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We learned the flexion regarding the distal femoral intramedullary axis compared to the technical axis using an interactive 3D device in 407 Indian osteoarthritic knees undergoing complete leg replacement to better understand optimal flexion alignment. 407 knees (301-Female, 106-Male) in Indian clients undergoing complete leg replacement underwent CT scans. A 3D interactive knee system was used for 3D repair and planning. Distal femoral flexion angle (DFFA) had been computed be