Complex primary total knee arthroplasty: Management of valgus knee

Total knee arthroplasty (TKA) in the valgus knee is often considered to be more complex than in the varus knee, and multiple differing techniques have been proposed to achieve a good outcome in these patients. These include variations in surgical approach, differing methods for attaining appropriate component alignment, and numerous methods to address soft tissue balancing. In this chapter, a case is presented showing one combination of these variations in a single patient, and a brief literature review is undertaken to address the most debated topics in TKA of the valgus knee.