Swashbuckler technique. A, Fascia overlying quadriceps is incised longitudinally and lifted laterally off underlying muscle. B, Farther laterally, fascia over quadriceps becomes confluent with iliotibial band. Lateral parapatellar arthrotomy is performed. Proximally, arthrotomy incision is made between vastus lateralis muscle and lateral retinaculum of knee. C, Proximal release of vastus lateralis fibers from lateral intermuscular septum allows further mobilization of quadriceps. Perforating vessels can be controlled with cautery. SEE TECHNIQUE 54.26.