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When performing a total knee arthroplasty on a 60-year-old female patient, a surgeon chooses not to resurface the patella. Instead, he performs a patelloplasty by excising the marginal osteophytes and reshaping the patella. All of the following statements comparing the results of patelloplasty to patella resurfacing are true EXCEPT:
There is no difference in relative risk of anterior knee pain.
There is no difference in relative risk for revision surgery involving the tibial and femoral components.
There is an increased risk that she will need secondary resurfacing.
No difference in rates of patellar avascular necrosis or patellar tendon injury.
Total knee arthroplasty improved function regardless of whether the patella was resurfaced.
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The use of vancomycin impregnated bone cement during total knee arthroplasty is most strongly recommended for which of the following patients?
68-year-old male undergoing second stage of revision arthroplasty for deep infection
Primary TKA in a 55-year-old female with BMI of 40
Primary TKA in a diabetic 70-year-old male
67-year-old male with posttraumatic arthritis and retained hardware undergoing primary TKA
53-year-old female with rheumatoid arthritis undergoing primary TKA
During a minimally invasive total knee arthroplasty with a quadriceps-sparing approach, the exposure is found to be limited and causing difficulties with jig alignment. What is the optimal next step?
Conversion of the exposure to a subvastus approach
Tibial tubercle osteotomy
Conversion of the exposure to a two-incision approach
Conversion of the exposure to a standard parapatellar arthrotomy
Ligament release to improve exposure
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HPI - 71 y/o female with a 2 year history of right knee pain. Symptoms have gotten severely worse within the last six months
What is the best treatment option here?
HPI - pain bilateral knee joint ,right knee joint pain more severe than left.Had arthoscopic partial medial menisectomy and lavage about 3years back which gave temporary releif for about 6 months. also had intra articular hylaurinic acid injection, pain in right knee joint has increased severely
How would you treat this patient's right knee?