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