Abstract
Introduction
A symptomatic cyst is an uncommon complication after total knee arthroplasty (TKA). We present a case of a 77-year-old woman with a large cyst in the right knee caused by metal wear debris from the failure of a Miller-Galante I TKA performed 13 years earlier.
Case presentation
The patient was treated with a two-stage operation including revision of the TKA followed by excision of the cyst, because there was a direct communication between the joint cavity and the cyst, and because the patient reported pain corresponding to the cystic area after revision. The patient was pain-free and had a satisfactory result 17 months after the second operation, without recurrence of cyst formation.
Conclusion
We recommend two-stage surgery in which the first-stage is correction of the intra-articular pathology with revision TKA and the second-stage is excision of the cyst.
Similar content being viewed by others
References
Kraay MJ, Darr OJ, Salata MJ, Goldberg VM (2001) Outcome of metal-backed cementless patellar components: the effect of implant design. Clin Orthop 392:239–244
Berger RA, Rosenberg AG, Barden RM, Sheinkop MB, Jacobs JJ, Galante JO (2001) Long-term followup of the Miller–Galante total knee replacement. Clin Orthop 388:58–67
Krugluger J, Steinwenter A, Knahr K (1998) Uncemented Miller-Galante total knee replacement. The influence of alignment on clinical and radiological outcome in a 5 to 8-year follow-up. Int Orthop 22:230–233
Berger RA, Crossett LS, Jacobs JJ, Rubash HE (1998) Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop 356:144–153
Crawford R, Sabokbar A, Wulke A, Murray DW, Athanasou NA (1998) Expansion of an osteoarthritic cyst associated with wear debris: a case report. J Bone Joint Surg 80B:990–993
Chan YS, Wang CJ, Shin CH (2000) Two-stage operation for treatment of a large dissecting popliteal cyst after failed total knee arthroplasty. J Arthroplasty 15:1068–1072
Chang FY, Tseng KF, Chen WM, Huang CK, Chen TH, Lo WH (2003) Metal-backed patellar component failure in total knee arthroplasty presenting as a giant calf mass. J Arthroplasty 18:227–230
Dirschl DR, Lachiewicz PF (1992) Dissecting popliteal cyst as the presenting symptom of a malfunctioning total knee arthroplasty. Report of four cases. J Arthroplasty 7:37–41
Hsu WH, Hsu RW, Huang TJ, Lee KF (2002) Dissecting popliteal cyst resulting from a fragmented, dislodged metal part of the patellar component after total knee arthroplasty. J Arthroplasty 17:792–797
Niki Y, Matsumoto H, Otani T, Yoshimine F, Inokuchi W, Morisue H (2003) Gigantic popliteal synovial cyst caused by wear particles after total knee arthroplasty. J Arthroplasty 18:1071–1075
Pavlov H, Steinbach L, Fried SH (1983) A posterior ascending popliteal cyst mimicking thrombophlebitis following total knee arthroplasty (TKA). Clin Orthop 179:204–208
Chavda DV, Garvin KL (1994) Failure of a polyethylene total knee component presenting as a thigh mass. Report of a rare complication of total knee arthroplasty. Clin Orthop 303:211–216
Akisue T, Kurosaka M, Matsui N, Yamaguchi M, Hasuda K, Bauer TW, Yoshiya SI (2001) Paratibial cyst associated with wear debris after total knee arthroplasty. J Arthroplasty 16:389–393
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Niimi, R., Hasegawa, M., Sudo, A. et al. A large metallic cyst caused by wear particles after total knee arthroplasty. Arch Orthop Trauma Surg 127, 51–54 (2007). https://doi.org/10.1007/s00402-006-0214-6
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-006-0214-6