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Malignant bone tumors and osteitis of the distal femur are common at every age. These conditions must be considered in patients with total knee arthroplasty and suspicious x-rays. A patient with gross polyethylene-wear-induced osteolysis and periprosthetic fracture is described. Neoplasm and infectious granuloma were excluded through biopsy, and the bone defect was bridged with a rotating hinged distal femoral replacement.

Citation

M Napp, M Frank, M Witt. Pathologic fracture of the distal femur in total knee arthroplasty. Polyethylene-wear-induced osteolysis? A case report]. Der Orthopäde. 2009 Oct;38(10):970, 972-3

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PMID: 19639299

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