Massive baker cyst resulting in tibial nerve compression neuropathy secondary to polyethylene wear disease

Symptomatic synovial cyst formation is an infrequent, late complication after total knee arthroplasty. Most often, these cysts are found incidentally. However, rarely they may become larger leading to significant pain and disability. The formation of gigantic cysts necessitating revision knee surgery has been detailed in a few case reports. To the author's knowledge, this is the first report in the medical literature that describes peripheral neuropathy of the tibial nerve secondary to a massive Baker cyst after total knee replacement.