PMC6462322_01
Left knee with significant medial compartmental osteoarthritis and evidence of a previous bone mulch ACL screw.
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fig2
She underwent removal of the tibial WasherLoc approximately 10 years later, in the early 2000's (Figure 2).
Intraoperative periprosthetic fracture fixated with an intramedullary nail.
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fig3
The femoral and tibial canals were then reamed to accept a 200 mm x 9 mm intramedullary nail to act as a temporary internal stabilization device (Figure 3).
Immediate postoperative radiographs following hinged distal femoral replacement.
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fig4
The surgical wound was copiously irrigated and closed (Figure 4).