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Know if it is fixed or correctable
Assess the amount of osteophytes
Release MCL around to semimembranous
Assess PCL if using CR
Consider downsizing tibial and removing additional medial bone

Further Reading:

Master Techniques Knee Arthroplasty - Lotke and Lonner
Chapter 7 by Scuderi and Insall

Advanced Reconstruction of the Knee AAOS
Chapter 27 - Varus Knee - Windsor and Choi

JAAOS Article Dr. Mihalko -  http://upload.orthobullets.com/journalclub/free_pdf/19948701_19948701.pdf

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