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Related Experiment Video

Updated: Jan 20, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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Clinical Outcomes after Mini-Open Excision of Popliteal Cysts.

Nimrod Snir, Theodore Wolfson, Hien Pham

    Bulletin of the Hospital for Joint Disease (2013)
    |September 6, 2019
    PubMed
    Summary

    Mini-open popliteal cyst excision effectively treats refractory cysts, reducing pain and improving knee function. While generally safe, long-term outcomes require further investigation due to a rare recurrence case.

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    Area of Science:

    • Orthopedic Surgery
    • Minimally Invasive Techniques
    • Knee Pathology

    Background:

    • Popliteal cysts are common, often associated with intra-articular knee pathology.
    • Refractory cysts can cause significant pain and functional limitation.
    • Surgical excision is considered for persistent or symptomatic cases.

    Purpose of the Study:

    • To evaluate the clinical outcomes of patients undergoing mini-open posterior popliteal cyst excision.
    • To assess the safety and efficacy of this minimally invasive surgical approach.

    Main Methods:

    • Retrospective review of 22 popliteal cyst excisions (April 1999-April 2010).
    • Data collected included complications, recurrence, re-operations, and intraoperative findings.
    • Functional outcomes assessed using Visual Analogue Pain Scale and Rauschning's criteria.

    Main Results:

    • Average cyst size was 4.16 cm; all cases had associated intra-articular pathology.
    • Complications included saphenous nerve paresthesia (14%), keloid (4%), and joint effusion (4%).
    • Significant improvements observed in pain scores (p < 0.001) and functional knee criteria (p < 0.001).

    Conclusions:

    • Mini-open popliteal cyst excision is a safe and effective treatment for refractory popliteal cysts.
    • The technique leads to decreased pain and improved knee function.
    • Longer-term follow-up is recommended to fully understand recurrence rates and outcomes.