Lucas and Murray technique of knee arthro-desis. A, Skin incision. B, Skin and subcutaneous tissue have been reflected, exposing quadriceps tendon, patella, and patellar tendon. C, Stripping subperiosteally, flaps have been raised medially and laterally, exposing femur, tibia, knee joint, and deep surface of patella. D, Femur and tibia have been fixed by two stainless steel plates, one applied medially and one anteriorly. E, Dynamic compression plates placed medially and laterally in staggered fashion. SEE TECHNIQUE 8.4.