Fig. 1

Anterior posterior X-ray of the left lower extremity. a After transport of the patient from Spain to our hospital, with lower leg stump and external fixator, after traumatic amputation of the lower leg and open, multi-fragmentary, distal femoral fracture (day 1). b After definitive surgery, with a closed, infection-free amputation stump and after open reduction and stabilization of the multi-fragment distal femur fracture with an angular stable plate osteosynthesis (day 20)