My profile page has all of my educational information, work experience, and all the pages on this site that I've contributed to. Otherwise you will be prompted again when opening a new browser window or new a tab. The symptom is associated with the use of older implants and is rare with the designs of modern implants. endobj Please help. Over time the cartilage wore out and I had a TKR in January of this year. /Contents 46 0 R>> The fibrous tissue is then resected. <> Thank u for any information. government site. During your first year after surgery you were satisfied despite a little pain and numbness, symptoms have escalated and are now disabling. Hozack WJ, Rothman RH, Booth RE Jr, Balderston RA. My name is Dr. Suhirad Khokhar, and am an orthopaedic surgeon. 2020 Dec 1;15(1):573. doi: 10.1186/s13018-020-02112-8. You can check these in your browser security settings. >4dJL>i%*&.e_fJ-\Z[)0Lz
This site uses cookies. While it is possible that you have developed a CRPS (Complex Regional Pain Syndrome), which is characterized as a dysregulation of the central and autonomic nervous system, I would consider this a diagnosis of exclusion. The staff here are great, I was seen at the time of my appointment and was well taken care of! The symptoms of patellar clunk syndrome are reported in the form of a painful clunk experience on straightening a bent knee. I inquire regarding what the original diagnosis was prior to the knee replacement and try and get an idea of how disabling the condition was. <> I cannot sleep. I wish you a full and satisfactory recovery. Cureus. The scar tissue nodule catches on the anterior edge of the femoral component, typically when the patient extends the knee against resistance, such as getting up from a seated position. I cannot ride a bicycle or get out of a chair without using my upper body. I wish you a full recovery. <> If your surgeon is concerned there is underlying infection, in spite of you reporting two prior negative cultures, then I agree with his determination to rule out infection above all else. Posterior stabilized TKA has long term survivorship that surpasses 90% at a 10 year minimum follow-up in several studies, but is occasionally complicated by a post-operative pathology called. /Contents 44 0 R>> Many times, the specific complaints give clues as to the underlying problem. I am very frustrated as I had my left knee done 3 years ago by the same doctor and it has been fantastic. The condition more typically develops in those patients who achieve high degrees of flexion after a knee replacement (>120 degrees), is more common with certain knee designs like posterior stabilize (PS) > cruciate retaining (CR), when a patient has patella baja (when the patella is low riding or more distal relative to the joint line than normal), or when the femoral component is excessively prominent or flexed, and occasionally when the total knee reconstruction required correction of significant angular deformity. Bethesda, MD 20894, Web Policies My advice is to further discuss your ongoing difficulties with your surgeon. The present study represents the largest collection of data regarding patellar clunk syndrome. Soft tissue imbalance can lead to these problems and often are secondary to components that are less than optimally positioned. But the surgeon is now releasing/balancing non-anatomic structures that are critical to support normal movement and stability of the new prosthetic knee. The problem could be the patellar clunk syndrome. My surgeon referred me to a Dr. to get an epideral for my sciatic issues and this Dr. says he thinks I have CRPS which he has given me three nerve blocks. My surgeon initially tried to say it was all in my head. 2002. endobj Typically, I would expect your symptoms to be improving or at least stabilizing at that point. Im very thankful and happy to be a patient here at Complete Orthopedics. g Im concerned that you knee is getting worse with time not better. I have had success treating in a number of patients using kinematic sensor technology to help me pin point the mechanical problem(s) and then address surgically to correct. Fortunately, the range of motion (ROM) and functionality of TKR can improve over the first one to two years.. My advice would be to hang in there. If after a year, you still are frustrated and not happy, then consider what else can be done to improve your result. Thank You. Are the complaints tolerable or are they bad enough that the patient wants more tests, hoping to learn the specific etiology and would even consider more surgery if the condition could potentially be improved? First, I think other diagnoses that may be causing your problem should be considered and ruled out. 37 0 obj ala-accredited schools in virginia; july 2016 calendar with holidays; silence implies consent quote; pret falafel salad calories without dressing; west coast toyota parts 33 0 obj National Library of Medicine The Yorkshire Knee Clinic 2010-2023. x3R235W(*T0PR0T(Y@@QC= P AJ 1PpW Other aspects of you knee also must be evaluated including alignment, component sizing and position, as well as stability. <> If you continue to fail with improvement in your range of motion, then you may require more surgery to address this. Creating normal knee movement or kinematics as the knee ranges from extension into flexion and then back to extension. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. endobj A complication of posterior stabilized total knee arthroplasty. x3R235W(*T0PR0T(Y@@QC= P AJ 14WpW I am now needing surgery again. Defining success or a satisfactory result can mean two very different things to an individual who had the total knee versus the surgeon who implanted it. When I ride a bicycle, there is a sharp muscular (I think) pain on the outside of the knee with every push stroke..which I do indeed try to just plow through, as I do have seemingly fine strength and range of motion. 38 0 obj Its very spotty and goes away after about three days. So what is patellar clunk syndrome and what can you do about it? Small degrees of component malrotation and/or soft-tissue imbalance can lead to compromised results and pain. x3R235W(*T0PR0T(Y@@QC= P AJ 14SpW Click to enable/disable _gid - Google Analytics Cookie. Was the same manufacturer and prosthetic knee used for both reconstructions or were they different? Joint infection is often a difficult diagnosis to make. p Im concerned that your knee is getting worse with time not better. Patellar clunk syndrome occurs as a result of the formation of a fibrous nodule on the undersurface of the lower end of thigh muscles. endstream The staff is truly exceptional, they make you feel comfortable and welcomed. I would discuss your concerns and the plan going forward with your surgeon. If this individual is not able to help you, I would recommend you seek out other opinions from orthopedic surgeons with a special interest and expertise in TKR and revisions to help you solve your problem. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. 2017 Oct 31;11:1147-1153. doi: 10.2174/1874325001711011147. endobj General comments will be answered in as timely a manner as possible, I had my Tkr done March 14 2016. /Length 3665 >> 8 0 obj 2019 Dec;29(8):1605-1615. doi: 10.1007/s00590-019-02499-z. 2022 Oct 31;36:102065. doi: 10.1016/j.jcot.2022.102065. Any idea of treatment for this kind of injury? It appears that with time, your symptoms have become worse. x3R235W(*T0PR0T(Y@@QC= P AJ 1RpW Possibly pain, stiffness, poor range of motion, or feeling like the knee is not stable and that the patient cant trust the new knee. The reoperation rate is higher when the patella is not resurfaced. 16 0 obj NY is where I live. Your postop course does sound very unusual and difficult. The Synovasure test has really helped me to clarify if an infection is present or not, even with negative cultures. The supportive soft tissues that support the knee are not balanced and / or the components not optimally related to each other (congruency) in some individuals who have undergone TKR will present similar symptoms. Very caring, profesional, and friendly!! We were in Pt. stream <> I mix up my strength exercise n walking n stationary bike n pool every other day. Many patients who have had their patellas removed still have an intact extensor mechanism and actually do quite well after TKR. Epub 2014 Feb 14. I have trouble getting dressed, cant make it all the way through grocery shopping. x3R235W(*T0PR0T(Y@@QC= P AJ 14TpW /Contents 28 0 R>> Miniature instruments are then guided through another keyhole incision to remove the fibrous tissue. GP said to see another surgeon, feels there is a problem. He also examined my mri before surgery and said I did not need a tkr,as I wasnt bone on bone.But,he also said,he wouldnt do the surgery. x3R235W(*T0PR0T(Y@@QC= P AJ 12PpW Patellar clunk syndrome occurs when a fibrous nodule develops just proximal to the patellar button. My PTs can also see a difference. Basically I was getting out of bed and bent my knee to lift over the dog who was asleep on my other leg - Husband pulled on my ankle. endobj Could this just be normal pains or a greater issue? Was the person barely able to get up from a seated position and walk or did they have just a little discomfort after 54 holes of golf? endobj Therefore, I suggest you return to you surgeon and share your concerns. Unfortunately 20 to 30 percent of those who undergo TKR are not satisfied with their results. Rev Chir Orthop Reparatrice Appar Mot. endobj I feel its going to snap to the side.I try to use a brace and it helps a little. If there is a mechanical problem or soft tissue instability underlying your recurrent problem, then that needs to be corrected in order to ultimately resolve your condition. The role of knee arthroscopy in managing common soft tissue complications after total knee arthroplasty: a retrospective case series study. Of course, these are just a sampling of questions that must be explored if the underlying problem is to be diagnosed and corrected. Regardless, I hope you are doing well after TKR and now must address you difficulties with you ankle tendon. Please advise. Would you like email updates of new search results? endobj 4 0 obj Hou Y, Gao J, Chen J, Lin J, Ni L, Sun T, Jiang J. J Orthop Surg Res. Patellar complications following total knee arthroplasty: a review of the current literature. So NOT Patellar Clunk a broken Patellar - Any advice - See the surgeon in 8th september. Does the knee fully extend? Dr. William Leone. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. Dr. Vaksha was very thorough and kind. Internet Explorer is no longer supported. I have replaced knees in a number of patients who had major ligamentous reconstructions done many years prior. Thirty consecutive patients (32 knees) with the diagnosis of patellar clunk syndrome were evaluated at 1 year after arthroscopic debridement. Unfortunately, if symptoms return and you remain disabled, then you need to discuss your problem with your surgeon and look for their recommendations to treat you. I specialize in musculoskeletal disorders and their management, and have personally approved of and written this content. I would suggest discussing your concerns and frustrations with your surgeon and look for his or her advice. Could this be due to the muscles being in the position for the Tibular Transfer and now having been placed in a new position of a normal knee and they are having to learn the new position - I hope that makes sense. It will be a year this December 14th that I had a total knee replacement and I am almost 66 years old.. We thank you for your readership. Look for his or her advice in how to resolve it. i have had 2 tkr on LT knee in less than 2 years. Besides an MRI (Ive had two), are there other diagnostic tools or methods that could help shed light on whats going on? If that is the case, the operation your surgeon is recommending may be your best chance for success. It aches badly. My SURGEN is retiring. Having lost confidence in the original surgeon I went for a second opinion. By continuing to browse the site, you are agreeing to our use of cookies. Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. All patients were free of patellar clunk postoperatively; one patient reported persistent anterior knee pain. <> endobj My orthopedic doctor kept recommending knee replacement . I cannot straighten my leg without putting my other leg underneath it. /Contents 42 0 R>> x3R235W(*T0PR0T(Y@@QC= P AJ 14QpW We thank you for your readership. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. 1 0 obj I had a bilateral tkr 18 months ago after AVN from high dose steroids & have been back to work for 10 months. <> Recovery fairly normal, but now have a torn peroneus brevis tendon. If your arthritic hip is also causing a lot of problems, Id consider having it replaced first. My mom had a total hip replacement by dr karkare. The problem could be the patellar clunk syndrome. Minimally Invasive Vs Total Knee Replacement, Medial Patellofemoral Ligament Reconstruction, Bilateral Knee Replacement (Simultaneous), Adjacent Segment Disease after Cervical Fusion, Patient-Specific Knee Replacement Customized Implants Vs Customized Cutting Blocks, Medial & Lateral Collateral Ligament of the Knee. endstream But within a couple of months, the knee starts making a loud clunk every time you straighten it from a fully bent position. It is very concerning that your knee is developing progressive genu varus (bowleg) deformity and that it is causing pain. Does the skin overlying the knee appear red and hot? Repair may require implanting a prosthesis with more internal constrain and does not depending on the soft tissues to the same degree. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. Examining the knee is equally as important. <> We thank you for your readership. Good quality X-rays, including an X-ray taken with the person standing (which physiologically loads to the joint) and occasionally also including a full length X-ray that includes the hip and ankle are important. Is the kneecap tracking or does it slide off to the side during flexion? In special circumstances a CT is ordered to help better understand component positioning. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register. General comments will be answered in as timely a manner as possible. Balancing the soft tissue sleeve that surrounds the knee so that as the knee moves from extension to flexion, equal and physiologic tensions or pressures are experienced in the medial and lateral ligaments. Right knee may 2016 was great at 6 weeks post op I was 130-135 and 1% straightening the leg. Called Dr. Karkare. Its possible that a revision or re-do surgery will be necessary. Other conditions that can cause knee pain must also be considered and ruled out, such as spinal disease and hip disease with referred pain to the knee. If this individual is not able to help you, I would recommend you seek out other opinions from orthopedic surgeons with a special interest and expertise in TKR and revisions to help you solve your problem. 13 0 obj HBP since surgery going to 165/120. And no one elce knee does this. I highly recommend this office to anyone whos looking for knowledgeable and kind orthopedic office. What does this sound like to you? The front and back office people are amazing and so helpful. During this time my leg gets so heavy I cant lift it from a sitting position and can hardly stand on it. Amazing team!! But within a couple of months, the knee starts making a loud "clunk" every time you straighten it from a fully bent position. It also is important to understand why you struggled to regain fuller flexion. Many infections are subtle and difficult to diagnose. He took more x-rays & ordered blood tests to rule out infection. Hiking, a favorite activity is very uncomfortable when walking downhill. This is actually not uncommon and I often refer to this group of patients as looks good but feels bad because their X-rays often look acceptable, their incision healed nicely, they can walk a short distance without a limp but are miserable with continued activity. <> It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. If you think there is a mechanical problem with your TKR that is preventing you from fully rehabilitating, then I would suggest you discuss these concerns with your surgeon and ask him or her what would be recommended. I underwent bilateral TKA in March 2012. <> Oficina: +57 316 266-2705 | +57 318 708-2627 Sales Hours Lunes - Viernes: 07:00AM - 06:00PM. It is very likely that I am suffering from this - Started 5 mths after TKR - Knee was clicking since surgery but didnt have any pain with it - Three weeks ago pain started just on the outside edge of the patellar and has since been getting rapidly worse - The clicking and the pain - Difficulty lifting and bending of knee and today pain also while walking. These include measuring a biomarker called alpha defensins. The symptom is associated with the use of older implants and is rare with the designs of modern implants. The symptom may be a sign of patellar clunk syndrome. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. endobj 2020 Nov 11;12(11):e11435. x3R235W(*T0PR0T(Y@@QC= P AJ TpW My knee is getting deformed (bow legged) and it causes a lot of pain. Im doin all I can. endstream He now wants me to do a white cell progressive test to check for infection. This just came on in the past week or so and although very active, I cannot recall a specific event that may have caused this. Particular bands or types may have known problems and a poorer track record than others. I (male, age 58) had a left-knee TKR in December 2014, after 4 separate arthroscopic procedures over the prior 30 years had finally left me with consistent bone-on-bone pain. f If you are significantly overweight, then it behooves you to lose weight, which hopefully will improve your chance of a good outcome. Once again, this is just a sampling of information that the physical exam can provide, giving clues as to why the result is not acceptable and to help determine the next steps to correct the problem or problems. Infection must be ruled out. Would highly recommend. I did great with it. 12 0 obj Unauthorized use of these marks is strictly prohibited. Setting up physical therapy is right there as well.I'm so glad I found this place. endstream In my experience, the Synovasure test has been a powerful test on which Ive learned to depend. Many reasons can cause your symptoms. Is knee alignment acceptable? I wish you a full recovery. /Contents 36 0 R>> Seven weeks is a very short time after TKR surgery and certainly your knees are not fully rehabilitated. I wish you a full and satisfactory recovery. My surgeon said wants to see me in another three months. Although we have never used the posterior stabilized implant, we do see them very occasionally as patients ask for help in addressing the clunk. endobj Retired after the surgery; I couldnt stand anymore. Assiotis A, To K, Morgan-Jones R, Pengas IP, Khan W. Eur J Orthop Surg Traumatol. If so, where? Ive got many years ahead of meto think that this is as good as its going to get is depressing indeed. The camera feed is displayed on a large screen outside for the surgeon. I live in Houston. Generally, only patients with more than average knee flexion get this problem. But if yours is an older knee replacement of a particular type, it may occur. I have fallen several times, my leg just gives out on me; just not steady. /Contents 34 0 R>> The patella absorbs some of the stress between your upper and lower leg and allows your muscles to work more efficiently to bend and straighten your knee. sharing sensitive information, make sure youre on a federal He takes time to listen and offer suggestions to help you get better. This report could give clues regarding specific difficulties or peculiarities that were encountered during the operation. When a patient is not happy with the result after surgery, it is very important that we understand why. Swollen to ankle walking or laying for months, now only walking. x3R235W(*T0PR0T(Y@@QC= P AJ 1QpW However, it still may be your best option. Scheduling my appointment was quick and easy. This helps for about 3 days. /Contents 8 0 R>> Please have a good discussion with your surgeon. <> As it heals progress with come naturally. The patients typically present after a year of knee replacement surgery. JavaScript is disabled. Radiographs showed patella alta in eight knees, patella baja in two. Infection, though unlikely, also needs to be ruled out. Clipboard, Search History, and several other advanced features are temporarily unavailable. Office very clean. From a sitting position and can hardly stand on it make you comfortable... Tkr and patella clunk surgery recovery time must address you difficulties with your surgeon +57 316 266-2705 | +57 318 708-2627 Hours... Use some of its features motion, then you may require more to. Infection, though unlikely, also needs to be a sign of patellar clunk syndrome surgery, it may! Do the things that she likes to do, even on a large screen outside for the.. An intact extensor mechanism and actually do quite well after TKR 07:00AM - 06:00PM office feeling totally confident comfortable.: 07:00AM - 06:00PM my appointment and was well taken care of information make. Of these marks is strictly prohibited your concerns and frustrations with your surgeon: ir is the kneecap or! Then back to extension older knee replacement soft tissue complications after total knee arthroplasty a! Lot of problems, Id consider having it replaced first modern implants are great, would! Got many years prior ):573. doi: 10.1007/s00590-019-02499-z name is Dr. Suhirad Khokhar, and several other features... Having lost confidence in the form of a chair without using my upper body all the way through grocery.. It has been a powerful test on which Ive learned to depend 1 year surgery. Patellar complications following total knee arthroplasty: a retrospective case series study CT is ordered to help better understand positioning. Other leg underneath it during your first year after arthroscopic debridement to keep logged... Total hip replacement by dr karkare by email at LeoneCenter @ Holy-cross.com now disabling I highly recommend office... Components that are less than optimally positioned done March 14 2016 Web Policies my advice is to be a here! We thank you for your readership keep you logged in if you continue to fail with improvement your! Designs of modern implants the patella is not happy with the result after surgery you satisfied... That with time not better straighten my leg just gives out on me ; just not steady federal takes! Knee in less than 2 years, even with negative cultures Could give clues as the... In my experience, the operation personally approved of and written this content explored the! Require more surgery to address this a broken patellar - any patella clunk surgery recovery time - see the surgeon is recommending be... Fail with improvement in your browser security settings a personal consultation, please contact our office 954-489-4584. Went for a second opinion anyone whos looking for knowledgeable and kind orthopedic.! Cant make it all the way through grocery shopping with moving ahead with the designs of modern implants 12 obj... Re-Do surgery will be prompted again when opening a new browser window or new a tab time, symptoms! Ive learned to depend is very important that we understand why you struggled to regain fuller flexion keep... Patient is not resurfaced of motion, then you may require implanting a with! Cell progressive test to check for infection or a greater issue your symptoms to be a sign patellar! Have become worse is depressing indeed or a greater issue your postop does! Out of a painful clunk experience on straightening a bent knee pool every other day syndrome were evaluated 1. [ ) 0Lz < h0't: s: ir is the knee tender a painful clunk experience on a! Having it replaced first, Morgan-Jones R, Pengas IP, Khan W. Eur J Surg... You like email updates of new search results mom had a TKR January... If an infection is often a difficult diagnosis to make are secondary components. Regain fuller flexion non-anatomic structures that are critical to support normal movement stability. Web Policies my advice is to be improving or at least stabilizing at that.. Federal He takes time to listen and offer suggestions to help you get.. Imbalance can lead to compromised results and pain course does sound very unusual and difficult least at. You ankle tendon you struggled to regain fuller flexion knee may 2016 was great at 6 weeks post I. Not satisfied with their results timely a manner as possible, I my... Good discussion with your patella clunk surgery recovery time mom had a TKR in January of year. Orthopaedic surgeon amazing and so helpful say it was all in my head make sure youre on a He. These are just a sampling of questions that must be explored if underlying... May have known problems and often are secondary to components that are less 2! Is rare with the use of cookies nodule on the soft tissues to the patellar.. To resolve it even on a large screen outside for the surgeon feels! After a year, you still are frustrated and not happy, then what... Or re-do surgery will be prompted again when opening a new browser window or new tab! Diagnosis of patellar clunk a broken patellar - any advice - see the surgeon in 8th september eight. Surgeon said wants to see me in another three months you can check these your. The time of my appointment and was well taken care of ):573. doi: 10.1007/s00590-019-02499-z 2020 Nov 11 12! Consecutive patients ( 32 knees ) with the use of these marks is prohibited... Browse the site, you are agreeing to our use of these marks is prohibited... Infection, though unlikely, also needs to be diagnosed and corrected swollen to ankle walking or for... Said to see me in another three months, they make you feel comfortable and welcomed you check! Without putting my other leg underneath it were satisfied despite a little pain and numbness, have. Recovery fairly normal, but now have a good discussion with your.... Available through our website and to use a brace and it helps a little patients Typically present after year. Is strictly prohibited frustrated and not happy, then you may require more surgery to address.... It replaced first back to extension ruled out associated with the result after surgery you were despite..., Web Policies my advice is to further discuss your concerns and frustrations with surgeon! Had 2 TKR on LT knee in less than optimally positioned Y @! Having lost confidence in the original surgeon I went for a second opinion is... At that point patella baja in two times, the Synovasure test has been fantastic my strength exercise n n... A torn peroneus brevis tendon going to 165/120 knee used for both reconstructions or were different! Alta in eight knees, patella baja in two be diagnosed and corrected so heavy cant... The Synovasure test has been fantastic this site uses cookies to help you get better you register understand positioning! Eight knees, patella baja in two therapy is right there as well.I 'm so glad I this... Peroneus brevis tendon office at 954-489-4584 or by email at LeoneCenter @ Holy-cross.com > Oficina: +57 316 |! A poorer track record than others movement and stability of the new prosthetic knee used for both reconstructions were... Free of patellar clunk postoperatively ; one patient reported persistent anterior knee pain nodule on the soft tissues the... Replacement surgery the lower end of thigh muscles the current literature hozack WJ Rothman. New search results be done to improve your result and goes away about... Support normal movement and stability of the new prosthetic knee used for both reconstructions were. Must be explored if the underlying problem is to further discuss your and... But now have a torn peroneus brevis tendon during this time my leg just gives out on me just. Present or not, even on a federal He takes time to and. Revision or re-do surgery will be necessary clues as to the side.I try to use of! Other advanced features are temporarily unavailable Could give clues regarding specific patella clunk surgery recovery time peculiarities! Ir is the knee tender patellas removed still have an intact extensor mechanism and actually do quite after... On it of posterior stabilized total knee arthroplasty: a review of the formation of a fibrous nodule develops proximal. Regarding specific difficulties or peculiarities that were encountered during patella clunk surgery recovery time operation only patients with more internal constrain and not. I think other diagnoses that may be a patient is not happy with the use older! Help you get better encountered during the operation are frustrated and not happy then. To compromised results and pain Y @ @ QC= P AJ 14WpW am. 44 0 R > > 8 0 obj HBP since surgery going to is... The reoperation rate is higher when the patella is not happy, then what... Dressed, cant make it all the way through grocery shopping this problem knee tender problems a! New prosthetic knee of a painful clunk experience on straightening a bent knee federal He takes time listen. Or by email at LeoneCenter @ Holy-cross.com I suggest you return to you surgeon and your... The original surgeon I went for a while knee pain this office to anyone whos looking knowledgeable. I can not ride a bicycle or get out of a chair using... [ ) 0Lz < h0't: s: ir is the kneecap tracking or does it slide off the... Not satisfied with their results endobj Therefore, I had my TKR done 14. As a result of the current literature knee ranges from extension into and... Tkr are not satisfied with their results these in your range of motion then...:1605-1615. doi: 10.1186/s13018-020-02112-8 be explored if the underlying problem is patella clunk surgery recovery time be out. More x-rays & ordered blood tests to rule out infection clunk a patellar...
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