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case_images: Left, acute distal periprosthetic femur fracture X-ray.
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case_images: In February 2020, the patient presented with a left distal periprosthetic femur fracture (Su Type II) after attempting to walk to the bathroom and falling onto her left knee (Fig. 1).
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case_images: Left, immediate postoperative AP and lateral X-rays.
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case_images: Postoperative anterior-posterior (AP) and lateral X-rays were taken (Fig. 2).
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case_images: Left, 5 month postoperative AP and lateral X-rays.
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case_images: During the visit, APand lateral left knee X-rays were taken (Fig. 3).
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case_images: Left, 48 month postoperative AP and lateral X-rays.
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case_images: Looking at the APand lateral imaging of the left knee, there were findings of DFR without signs of lucency or subsidence, and the hardware-maintained alignment was intact (Fig. 4).
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case_images: Right, acute distal periprosthetic femur fracture X-rays.
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case_images: September 2022 with acute right knee pain and unable to ambulate. She was seen and evaluated in the emergency department, where she was found to have evidence of a right distal periprosthetic femur fracture (Su Type II) after a ground-level fall (Fig. 5).
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case_images: Right, immediate postoperative AP and lateral X-rays.
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case_images: Postoperative APand lateral X-rays were taken (Fig. 6).
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case_images: Right, 3 month postoperative AP and lateral X-rays.
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case_images: December 2022, 3 months after being treated on the right with a retrograde nail, the patient reported bilateral knee pain (5/10 on the left and 6/10 on the right). During the visit, AP and lateral right knee X-rays were taken (Fig. 7).
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case_images: Right, 17 month postoperative AP and lateral X-rays.
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case_images: When looking at the right AP and lateral imaging, she had findings of progressive bone healing, maintained surgical alignment, and all hardware was intact (Fig. 8).
case_images: Bilateral, February 2024, AP X-ray.
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case_images: Further, when looking at the bilateral AP and full leg length imaging, she had maintained hip alignment, equal leg length, and no changes in valgus or varus leg alignment (Figs 9 and 10).
case_images: Bilateral, February 2024, full leg length X-ray.
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case_images: Further, when looking at the bilateral AP and full leg length imaging, she had maintained hip alignment, equal leg length, and no changes in valgus or varus leg alignment (Figs 9 and 10).
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case_images: Graph, KOOS categorical scores.
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case_images: KOOS categorial subtotals and overall percentages were compared with a P value of (0.0048), standard deviation of (19.91), R squared of (0.8222), and a 95% confidence interval of (17.92) to (59.08) (Fig. 11).