Study on diagnosis and treatment experience of posterior cruciate ligament ganglion cysts in different regions
10.3760/cma.j.issn.1008-1372.2018.03.004
- VernacularTitle:后交叉韧带不同部位囊肿的诊治经验
- Author:
Xiaoping QIN
1
;
Jiazhen ZHAO
;
Chao ZENG
;
Wei XIA
;
Zhuomin HE
;
Wenwen XIE
;
Lin GUO
Author Information
1. 解放军第四二一医院骨科
- Keywords:
Knee joint/SU;
Posterior cruciate ligament/SU;
Cysts/SU
- From:
Journal of Chinese Physician
2018;20(3):332-334,338
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment results for different regions of posterior cruciate ligament ganglion cyst by surgery.Methods From January 2011 to September 2016,17 patients with posterior cruciate ligament ganglion cysts of the knee were involved in this study.5 cases were located on the femoral side of the ligament (upper 1/3),8 cases were in the middle,and 4 cases were located in the tibia side (lower 1/3),15 cases were operated and 2 were not.A total of 13 cases in the upper 2/3 of the ligament were resected by the anterior two approaches through arthroscopy.two of which were resected by the posterior capsule.2 cases of the tibial lateral cysts were resected by posterior approach.Lysholm scoring system was used to evaluate the knee function before and after operation,and Glasgow curative effect system was used to evaluate the final follow-up results.Results A follow-up 6-24 months in an average of (12.6 ± 3.2) months shows no sign of recurrence at the last follow-up,all patients had no complications such as infection,ligament relaxation,et al.Lysholm score was improved from 57.5 ± 5.2 preoperatively to 92.5 ± 3.6 postoperatively,and the statistical difference is very significant (P ＜ 0.05).And curative effect was evaluated well by Glasgow system.Conclusions Arthroscopic surgery is an effective measure in the treatment of postior cruciate ligament (PCL) ganglion cysts.The upper part of the ligament can be resolved through the anterior approach,and the lower part should be followed by the posterior approach,and if necessary,open the way to handle the external part of the joint.
