case_images: PMC5903306_01
case_images: Preoperative radiograph.
case_images: CRIOR2018-1805145.001.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.001.jpg
case_images: fig1
case_images: 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).
case_images: Knee joint positioning and set up of image intensifier.
case_images: CRIOR2018-1805145.002.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.002.jpg
case_images: fig2
case_images: Synovectomy and exposure of insertion point (a). Guide-wire insertion (b). Skin incisions for arthroscopy and nail insertion (c).
case_images: CRIOR2018-1805145.003.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.003.jpg
case_images: fig3
case_images: Entry point reaming without compromising the tibial post.
case_images: CRIOR2018-1805145.004.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.004.jpg
case_images: fig4
case_images: Nail insertion.
case_images: CRIOR2018-1805145.005.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.005.jpg
case_images: fig5
case_images: 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).
case_images: White arrow indicates the end of the nail.
case_images: CRIOR2018-1805145.006.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.006.jpg
case_images: fig6
case_images: Postoperative radiograph.
case_images: CRIOR2018-1805145.007.jpg
case_images: PMC5903306_01_CRIOR2018-1805145.007.jpg
case_images: fig7
case_images: Postoperative radiograph indicated good sagittal and coronal alignment of the distal femur (Figure 7).