Liu Cai, Zhou Dejie, Liu Xinwei, Huang Jin, Fang Jianguo, Zhou Hongyu, Luo Jianjun, Luo Yiqian, Zhao Lianghu
Department of Orthopedic Surgery, The Affiliated Hospital of Panzhihua University, Panzhihua, China.
Department of Physical Examination Center, The Affiliated Hospital of Panzhihua University, Panzhihua, China.
Front Surg. 2023 Mar 30;10:1109571. doi: 10.3389/fsurg.2023.1109571. eCollection 2023.
Popliteal cysts are secondary to degenerative changes in the knee joint. After total knee arthroplasty (TKA), 56.7% of patients with popliteal cysts at 4.9 years follow-up remained symptomatic in the popliteal area. However, the result of simultaneous arthroscopic cystectomy and unicompartmental knee arthroplasty (UKA) was uncertain.
A 57-year-old man was admitted to our hospital with severe pain and swelling in his left knee and the popliteal area. He was diagnosed with severe medial unicompartmental knee osteoarthritis (KOA) with a symptomatic popliteal cyst. Subsequently, arthroscopic cystectomy and unicompartmental knee arthroplasty (UKA) were performed simultaneously. A month after the operation, he returned to his normal life. There was no progression in the lateral compartment of the left knee and no recurrence of the popliteal cyst at the 1-year follow-up.
For KOA patients with a popliteal cyst seeking UKA, simultaneous arthroscopic cystectomy and UKA are feasible with great success if managed appropriately.
腘窝囊肿继发于膝关节的退行性改变。全膝关节置换术（TKA）后，在4.9年的随访中，56.7%患有腘窝囊肿的患者腘窝区域仍有症状。然而，同期关节镜下囊肿切除术与单髁膝关节置换术（UKA）的结果尚不确定。
一名57岁男性因左膝及腘窝区域严重疼痛和肿胀入院。他被诊断为重度内侧单髁膝关节骨关节炎（KOA）伴症状性腘窝囊肿。随后，同期进行了关节镜下囊肿切除术和单髁膝关节置换术（UKA）。术后一个月，他恢复了正常生活。在1年的随访中，左膝外侧间室无进展，腘窝囊肿无复发。
对于寻求UKA治疗的伴有腘窝囊肿的KOA患者，同期关节镜下囊肿切除术和UKA如果处理得当是可行的，且成功率很高。
