Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X
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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.