case_images: PMC11789222_01
case_images: PMC11789222_02
case_images: PMC11789222_03
case_images: Intraoperative image showing the medial gastrocnemius flap fixated distally and hold in place proximally by two forceps, just before tensioning and proximal fixation.
case_images: ICRP_A_2454433_F0001_C.jpg
case_images: PMC11789222_03_ICRP_A_2454433_F0001_C.jpg
case_images: F0001
case_images: The area of the patellar tendon gap is covered by the aponeurotic portion of the gastrocnemius flap (Figure 1).
case_images: PMC11789222_04
case_images: Esthetical result at the 3 years follow-up.
case_images: ICRP_A_2454433_F0002_C.jpg
case_images: PMC11789222_04_ICRP_A_2454433_F0002_C.jpg
case_images: F0002
case_images: She had an acceptable final aesthetic result (Figure 2) and regained active range of motion of Flexion/Extension of 90-0-0 degrees with a stable knee (Figure 3(A,B)).
case_images: (A) Limitation of knee flexion at 90 ; (B) full extension of the knee against gravity at the 3 years follow-up.
case_images: ICRP_A_2454433_F0003_C.jpg
case_images: PMC11789222_04_ICRP_A_2454433_F0003_C.jpg
case_images: F0003
case_images: She had an acceptable final aesthetic result (Figure 2) and regained active range of motion of Flexion/Extension of 90-0-0 degrees with a stable knee (Figure 3(A,B)).
case_images: Knee MRI at 3 years follow-up showing a reconstructed extensor apparatus. Note the dark neo-patellar ligament (arrow) and the vital gastrocnemius muscle flap (star).
case_images: ICRP_A_2454433_F0004_C.jpg
case_images: PMC11789222_04_ICRP_A_2454433_F0004_C.jpg
case_images: F0004
case_images: Table 2). The MRI showed a reconstructed tendon in full continuity with a vital muscle (Figure 4).