Multilobulated popliteal cyst after a failed total knee arthroplasty

Details

Ressource 1Download: serval:BIB_2C2A4A868925.P001 (284.38 [Ko])
State: Public
Version: author
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_2C2A4A868925
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Multilobulated popliteal cyst after a failed total knee arthroplasty
Journal
Knee Surgery, Sports Traumatology, Arthroscopy
Author(s)
Moretti  B., Patella  V., Mouhsine  E., Pesce  V., Spinarelli  A., Garofalo  R.
ISSN
0942-2056 (Print)
Publication state
Published
Issued date
02/2007
Volume
15
Number
2
Pages
212-6
Notes
Case Reports
Journal Article --- Old month value: Feb
Abstract
Popliteal cyst is a rare finding after total knee arthroplasty (TKA), but when present, it might indicate a malfunction of the TKA related to generation of wear-particles, or loosening. We present a case of a multilobulated popliteal cyst developing in a patient 8 years after primary TKA. The cyst was associated with a mechanical prosthetic loosening. The primary complaint of the patient was pain in the posterior region of the knee. A two-stage procedure consisting of cyst excision at first, followed after 5 months by a revision TKA was performed. Intraoperatively, a darkish, multilobulated cyst with a well-defined thick wall filled with fluid containing polyethylene debris, communicating with the knee joint was found. After 3 years of follow-up, the patient was satisfied and walked without the support of a cane. The patient presented a satisfactory knee range of motion. Clinical, radiological and ultrasound investigations ruled out popliteal cyst recurrence. A dissecting popliteal cyst associated with a failed TKA should be excised because it contains polyethylene debris that constitutes an induced factor for prosthetic loosening. A two-stage procedure with quite a long time in-between, as presented in this paper, can be a useful alternative to manage such a problem, in particular in very old patients associated with other medical problems.
Keywords
Aged Arthroplasty, Replacement, Knee/*adverse effects Female Humans Popliteal Cyst/*etiology/radiography *Prosthesis Failure Reoperation Tomography, X-Ray Computed
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 12:25
Last modification date
01/10/2019 6:17
Usage data