Orthonotes
Orthonotes
by the.bonestories
v3.5 Fusion Pro
v3.5 Fusion Pro
arthroplasty topic hub

Extensor Mechanism Failure after TKA

Includes quadriceps tendon rupture, patellar fracture, patellar tendon rupture, patellar component failure. Risk factors: previous surgery, patellar resurfacing, malalignment, steroid use. Presentation: extensor lag, inability to extend knee, palpable gap. Management: direct repair (acute), augmentation with graft/allograft (chronic). High failure rates with chronic repairs — need reinforcement.

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Includes quadriceps tendon rupture, patellar fracture, patellar tendon rupture, patellar component failure. Risk factors: previous surgery, patellar resurfacing, malalignment, steroid use. Presentation: extensor lag, inability to extend knee, palpable gap. Management: direct repair (acute), augmentation with graft/allograft (chronic). High failure rates with chronic repairs — need reinforcement.
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