Total arthroscopic internal drainage technique for the treatment of popliteal cyst.
10.3969/j.issn.1003-0034.2019.05.013
- Author:
Jian-Long NI
1
;
Zhi-Bin SHI
2
,
3
;
Li-Hong FAN
1
;
Di-Chen LI
1
;
Xiao-Qian DANG
1
;
Kun-Zheng WANG
1
Author Information
1. The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China.
2. The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China
3. shizb1001@163.com.
- Publication Type:Journal Article
- Keywords:
Arthroscopes;
Drainage;
Popliteal cyst
- MeSH:
Adult;
Aged;
Arthroscopy;
Drainage;
Female;
Humans;
Knee Joint;
Male;
Neoplasm Recurrence, Local;
Popliteal Cyst;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(5):454-458
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical effects of total arthroscopic internal drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst.
METHODS:From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic internal drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups.
RESULTS:Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(<0.05). At the last follow-up, the knee joint was examined by magnetic resonance imaging, and no recurrence of cyst was found.
CONCLUSIONS:Total arthroscopic internal drainage and arthroscopic combined with posterior small incision technique for popliteal fossa cyst with intra-articular lesions have the same clinical effect, but less trauma and faster recovery.
