{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:10Z","timestamp":1787755810155,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 60-year-old woman presented 18 years following a conservatively managed right tibial proximal metaphyseal fracture, with knee osteoarthritis and an extra-articular tibial varus deformity. During total knee arthroplasty, excessive lateral laxity was noted in both extension and flexion. Lateral femoral epicondylar osteotomy (LFEO) was performed; the bone block was duly transported and secured. Optimal gap balance was attained. The osteotomy site showed radiologic union 6 months postoperatively. At the 3-year follow-up, her Knee Society Score and functional score were 92 and 90, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>LFEO is a valuable tool for arthroplasty surgeons and can result in good outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00009","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T14:01:35Z","timestamp":1741960895000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Total Knee Arthroplasty with Lateral Femoral Epicondylar Osteotomy in a Knee with Severe Extra-Articular Varus"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5466-2090","authenticated-orcid":false,"given":"Vidyasagar 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