Yamakado Kotaro
Department of Orthopaedics, Kahoku Central Hospital, Kahoku-gun, Ishikawa Prefecture, Japan.
Arthroscopy. 2002 Nov-Dec;18(9):1024-8. doi: 10.1053/jars.2002.36485.
This report documents the first case of a popliteal cyst in a knee with failed unicompartmental knee arthroplasty (UKA). The cyst was treated successfully with the creation of a small communication hole between the posteromedial compartment and the popliteal cyst under direct arthroscopic visualization. This was followed by the replacement of a worn polyethylene insert via a small arthrotomy. Three months later, the popliteal mass had disappeared. This case suggests that a dissecting popliteal cyst may occur after UKA as one of the signs of a malfunction. It also suggests that treatment should be directed toward the joint and not the cyst itself.
本报告记录了首例在单髁膝关节置换术（UKA）失败的膝关节中出现的腘窝囊肿病例。在关节镜直视下，通过在膝关节后内侧间室与腘窝囊肿之间创建一个小的连通孔，成功治疗了该囊肿。随后通过一个小切口更换了磨损的聚乙烯垫片。三个月后，腘窝肿物消失。该病例表明，UKA术后可能会出现腘窝囊肿，这是功能故障的迹象之一。它还表明，治疗应针对关节而非囊肿本身。
