Perioperative considerations for total knee arthroplasty in a patient with situs inversus totalis

Perioperative considerations for total knee arthroplasty in a patient with situs inversus totalis Key Clinical MessageSitus inversus totalis should be recognized as a perioperative risk modifier rather than a surgical contraindication for total knee arthroplasty.Success relies on recognizing that while knee anatomy remains standard, the reversed visceral laterality requires careful cardiopulmonary evaluation and structured multidisciplinary communication to ensure an uneventful recovery.