Snir Nimrod, Hamula Mathew, Wolfson Theodore, Sherman Orrin, Feldman Andrew
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.
Arthrosc Tech. 2013 Aug 16;2(3):e295-8. doi: 10.1016/j.eats.2013.04.001. eCollection 2013.
Popliteal cysts are known to be associated with intra-articular pathology, which must be addressed to prevent cyst recurrence. Indications for popliteal cyst excision include cases in which the popliteal cyst does not respond to conservative treatment or arthroscopic intervention or cases in which an underlying cause cannot be found. Several techniques have been described to excise these cysts. Traditionally, open techniques have been associated with cyst recurrence. More recently, arthroscopic cystectomy has been described. However, the risk of recurrence persists because arthroscopy may not afford complete surgical excision. This technical note presents an open posterior technique for popliteal cyst excision that allows for better visualization and complete removal of the cyst while minimizing the risk of neurovascular complications and soft-tissue damage. It is a safe, effective, and straightforward method to achieve symptomatic relief for refractory popliteal cysts.
腘窝囊肿已知与关节内病变相关，必须处理关节内病变以防止囊肿复发。腘窝囊肿切除术的适应证包括腘窝囊肿对保守治疗或关节镜干预无反应的情况，或无法找到潜在病因的情况。已经描述了几种切除这些囊肿的技术。传统上，开放技术与囊肿复发相关。最近，已经描述了关节镜下囊肿切除术。然而，复发风险仍然存在，因为关节镜检查可能无法实现完全手术切除。本技术说明介绍了一种开放后路技术用于腘窝囊肿切除，该技术能更好地显露囊肿并将其完整切除，同时将神经血管并发症和软组织损伤的风险降至最低。这是一种安全、有效且直接的方法，可缓解难治性腘窝囊肿的症状。
