case_images: PMC3722969_01
case_images: Patient has visible deformity and lymphedema of  left leg.
case_images: CRIM.ORTHOPEDICS2013-782106.001.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.001.jpg
case_images: fig1
case_images: A large effusion was present posteromedially, and there was minimal ligamentous support (Figure 1).
case_images: Left knee demonstrates grade 4 OA and varus deformity of  left leg.
case_images: CRIM.ORTHOPEDICS2013-782106.002.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.002.jpg
case_images: fig2
case_images: Figure 2 provides evidence of a Kellgren-Lawrence grade 4 OA of the left knee.
case_images: Suprapatellar and posterior knee effusions are visualized with MRI.
case_images: CRIM.ORTHOPEDICS2013-782106.003.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.003.jpg
case_images: fig3
case_images: Two effusions were present: one large suprapatellar effusion and one posterior to the knee measuring 8.2 x 7.3 x 6 cm (Figure 3).
case_images: MRI demonstrates bony deformities of distal femur and proximal tibia.
case_images: CRIM.ORTHOPEDICS2013-782106.004.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.004.jpg
case_images: fig4
case_images: Also present were chronic bony deformities of the distal femur and proximal tibia (Figure 4).
case_images: Left femur postamputation.
case_images: CRIM.ORTHOPEDICS2013-782106.005.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.005.jpg
case_images: fig5
case_images: The left femur postamputation is seen in Figure 5.
case_images: Patient 2 months after amputation, during routine physical therapy.
case_images: CRIM.ORTHOPEDICS2013-782106.006.jpg
case_images: PMC3722969_01_CRIM.ORTHOPEDICS2013-782106.006.jpg
case_images: fig6
case_images: As of 6 month followup, patient reports minimal discomfort, improved functional capacity and ambulation of more than 2 blocks with no physical aids (other than prosthetic device), and no complications due to surgery other than slight stump bleeding occurring soon after operation, which has not recurred.  Figure 6 depicts patient during initial physical therapy 2 months after amputation.