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The odd's ratio (OR) for producing outliers was highest for the PSI method (PSI OR = 5.5, p 0.05; navigation OR = 0.04, p less then 0.05). We could only observe significant differences between pre- and postoperative MPTA in the navigation and intramedullary group. The MPTA showed a significant negative correlation with the mTFA in all groups preoperatively and in the extramedullary, intramedullary and PSI postoperatively. CONCLUSION The navigation and intramedullary instrumentation provided the precise positioning of the tibial com