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Technical aspects of TKA in the valgus knee
141
alignment. This may seem excessive to many
surgeons but the patients have not complained
about the residual deformity presumably
because of their premorbid valgus alignment.
Conclusion
We have described a modified technique for the
correction of the valgus arthritic knee. It
consists of dividing the postero-lateral capsule
when the deformity is fixed, with an adjustment
to the angle of the distal femoral cut to balance
the extension gap. We have achieved adequate
correction of deformity with a low complication
rate and satisfactory outcome in the medium
term. In our opinion extensive release of soft
tissues in valgus knees is not required, and
therefore avoids the associated higher rate of
complications and increased morbidity.
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