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Review Question - QID 217868

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QID 217868 (Type "217868" in App Search)
A 71-year-old male presents with worsening right knee pain and decides to undergo a revision total knee arthroplasty. He previously underwent a revision 10 years ago. Prior to proceeding with surgery, the patient is informed that a tibial tubercle osteotomy may be needed. Which of the following is likely present?