case_images: PMC6588151_01
case_images: Radiograph showing the right lower limb on a spanning external fixator with cement spacer in place bridging the segmental loss.
case_images: JOCR-9-37-g001.jpg
case_images: PMC6588151_01_JOCR-9-37-g001.jpg
case_images: F1
case_images: Quadriceps repair and wound debridement were performed; a knee spanning external fixator applied after achieving articular restoration by condylar fixation (Fig. 1).
case_images: Intraoperative image of the remnant small articular fragments with essentially no metaphyseal sleeve.
case_images: JOCR-9-37-g002.jpg
case_images: PMC6588151_01_JOCR-9-37-g002.jpg
case_images: F2
case_images: The entire femoral condyle was meticulously freed from its capsuloligamentous attachments and removed en bloc (Fig. 2).
case_images: Intraoperative image of the custom megaprosthesis after implantation with cement.
case_images: JOCR-9-37-g003.jpg
case_images: PMC6588151_01_JOCR-9-37-g003.jpg
case_images: F3
case_images: The long-stemmed customized megaprosthesis was inserted after cementing the femoral and tibial canals with careful restoration of length, rotation, and version (Fig. 3).
case_images: Anteroposterior and lateral radiographs of the implant in good alignment and fixation with the tibia.
case_images: JOCR-9-37-g004.jpg
case_images: PMC6588151_01_JOCR-9-37-g004.jpg
case_images: F4
case_images: Post-operative radiographs showed satisfactory alignment and fixation (Fig. 4 and 5).
case_images: Radiograph of the megaprosthesis having a secure fixation to the native femoral canal.
case_images: JOCR-9-37-g005.jpg
case_images: PMC6588151_01_JOCR-9-37-g005.jpg
case_images: F5
case_images: Post-operative radiographs showed satisfactory alignment and fixation (Fig. 4 and 5).