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. 2022 Jun 30;46(9):1937–1944. doi: 10.1007/s00264-022-05494-y

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Fig. 2 — Management of the dead space using PMMA cement spacer. A Application of cement spacer without transfixing K-wire B Application of the cement spacer on single double level K-wire C Application of the cement spacer on double parallel K-wire. Note that in our case series, there is no formal internal or external fixation applied in the first procedure rather than above knee slap. Transfixing K-wire was noticed to provide good stability to enhance the induced membrane formation