PMC5903306_01
Preoperative radiograph.
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fig1
At 10 months postoperatively, he was involved in a bicycle accident and visited a local hospital, where he was diagnosed with periprosthetic fracture of the distal femur (Figure 1).
Knee joint positioning and set up of image intensifier.
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fig2
Synovectomy and exposure of insertion point (a). Guide-wire insertion (b). Skin incisions for arthroscopy and nail insertion (c).
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fig3
Entry point reaming without compromising the tibial post.
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fig4
Nail insertion.
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fig5
The intramedullary canal was reamed, and a 12 mm diameter x 170 mm length T2 Supracondylar Nail (Stryker, Schonkirchen, Germany) was then inserted (Figure 5).
White arrow indicates the end of the nail.
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fig6
Postoperative radiograph.
CRIOR2018-1805145.007.jpg
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fig7
Postoperative radiograph indicated good sagittal and coronal alignment of the distal femur (Figure 7).