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The paper of Jamieson et al. on this subject concludes the following:

There is no plausible reason that TKA should affect the

patellar tendon reflex. Despite this, in clinical practice

TKA is often thought to be responsible for absent

patellar tendon reflexes. This study supports the

hypothesis that there is no effect of TKA on patellar

tendon reflexes.

Jamieson R, Flynn J, Love D.

Does total knee arthroplasty affect the patellar tendon

reflex? AMJ 2010, 1, 2, 183-185. Doi

10.4066/AMJ.2010.196

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