Lessons from a Challenging Case: Bilateral Valgus Knee
- 1Junior Resident, Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.
- 2Assistant Professor, Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.
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.
Related
- Mobile-Bearing Total Knee Arthroplasty Using Subvastus Approach With Lateral Retinacular Release for Valgus Knee Osteoarthritis With Permanent Dislocation of the Patella: A Case Report and Narrative Review.
- Relative and absolute reliability of medial knee joint space width measurement using ultrasound imaging during valgus stress testing
- Tibia‐only planning to 3° valgus implies mechanical medial proximal tibial angle ≥94° in about two‐thirds of varus knee osteoarthritis radiographs
- Mediolateral Joint Balance Assessment Is Reproducible Between Surgeons, Under No Standardized Varus–Valgus Stress, During Robot-Assisted Total Knee Arthroplasty
- Effects of Dynamic Core Stability Training as an Adjunct to the FIFA 11+ Program on Dynamic Knee Valgus, Single-Leg Athletic Stability, and Isometric Hip Strength in Amateur Soccer Players: A Randomized Controlled Trial.
BibTeX
@article{agharkar2026lessons,
title = {{Lessons from a Challenging Case: Bilateral Valgus Knee}},
author = {Yogeshwar Agharkar and N Sachin Nishanth and Anurag Choudhary},
journal = {Journal of Clinical and Diagnostic Research},
year = {2026},
month = oct,
doi = {10.7860/jcdr/2026/88069.24661},
url = {https://doi.org/10.7860/jcdr/2026/88069.24661},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Lessons from a Challenging Case: Bilateral Valgus Knee
AU - Yogeshwar Agharkar
AU - N Sachin Nishanth
AU - Anurag Choudhary
PY - 2026
DA - 2026/10/30
JO - Journal of Clinical and Diagnostic Research
DO - 10.7860/jcdr/2026/88069.24661
UR - https://doi.org/10.7860/jcdr/2026/88069.24661
AB - 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.
SN - 2249-782X
SN - 0973-709X
ER -