Multilobulated popliteal cyst after a failed total knee arthroplasty

Détails

ID Serval
serval:BIB_2C2A4A868925
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Multilobulated popliteal cyst after a failed total knee arthroplasty
Périodique
Knee Surgery, Sports Traumatology, Arthroscopy
Auteur(s)
Moretti  B., Patella  V., Mouhsine  E., Pesce  V., Spinarelli  A., Garofalo  R.
ISSN
0942-2056 (Print)
Statut éditorial
Publié
Date de publication
02/2007
Volume
15
Numéro
2
Pages
212-6
Notes
Case Reports
Journal Article --- Old month value: Feb
Résumé
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.
Mots-clé
Aged Arthroplasty, Replacement, Knee/*adverse effects Female Humans Popliteal Cyst/*etiology/radiography *Prosthesis Failure Reoperation Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
28/01/2008 13:25
Dernière modification de la notice
20/08/2019 14:11
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