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OrthoVellum

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Adult Reconstruction
intermediate
X-Type

TKA Extensor Mechanism Failure

Knee Arthroplasty Complications

A 72-year-old woman presents 3 years after primary TKA with sudden inability to extend her knee following a stumble. She felt a pop in her knee and now has a palpable defect above the patella with an extensor lag. She has a history of diabetes and prior steroid injections for knee pain before her arthroplasty. Regarding extensor mechanism failure after TKA:

Mark each as TRUE or FALSE

A

Extensor mechanism failure after TKA includes patellar tendon rupture, quadriceps tendon rupture, an...

B

Clinical presentation includes sudden loss of active extension, extensor lag, palpable gap (superior...

C

Patellar tendon rupture is more common than quadriceps rupture after TKA; primary repair is always s...

D

Treatment options include primary repair with augmentation (if tissue quality adequate), allograft r...

E

Prevention strategies include careful soft tissue handling during TKA, avoiding aggressive lateral r...

Answer the questions to see explanations

Click T (True) or F (False) for each option