78 Years old lady presented with pain , swelling and deformity In Left distal thigh and Knee region following Fall at home . H/o Bilateral Total Knee Replacement In 2012 elsewhere. Clinical and blood investigation shows no evidence of infection.

Preop x ray shows Periprosthetic fracture. This is a challenging case due to previous implant with poor bone stock that require special surgical expertise with revision distal femur replacement equipments. We routinely perform such surgeries in Sant Parmanand Hospital with good functional outcomes.
We did revision with distal femur replacement with hinged component.
Patient is walking comfortably with walker.