{
  "abstract": "Osteoarthritis (OA) of both knees with fixed valgus deformity presents a surgical challenge during Total Knee Arthroplasty (TKA) because of lateral soft-tissue imbalance, bone loss, and patellofemoral involvement. A case of a 66-year-old man with severe bilateral knee OA with fixed bilateral valgus knee deformity treated with staged bilateral TKA is described, with objective assessment using clinical valgus angle, Range of Motion (ROM), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. At 3-month follow-up, objective improvement was demonstrated with correction of the clinical valgus alignment to near neutral alignment, increased ROM from 10°-90° right and 5°-95° left preoperatively to 0°-115° right and left, and decreased total WOMAC score from 73 immediately postoperatively to 18 at three months. The importance of careful preoperative assessment, sequential lateral soft-tissue release, appropriate posterior-stabilised implant selection and structured rehabilitation in fixed valgus knees is highlighted.",
  "abstract_shown": true,
  "affiliations": [
    "Junior Resident, Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.",
    "Assistant Professor, Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yogeshwar Agharkar"
    },
    {
      "affs": [
        1
      ],
      "name": "N Sachin Nishanth"
    },
    {
      "affs": [
        0
      ],
      "name": "Anurag Choudhary"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dx0ez4kpvr9km.bib",
  "cited_by": 0,
  "doi": "10.7860/jcdr/2026/88069.24661",
  "fulltext_url": "https://jcdr.net/articles/PDF/24661/88069_CE[Ra1]_F(T)_PF1(RdS_OM)_PFA(IS)_PB(OM)_PN(IS).pdf",
  "id": "dx0ez4kpvr9km",
  "issns": [
    "2249-782X",
    "0973-709X"
  ],
  "landing_url": "https://doi.org/10.7860/jcdr/2026/88069.24661",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2746|Total Knee Arthroplasty Outcomes"
    ]
  ],
  "openalex": "W7223187397",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "JCDR Research and Publications Private Limited",
  "ris": "https://research.draconitic.com/paper/dx0ez4kpvr9km.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:41Z",
      "native_id": "a13a0214c59841e1be344b841f07278d",
      "source": "doaj",
      "url": "https://doi.org/10.7860/jcdr/2026/88069.24661"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Total Knee Arthroplasty Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Lessons from a Challenging Case: Bilateral Valgus Knee",
  "title_text": "Lessons from a Challenging Case: Bilateral Valgus Knee",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:41Z",
  "url": "https://research.draconitic.com/paper/dx0ez4kpvr9km",
  "venue": "Journal of Clinical and Diagnostic Research",
  "versions": []
}