case_images: PMC10246779_01
case_images: (A) Anteroposterior and (B) Lateral x-ray of the right knee. This X-ray was taken post-operatively after external fixation was applied.
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case_images: Imaging results were: Chest x-ray was normal; Right knee x-ray (Figure 2) locally aggressive geographic lytic lesion eccentrically located in the distal femur.
case_images: Right knee MRI. (A and B) are T1 and T2 weighted sagittal images, respectively. (C and D) are T1 and T2 weighted coronal images, respectively.
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case_images: Formed bio-membrane after cement removal.
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case_images: Cement was embedded in a formed biomembrane (Figure 4).
case_images: Intramedullary nail and non-vascularized fibular graft in place.
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case_images: A proximal (2) and distal (2) interlocking screw was inserted with the guide of an image intensifier (Figure 5). The graft was then placed in the gap from the distal-most resected part of the femur to the tibia (Figure 5).
case_images: AP and Lateral X-ray of the femur (A and B, respectively). AP and Lateral X-ray of the tibia including knee joint (C and D, respectively).
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case_images: X-ray showed healing of the graft to the recipient site with callus formation (Figure 6).
case_images: Patient weight bearing with crutches at 1 year follow up.
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case_images: The subsequent follow-up was 1 year after surgery (Figure 7).
case_images: Full-length lower extremity radiograph at two years follow up (A) and lateral radiograph (B) showing healing at the proximal graft site at two years follow up.
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case_images: There was adequate healing and no recurrence was noted at the two-year follow-up (Figure 8).