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She had a severe valgus knee deformity and extra-articular deformity of femur and tibia, and valgus anxiety test detected medial leg instability. The product range of motion was 0° in extension and 75° in flexion. Serious medial knee laxity compelled us to utilize a constrained and long-stem prosthesis, causing making use of an intramedullary guided system. The 3-D computer software system helped us to look for the quantity of bone tissue to cut along with the appropriate ent