Fig. 1
Preoperative long-leg radiograph showed an arthrodesis with a long custom-made intramedullary nail (T2 Nail™ Stryker, Zimmer, Germany)

Fig. 2
Photograph showing a soft tissue expander type (Mentor Expander®, Germany)

Fig. 3
Implanted soft tissue expander after removal of intramedullary nail and preparation of soft tissues

Fig. 4
Anteroposterior and lateral radiographs showing the situation after removal of the intramedullary nail and implantation of the soft tissue expander

Fig. 5
Picture showing the knee with implanted and expanded soft tissue expander

Fig. 6
Removal of soft tissue expander

Fig. 7
Intraoperative situs after reimplantation of a constrained TKR (RT-PLUS Modular, Smith & Nephew)

Fig. 8
V-plasty using a polyester band (LARS ligament) for reconstruction of the quadriceps mechanism

Fig. 9

Intraoperative knee flexion after reconstruction of extensor mechanism and implantation of rotating-hinged TKR

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