case_images: PMC6232595_01
case_images: Patient's clinical appearance (source: internal documentation).
case_images: gr1.jpg
case_images: PMC6232595_01_gr1.jpg
case_images: fig0005
case_images: The right knee was held in a flexed posture (Fig. 1).
case_images: (a-c) Radiological imaging shows severe osteoarthritic valgus deformity knee (source: internal documentation).
case_images: gr2.jpg
case_images: PMC6232595_01_gr2.jpg
case_images: fig0010
case_images: X-ray demonstrated a significant valgus deformity of the right knee, erosion of lateral femoral condylar bone and severe tri-compartmental osteoarthritis (Fig. 2).
case_images: (a, b) Medial Collateral Ligament (MCL) origin was shifted to superior and anterior then fixed using 3 screws, (c) Illustration of the MCL origin shift (source: internal documentation).
case_images: gr3.jpg
case_images: PMC6232595_01_gr3.jpg
case_images: fig0015
case_images: The new MCL origin was fixed with 3 cortical screws, expecting a bone to bone healing (Fig. 3).
case_images: Post surgery result (source: internal documentation).
case_images: gr4.jpg
case_images: PMC6232595_01_gr4.jpg
case_images: fig0020
case_images: TKA with an 11 mm polyethylene insert. Postoperative X-ray was shown in Fig. 4. The surgery took two hours since skin incision until wound closure.
case_images: Clinical appearance 3 months following the surgery; stable while walking (source: internal documentation).
case_images: gr5.jpg
case_images: PMC6232595_01_gr5.jpg
case_images: fig0025
case_images: By three months post-TKA, the patient had achieved 10-90  of right knee flexion, with no recurrence of her valgus deformity (Fig. 5).