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Distal femur reconstruction after resection for osteosarcoma in Paget’s disease of bone. (A) Osteolytic disruption by osteosarcoma developed a pathologic fracture of the anterior femoral cortex. (B) Coronal MRI view shows intramedullary extension and involvement of the adjacent soft tissues. (C) Radiograph shows reconstruction with a GMRS® prosthesis (Stryker, Howmedica, Osteonics, Allendale, NJ).
