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well thanks for having me today and thanks dr zapzan and dr banks for hosting the session i will talk to you about how deviations from the native slope adversely affect internal external rotation of a medial stabilized posterior cruciate retaining total knee replacement during flexion and itamp;#39;s actually going along with the previous presentation and um the title is pretty long but after the next six minutes you will understand what it means i also want to thank my co-authors dr dalman dr howl and professor hal so i hope i can forward this now yes okay letamp;#39;s go back iamp;#39;m a consultant from meducta so in vivo examinations and as you just heard determined that based on normal subjects the rotational pattern of a normal knee is progressive internal rotation with knee flexion and on the left you see a graph of the actual rotation of the tibia during reflection on the y-axis is the x-rotation of the tibia and the negative value is external rotation positive values is int