PMC5574225_01
AP and lateral right knee with distal femur sequestrum/involucrum and small periosteal reaction.
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fig1
Radiographs and MR images at presentation are shown (Figures 1 and 2) and consistent with chronic osteomyelitis.
Sagittal MRI of right knee with chronic osteomyelitis from distal femur diaphysis to most distal aspect.
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fig2
Radiographs and MR images at presentation are shown (Figures 1 and 2) and consistent with chronic osteomyelitis.
Postoperative AP radiographs showing long nail with surrounding cement.
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fig3
Postoperative radiographs are shown (Figure 3).
Postoperative AP radiograph with endoprosthesis reconstruction.
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fig4
Postoperative radiographs are shown (Figure 4).
PMC5574225_02
AP radiograph of distal femur.
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fig5
Radiographs and MR images at presentation (Figures 5 and 6) are shown and consistent with chronic osteomyelitis.
Sagittal STIR MRI of left knee with fracture nonunion of distal femur, marked synovitis, and bony changes consistent with osteomyelitis versus reactive changes.
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fig6
Radiographs and MR images at presentation (Figures 5 and 6) are shown and consistent with chronic osteomyelitis.
Postoperative radiographs with long IM nail and surrounding bone cement.
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fig7
Gentamicin cement was packed around the nail and postoperative radiographs are shown (Figure 7).
Postoperative AP radiograph with endoprosthesis reconstruction.
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fig8
Postoperative radiographs are shown (Figure 8).
PMC5574225_03
AP and lateral radiographs of right hip and lateral radiograph of right knee at presentation. Radiographs with antibiotic spacer over intramedullary K wire in tibia and extramedullary in femur. DHS in proximal femur.
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fig9
Radiographs at presentation are shown (Figure 9), and she was taken to the operating room where cultures were obtained and all hardware and antibiotic cement were removed.
Postoperative radiographs showing long IM nail and surrounding bone cement.
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fig10
Postoperative images are shown (Figure 10).
Postoperative radiographs of large endoprosthesis reconstruction.
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fig11
Postoperative radiographs are shown (Figure 11).