Orthonotes
Orthonotes
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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.
MCQs

High-yield practice questions

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Question 1

What is the most common presentation of extensor mechanism failure following total knee arthroplasty (TKA)?

Question 2

Which of the following is a common risk factor for quadriceps tendon rupture after TKA?

Question 3

What is the recommended management for an acute quadriceps tendon rupture after TKA?

Question 4

In chronic cases of patellar tendon rupture after TKA, what is the typical management approach?

Question 5

What is a common complication associated with the reconstruction of chronic extensor mechanism failures?

Question 6

Which of the following is NOT a part of the extensor mechanism of the knee?

Question 7

What anatomical structure transmits the extensor force from the quadriceps muscle to the tibia?

Question 8

Which surgical technique can increase the risk of patellar tendon avulsion during TKA?

Question 9

What is a typical finding on physical examination in a patient with quadriceps tendon rupture after TKA?

Question 10

Which of the following imaging modalities is most useful to confirm a quadriceps tendon rupture?