Semimembranosus tendonitis after total knee arthroplasty: good outcome after surgery in 6 patients.
More than 700 total knee arthroplasties were performed in our Department between 1992-2000. 6 patients developed pain on the postero-medial aspect of the knee, within 1 year of surgery. The pain increased during walking and especially on rising from a chair. All patients were women with good knee motion and good alignment of the implanted prosthesis. We found no signs of low-grade infection. Injection of 1% Xylocaine relieved pain for a short time in all patients. They were all treated with excision of the reflected portion of the semimembranosus tendon which was not cut during the arthroplasty. Pain was completely relieved in 5 cases and improvement occurred in 1.
Hendel
David
D
Department of Orthopedics, Rabin Medical Center, Golda Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel. tdhendel@zahav.net.il
Weisbort
Moshe
M
Garti
Avraham
A
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D052256:Tendinopathy / Q000473:pathology / Q000601:surgery*; D013710:Tendons / Q000503:physiopathology; D016896:Treatment Outcome