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Management of the severe varus and valgus knee using the low contact stress rotating platform.

Many surgeons feel the use of an unconstrained mobile-bearing knee is contraindicated in cases of severe varus and valgus deformity. In the author's opinion the Sigma LCS rotating-platform knee system can be used in virtually every primary knee irrespective of deformity. The key is to maintain flexion stability by not releasing the lateral collateral ligament in a valgus knee or the superficial medial collateral ligament in the varus knee.