PMC5420170_01
Antero-posterior (a) and lateral (b) radiograph on admission showing a distal femoral shaft fracture with a previous dynamic hip screw fixation.
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F1
Radiographs (Fig. 1) showed an osteopaenic femur with a fracture of the distal femur almost 8 cm proximal to the amputation stump.
Antero-posterior (a) and lateral (b) radiograph following open reduction and internal fixation of the distal femoral fracture.
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F2
DHS plate to prevent any stress riser. Due to the poor bone quality, combination of non-locking and locking screws was used to fix the construct (Fig. 2).
Well healed lateral (a) and stump (b) scar six months post-operatively.
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F3
At the most recent follow up at six months, there was no evidence of soft tissue infection or wound dehiscence (Fig. 3 ).