Medial reconstruction during total knee arthroplasty for severe valgus deformity

A painful arthritic knee with severe valgus deformity may be treated succes sfully with total knee arthroplasty using several techniques: constrained i mplant with lateral release, nonconstrained implant with lateral release an d a thick tibial insert, or nonconstrained implant with lateral release and medial reconstruction. Eight patients with Type II valgus deformity were t reated with nonconstrained total knee arthroplasty implants, lateral ITB re lease at the level of the tibial osteotomy, and proximal medial collateral ligament advancement with bone plug recession. The reconstruction led to pr edictably successful outcomes in all patients at 4- to 9-years followup. Al l patients were satisfied with the operation. AIL: knees were stable with a functional range of motion at the time of last followup.