A, Preoperative lateral knee radiograph of a 4-year-old boy with arthrogryposis. B and C, Two years after anterior stapling of the distal femur with 8-plates. Lateral view shows correction of the flexion deformity and divergence of the screws with growth. (From Palocaren T, Thabet AM, Rogers K, et al: Anterior distal femoral stapling for correcting knee flexion contracture in children with arthrogryposis—preliminary results, J Pediatr Orthop 30:169, 2010.) SEE TECHNIQUE 34.43.