Hi,

I was wondering for those patients who did quadrilaterals with non-fitbone (ie. no reverse planning) how you guys managed valgus x-legs? I read in IamReady's diary that Dr. Paley first operated on his tibia, then his femurs. As far as I understand, BOTH tibia and femur causes x-legs and with internals it's not possible to correct it. I am more curious about if you already have perfectly aligned legs and you do femurs, how you can prevent x-legs (or is the 1mm/1cm of medial deviation not that much to cause significant x-legs when doing lets say 5-6cm)?

Again, thanks and cheers!