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Reha N Tandogan Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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Esref Terzi Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Avcilar Hospital, Istanbul, Turkey

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Enrique Gomez-Barrena Department of Orthopedics & Traumatology, Universidad Autónoma de Madrid, Hospital La Paz, Madrid, Spain

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Bruno Violante Orthopaedic Department, Clinical Institute Sant’Ambrogio, IRCCS – Galeazzi, Milano, Italy

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Asim Kayaalp Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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have been reported to have systemic co-morbidities associated with tendinopathy ( 30 ). The prevalence of systemic risk factors is higher in bilateral quadriceps tendon ruptures with almost two-thirds of these cases having a predisposing factor ( 33

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Jimmy Ng Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Pau Balcells-Nolla Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Peter J. James Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Benjamin V. Bloch Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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, difficulty walking and/or pain. Its incidence is reported to be between 0.1% and 2.5% in all TKA but revision TKA is thought to carry a higher risk. 1 – 4 Extensor mechanism failure can present as quadriceps tendon rupture, patella fracture ( Fig. 1

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Francesco Pirato Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federica Rosso Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federico Dettoni Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Davide Edoardo Bonasia Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Matteo Bruzzone Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Roberto Rossi Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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), retraction of anterior structures or patella baja ( 19 ). Patella baja is usually described in conjunction with quadriceps tendon rupture, cerebral palsy and postoperatively after high tibial osteotomy or total knee arthroplasty ( 20 , 21 ). Extension

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