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Lyall H et al. - This article reports a case of primary total knee arthroplasty for osteoarthritis in a patient who underwent treatment 20 years previously for a large giant cell tumor presenting with an intra-articular knee fracture. The arthroplasty was made technically challenging by the abnormal shape of the distal femur. The reconstruction was facilitated by the use of stemmed components and autogenous bone graft.

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