case_images: PMC5420170_01
case_images: Antero-posterior (a) and lateral (b) radiograph on admission showing a distal femoral shaft fracture with a previous dynamic hip screw fixation.
case_images: TOORTHJ-11-316_F1.jpg
case_images: PMC5420170_01_TOORTHJ-11-316_F1.jpg
case_images: F1
case_images: Radiographs (Fig. 1) showed an osteopaenic femur with a fracture of the distal femur almost 8 cm proximal to the amputation stump.
case_images: Antero-posterior (a) and lateral (b) radiograph following open reduction and internal fixation of the distal femoral fracture.
case_images: TOORTHJ-11-316_F2.jpg
case_images: PMC5420170_01_TOORTHJ-11-316_F2.jpg
case_images: F2
case_images: 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).
case_images: Well healed lateral (a) and stump (b) scar six months post-operatively.
case_images: TOORTHJ-11-316_F3.jpg
case_images: PMC5420170_01_TOORTHJ-11-316_F3.jpg
case_images: F3
case_images: At the most recent follow up at six months, there was no evidence of soft tissue infection or wound dehiscence (Fig. 3 ).