case_images: PMC4716447_01
case_images: Periprosthetic fracture distal tip of right total hip replacement.
case_images: rjv17201.jpg
case_images: PMC4716447_01_rjv17201.jpg
case_images: RJV172F1
case_images: She subsequently sustained a periprosthetic fracture at the distal tip of her right total hip replacement (Fig. 1).
case_images: Plate and Dall-Miles cable fixation of periprosthetic fracture.
case_images: rjv17202.jpg
case_images: PMC4716447_01_rjv17202.jpg
case_images: RJV172F2
case_images: An initial attempt was made to manage this fracture with a plate and Dall-Miles cables (Fig. 2); however, the fracture did not unite.
case_images: Custom-made cement-linked internal proximal femoral replacement.
case_images: rjv17203.jpg
case_images: PMC4716447_01_rjv17203.jpg
case_images: RJV172F3
case_images: The patient went on to have a custom-made cement-linked internal proximal femoral replacement, which had a hollow cylindrical design to accept the stem of the existing well-fixed distal femoral component (Figs 3 and 4).
case_images: Existing distal femoral replacement with stem linked to custom-made internal proximal femoral component visible in upper half of the image.
case_images: rjv17204.jpg
case_images: PMC4716447_01_rjv17204.jpg
case_images: RJV172F4
case_images: The patient went on to have a custom-made cement-linked internal proximal femoral replacement, which had a hollow cylindrical design to accept the stem of the existing well-fixed distal femoral component (Figs 3 and 4).
case_images: Full length femur radiograph illustrating fatigue fracture in stem of original distal femoral component.
case_images: rjv17205.jpg
case_images: PMC4716447_01_rjv17205.jpg
case_images: RJV172F5
case_images: Retained proximal femoral component with new custom-made cement-linked distal femoral prosthesis visible in lower half of the image.
case_images: rjv17206.jpg
case_images: PMC4716447_01_rjv17206.jpg
case_images: RJV172F6
case_images: New custom-made distal femoral prosthesis cement-linked to original salvage proximal femoral component visible in upper half of the image.
case_images: rjv17207.jpg
case_images: PMC4716447_01_rjv17207.jpg
case_images: RJV172F7