Total knee replacement in knee arthritis with fixed flexion deformity

Fixed flexion deformity of knee secondary to osteoarthritis occurs mainly due posterior soft tissue tethering and/or contracture especially capsule rather than bony changes. A the leads functional, biomechanical and gait impairments that interferes with normal daily activities patients decrease their satisfaction after TKR. Correction FFD is mandatory during TKR replacement optimize postoperative results. The intraoperative correction steps differ among surgeons no consensus adopted regarding ideal method. So, for good a sequential stepwise approach should be which concentrates on tissues bone cuts.