PMC3722969_01
Patient has visible deformity and lymphedema of  left leg.
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fig1
A large effusion was present posteromedially, and there was minimal ligamentous support (Figure 1).
Left knee demonstrates grade 4 OA and varus deformity of  left leg.
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fig2
Figure 2 provides evidence of a Kellgren-Lawrence grade 4 OA of the left knee.
Suprapatellar and posterior knee effusions are visualized with MRI.
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fig3
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).
MRI demonstrates bony deformities of distal femur and proximal tibia.
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fig4
Also present were chronic bony deformities of the distal femur and proximal tibia (Figure 4).
Left femur postamputation.
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The left femur postamputation is seen in Figure 5.
Patient 2 months after amputation, during routine physical therapy.
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fig6
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.