Fig. 4

a, b Case number 12: AP and lateral plain X-ray views showing typical C3-type distal right femur fracture. c, d 3-D reconstruction, AP and lateral CT scans. e, f Immediate postoperative views showing the lateral locked condylar plate and the medial contoured reconstruction plate with its distal 6.5-mm cancellous screws with prominent heads due to mandatory obliquity of the screws inside the bone. g, h The same views after 9 months, showing complete radiological healing of fracture in good anatomical position with incorporation of the metaphyseal autogenous bone grafts and excellent healing of the tibial tuberosity osteotomy without loosening of the implants. The medial prominent screw heads did not bother the patient or decelerate the early aggressive rehabilitation program. The patient returned fully to his previous work with painless 130° knee flexion and no extensor lag