PMC3143457_01
Skeletal reconstruction.
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fig1
Skeletal reconstruction was completed using proximal tibial allograft prosthetic reconstruction with distal femur endoprosthetic reconstruction and rotating hinge (Figure 1).
Attachment of alloderm to residual capsule and border of patellar tendon.
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fig2
After setting the tension, the acellular dermis was sutured to the medial border of the patellar tendon (Figure 2).
Wrapping of megaprosthesis.
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fig3
An additional sheet of acellular dermis was sutured to the previously placed acellular dermis to completely wrap the tibial allograft (Figure 3).
Gastrocnemius flap and split thickness skin graft at 1 week.
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fig4
After the megaprosthesis had been wrapped by acellular dermal matrix, the soft tissue reconstruction was performed using a rotational gastrocnemius muscle flap with a split thickness skin graft (Figure 4).