Supracondylar fractures of the femur after total knee arthroplasty are an uncommon but highly challenging injury (Streubel et al., 2010). The management of distal femoral fractures following a total knee replacement can be complex and requires the equipment, perioperative support and surgical skills of both trauma and revision arthroplasty services (Johnston et al., 2011, Nauth et al., 2011). T...