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Adult Reconstruction
intermediate
X-Type

TKA Patellar Complications - Fracture, Clunk, and Maltracking

TKA Complications

A 64-year-old woman presents 8 months after posterior-stabilized TKA with an audible and palpable "clunk" during active knee extension from 30-40 degrees of flexion. The knee is well-aligned with full range of motion. She describes the sensation as uncomfortable but not painful. Radiographs show a well-fixed prosthesis with satisfactory patellar tracking. Regarding patellar clunk syndrome after TKA:

Mark each as TRUE or FALSE

A

Patellar clunk syndrome is caused by fibrous nodule formation at the junction of the proximal patell...

B

Risk factors include femoral component design with a prominent intercondylar box, smaller femoral co...

C

Patellar clunk only occurs with cruciate-retaining TKA designs; the condition resolves spontaneously...

D

Diagnosis is clinical based on the characteristic clunk during extension; lateral radiograph may sho...

E

Treatment of symptomatic patellar clunk is arthroscopic resection of the fibrous nodule; recurrence ...

Answer the questions to see explanations

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