Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Patellofemoral Complications in TKA

Commonest source of dissatisfaction after TKA. Includes anterior knee pain, maltracking, subluxation/dislocation, fracture, loosening of patellar component. Risk factors: malrotation of femoral/tibial components, improper patellar preparation, soft tissue imbalance. Investigation: clinical exam, skyline view radiographs, CT for malrotation. Management: physiotherapy, lateral release, component revision, patellar resurfacing as indicated.

Overview

Topic summary

View wiki
Commonest source of dissatisfaction after TKA. Includes anterior knee pain, maltracking, subluxation/dislocation, fracture, loosening of patellar component. Risk factors: malrotation of femoral/tibial components, improper patellar preparation, soft tissue imbalance. Investigation: clinical exam, skyline view radiographs, CT for malrotation. Management: physiotherapy, lateral release, component revision, patellar resurfacing as indicated.
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the most common source of dissatisfaction after total knee arthroplasty (TKA)?

Question 2

Which of the following is a risk factor for patellar maltracking in TKA?

Question 3

What is the purpose of the 'no-thumb test' during intraoperative assessment in TKA?

Question 4

Which imaging modality is most useful for evaluating component malrotation after TKA?

Question 5

What is the normal tibial tubercle-to-trochlear groove (TT-TG) distance in TKA?

Question 6

Which intraoperative maneuver can help correct lateral patellar maltracking?

Question 7

What is the main complication associated with aggressive lateral release during TKA?

Question 8

If persistent patellar maltracking occurs postoperatively, what is the first step in management?

Question 9

Which of the following is NOT a complication of patellofemoral joint issues after TKA?

Question 10

What is the primary goal of patellar resurfacing in TKA?