The Orthopedics Department, Jinhua Municipal Central Hospital, Zhejiang University School of Medicine, No. 365 Renmin East Road, Jinhua City, Zhejiang Province, 321000, China.
The Department of Rheumatology and Immunology, Jinhua Municipal Central Hospital, Zhejiang University School of Medicine, No. 365 Renmin East Road, Jinhua City, Zhejiang Province, 321000, China.
BMC Surg. 2024 Oct 23;24(1):326. doi: 10.1186/s12893-024-02620-y.
This study aimed to investigate a technique for treating pediatric popliteal cysts with a triple-channel knee arthroscopic approach, hypothesizing that this technique exhibits favorable clinical outcomes with reduced recurrence rates.
A retrospective analysis was conducted on the clinical data of 14 patients with symptomatic pediatric popliteal cysts admitted to the joint surgery center using an arthroscopic minimally invasive technique from December 2017 to December 2020. Arthroscopy was employed for adequate enlargement of the posterior medial flap opening between the cyst and the joint cavity and to completely resect the cyst wall. The popliteal cyst recurrence was assessed through Magnetic Resonance Imaging(MRI) at 3 and 12 months post-surgery, and the Rauschning and Lindgren scores were recorded to evaluate the clinical prognosis.
A total of 14 children completed the follow-up, including 8 boys and 6 girls, with a mean age of 9.9 ± 1.1 years (5-12 years); 5 cases in the left knee and 9 cases in the right knee; the mean operative time was 19.2 ± 2.7 min (10-25 min); and the mean follow-up time was 15.1 ± 2.4 months (12-24 months). There was no intraoperative vascular or nerve injury and no incisional exudate infection. Postoperatively, posterior knee symptoms disappeared in the children, Rauschning and Lindgren scores significantly improved, and no recurrence signs were observed on MRI.
This study determined that the arthroscopic three-channel minimally invasive technique is effective and safe for treating popliteal cysts in children, making it worthy of clinical promotion.
本研究旨在探讨一种经三通道膝关节镜治疗小儿腘窝囊肿的技术，假设该技术具有良好的临床效果，复发率低。
回顾性分析 2017 年 12 月至 2020 年 12 月关节外科中心采用关节镜微创技术治疗的 14 例有症状的小儿腘窝囊肿患者的临床资料。关节镜下充分扩大囊肿与关节腔之间的后内侧瓣开口，完全切除囊肿壁。术后 3 个月和 12 个月行 MRI 评估腘窝囊肿复发情况，记录 Rauschning 和 Lindgren 评分评估临床预后。
共 14 例患儿完成随访，男 8 例，女 6 例，年龄 9.9±1.1 岁（5-12 岁）；左膝 5 例，右膝 9 例；手术时间 19.2±2.7min（10-25min）；平均随访时间 15.1±2.4 个月（12-24 个月）。术中无血管和神经损伤，无切口渗出感染。术后患儿后膝关节症状消失，Rauschning 和 Lindgren 评分显著改善，MRI 未见复发迹象。
本研究表明，关节镜三通道微创技术治疗儿童腘窝囊肿有效、安全，值得临床推广。
