful to avoid sharp dissection around the meniscus.
Wound closure
Close the joint capsule with absorbable sutures.
After careful hemostasis, close the skin and subcutaneous tissues in a routine manner.
