ABSTRACT
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. The medium-term results
are encouraging. This case suggests a good outcome can be achieved in the presence
of distorted distal femoral anatomy.