1. Panel 1 TKA in Severe Valgus Deformity M.Jabalameli MD 1

2. History & exam Female 75 years old Bilateral knee pain (L > R) Severe genu valgum Fixed deformity Range of motion 0 - 120 ° 2

3. 3

4. 4

5. 5 MF- MT 17 ° MF- AF 5 ° MLDFA 85 MMPTA 92

6. 6 3°3° 5°5°

7. Questions 1. Where is the deformity? 2. Which prosthesis do you choose? 3. Which approach do you select?

8. Questions 4. How much correction angle do you select for distal femoral cut? 5. What do you think about rotation? 6. What do you do for soft tissue balancing? Which complication may you encounter after release?

9. Questions 7. Is there any bone defect ? 8. What do you think about patella and patella tracking ? 9. What do you check in recovery room?

10. Technique

11. 11