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Figure 3

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(A) Preoperative X-rays for a depressed fracture of the medial tibial plateau. Metaphyseal collapse and knee subluxation can be observed. (B) Intraoperative photo shows unreconstructable comminution of the articular surface. (C) The bone defect was reconstructed using a medial 20 mm metal step attached to the tibial tray. (D) Postoperative X-ray showing the Rotating Hinge implant and metal augment to the proximal tibia.

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