Once again, consider if the abnormality is fixedor flexible. We should NOTtry to correct any abnormality that is fixed, or we will cause undue pain to the resident. If the windswept posture is flexible, the goal can be to correct it while remembering to take it slowly and avoid making drastic, sudden changes.With these parameters in mind, consider these tips: Wright JO, Nunley RM (2015) Complex primary total knee arthroplasty: management of valgus knee. In: Springer BD, Curtin BM (eds) Complex primary and revision total knee arthroplasty: a clinical casebook. Springer, New York, pp 13–27 Hence, the WSD should be approached as a single entity, and each knee should be considered as one-half of the problem. Treating the problem in its entirety makes sound clinical sense due to the following perspectives. Anatomy and biomechanical perspective You will be responsible for any breach of these terms by you and if you use windswept.co.uk in breach of these terms you will be liable to and will reimburse us for any loss or damage caused as a result. Windswept posture often accompanies either a rotation or an obliquity, so follow the goals for those underlying causes of these postures.

The goal is to first find ways to reduce Windswept’s environmental impact and improve economic sustainability. Once this is accomplished, we will then to find ways to share this knowledge with other small breweries, enabling the whole microbrewery sector to work towards net zero. Sugioka et al. [ 13], in a retrospective study, reviewed five adult patients who had a WSD. They made an important observation that one side valgus angulation might cause a compensatory varus angulation on the contralateral side, although this finding was not substantiated by any further studies. Case et al. [ 14], in their presentation on the gait observational data in 53 patients, have opined that pain in one joint may directly and predictably affect loading in other joints. Rao and Reddy [ 15], in their study on the association of frontal plane tibiofemoral alignment with knee pain in 314 knees (195 patients), found a positive correlation between coronal tibiofemoral angles and pain in primary OA. Leena Sharma [ 16] observed that the burden of malalignment of the knees predicts a decline in physical function and that these effects can be detected as early as 18 months. Implications for intraoperative planning of valgus correction angle The seat width is too wide, increasing the likelihood of an obliquity and poor lower extremity alignmentAmin S, Luepongsak N, McGibbon CA, Lavalley MP, Krebs DE, Felson DT (2004) Knee adduction moment and development of chronic knee pain in elders. Arthritis Care Res 51(3):371–376 Sharma L (2007) The role of varus and valgus alignment in knee osteoarthritis. Arthritis Rheum 56(4):1044–1047 Unities of myth, meteorology and mind pervade this book. Describing wind through grass, Worsley writes that a meadow feels like “a living organic entity, a single inland sea ruled by the same laws as the ocean… The overall effect is of one great organism rippling and oscillating and singing.” Reading Windswept makes one feel that there are more things in heaven and earth than in our philosophies – and that the best of British nature- and place-writers will keep seeking them, connecting them to who we are, where we came from, and where we might go. Arizono T, Ogata K, Sugioka Y (1989-1990) Windswept deformity of the knee in adult. Orthop Traumatol-Sur 38:1703–1170

Chizaram Chinguzorom is the KTP Associate taking the lead on the project. Chizaram relocated to Moray in June 2022 for the project and spends half of time in Lossiemouth at the Brewery and the other half of his time at UHI Moray in Elgin. What are the goals of the project? Baldini A, Balato G, Franceschini V (2015) The role of offset stems in revision knee arthroplasty. Curr Rev Musculoskelet Med 8(4):383–389 Where we collect an item from you, we reserve the right to recover the costs of collection from you. Windswept is excited to be a part of this KTP project because it can be hard for a microbrewery to have a big impact. The brewing process by its nature requires a high amount of energy and water. Plus most microbreweries hire space instead of owning it, meaning they are limited in any changes they can make to the building such as adding solar panels. Windswept director, Nigel Tiddy, is a fervid supporter of sustainability and is eager to search out new ways to improve the processes. What next?

You may use windesigns.co.uk only for private and personal non-commercial use. You may not use the materials on windswept.co.uk for any other purpose. Zhou K, Zhou Z, Shi X et al (2018) Effect of individual distal femoral valgus resection in total knee arthroplasty for patients with a valgus knee: a retrospective cohort study. Int J Surg 52:309–313. https://doi.org/10.1016/j.ijsu.2018.02.048.