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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
Patella baja is most likely to occur after which of the following procedures?
Arthroscopic ACL reconstruction with cadaver allograft
PCL reconstruction using tibial inlay technique
High tibial osteotomy
MPFL reconstruction with semitendinosus autograft
Total knee arthroplasty (TKA)
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HPI - 32M presents with medial-sided left knee pain.
He previously underwent a partial medial meniscectomy for an "irreparable tear" at age 18 after a soccer injury.
He returned to his regular activities and has continued playing soccer since his initial surgery, but over the past 3 years has complained of progressive left knee pain, isolated to the medial side of his knee.
He also notes a mild bow-legged deformity of his left leg.
Currently, he rates his pain as 9/10 in severity which is aggravated by activity.
3-foot standing XRays are obtained, which illustrate significant isolated medial compartment arthrosis.
A diagnostic arthroscopy is undertaken - images of the medial and lateral compartments are shown. Significant bipolar lesions of the medial compartment are seen, with full thickness articular cartilage loss in addition to meniscal pathology.
How would you manage this patient?