The posterior condylar angle is formed by the transepicondylar axis an
d the tangent line to the posterior condyles. It is an important relat
ionship to determine rotational alignment of the femoral component in
total knee arthroplasty. We measured this angle directly in 107 osteoa
rthritic knees undergoing total knee arthroplasty. The posterior condy
lar angle was significantly greater in valgus knees than in other oste
oarthritic knees. Given the standard deviations and ranges of values n
oted, the posterior condyles are potentially unreliable references for
femoral component rotation in some knees.