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A review of patellar maltracking and lateral retinacular releases in primary TKA.

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Patellar maltracking is the most common complication of primary TKA.

The dynamic forces affecting patellar tracking are represented by the Q-angle, formed by a line from the ASIS to the patella and from the tibial tubercle to the patella. A normal Q-angle is between 12-20°.

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The static transverse stabilizers of the patella include the medial/lateral retinaculum and medial/lateral patellofemoral ligaments.

The dynamic transverse stabilizers include the IT band and vastus medialis/lateralis.

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