58 yrs ago had a severed patella tendon, damaged knee joint, and fractured knee cap. Had two clean up surgeries in the last 14 years to remove torn meniscus and a bone chip. I am experiencing a lot of pain in the entire joint now. Doctor is suggesting knee replacement. What part does the health of the patella tendon play in replacement and how can the health of tendon be determined?
HIF your doctor has suggested replacement then he may have made sure of integrity of extensor apparatus or patellar tendon...if it needs any relocation at insertion if lax, that he shall determine. Testing of muscle powers of knee extensors is a good approach, if weak power then some physical therapy may be needed prior to surgery for power build up. You may discuss your requirements beforehand with the surgeon, he shall take care of it Best wishes