Knee Pain six moths post surgery

Patient : I had knee surgery to repair my VMO after dislocating my kneecap. This was about 6 moths ago. When i extend my leg or push anything that requires me to use my quad there is a lot of cracking in my knee and is moderatly painful. Also when I bend my knee and bear weight it is painful around my kneecap. Why is this happening? What can I do to stop this?
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