TKR iwith a bowed femur

 78 year old lady  with pain in rt thigh and knee. On Investigation her Vit D levels were low, Bonescan picked up the stress fracture. After 3 months of Vit D and PTH a tkr was planned

The limb axis films showed a 12 degree femoral bow.

Options
1. Navigated TKR
2. Custom jigs

3.What  are the options if both are not available

we did a lateral entry with the standard 5 degree femoral jig with a short rod to get the 12 degree cut.
 Navigation or custom jigs are the other options
below is the post op xray. Unfortunately the full length xrays are not availble will update it when she comes next time.