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Whether the mechanical axis should be restored to neutral remains controversial when the patient has marked coronal femoral bowing. Eighty-four total knee arthroplasties were retrospectively reviewed. In the neutral-aligned group A the immediate postoperative mechanical axis of 179±1° held stable (P = 0.841). The postoperative mechanical axis decreased from 176±1° to 173±1° (P = 0.024) in the outlier...
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