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Thirty supracondylar and intercondylar fractures of the femur in twenty-eight patients were reduced and stabilized with ASIF techniques. After an average follow-up of 28.5 months, the results were good or excellent in twenty-four limbs. An extensile surgical exposure with elevation of the tibial tuberosity was used successfully in eight limbs to facilitate the exposure of multiplanar intra-articular fractures. Close attention to the surgical details is necessary to avoid the potential complications of this approach.