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good morning guys tony maritado here licensed physical therapist and in the total knee replacement support group for kind people on facebook a question came in about pain around the um front bottom side of the knee itself after the replacement so the member of that group mentioned that they get occasional intermittent pain itamp;#39;s severe when it happens it doesnamp;#39;t happen all the time and she actually posted a picture with a little circle and so whether weamp;#39;re talking about the outside edge or the inside edge of the knee on either side of the patellar tendon um usually what i see is thereamp;#39;s a severe sensitivity that happens right at the top of the tibia so the tibia is your shin bone as that shin bone comes up during the surgical procedure they remove the top of the tibia they put an implant on top of it but what i believe might happen for some people is at the joint where the implant sits on top of the natural bone there could be a little bit of injury there