72 years old lady with past history of bilateral knee replacement (Right knee was replaced 6 months ago). Presented with pain right knee region and difficulty in bearing weight over right leg following history of fall at home. Preop X-Ray was suggested of fracture of distal femur around previous implant.

This is a very challenging case due to fracture in presence of previous implant. It needs special surgical planning and implants to replace the deficient bone stock. We regularly do these type of cases with good functional outcomes. Post op X-Ray showed distal femur replacement with hinge prosthesis. Now patient is walking comfortably with walker.