Physical care short distal segment and proximal femoral endoprosthetic reconstruction

After osteosarcoma excision in a 10-year-old child, a bespoke endoprosthesis allowed for the preservation of the distal femoral physis with just a little metaphyseal segment still present. This case serves as an example of a reconstructive option that permits physeal sparing with little metaphyseal bone left. The patient hasn’t experienced any complications at the three-year checkup, and distal femoral growth has maintained symmetric limb length. Custom physeal sparing short segment press-fit fixation is a suitable choice when intercalary biologic repair is not an option and the sacrifice of physis demands an extendible complete femoral prosthesis.