Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children

Abstract Background This study aimed to investigate a technique for treating pediatric popliteal cysts with a triple-channel knee arthroscopic approach, hypothesizing that this technique exhibits favorable clinical outcomes with reduced recurrence rates. Methods A retrospective analysis was conducte...

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Main Authors: Yongwei Zhou, Qining Yang, Jiayu Kang, Shan He
Format: Article
Language:English
Published: BMC 2024-10-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-024-02620-y
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author Yongwei Zhou
Qining Yang
Jiayu Kang
Shan He
author_facet Yongwei Zhou
Qining Yang
Jiayu Kang
Shan He
author_sort Yongwei Zhou
collection DOAJ
description Abstract Background This study aimed to investigate a technique for treating pediatric popliteal cysts with a triple-channel knee arthroscopic approach, hypothesizing that this technique exhibits favorable clinical outcomes with reduced recurrence rates. Methods A retrospective analysis was conducted on the clinical data of 14 patients with symptomatic pediatric popliteal cysts admitted to the joint surgery center using an arthroscopic minimally invasive technique from December 2017 to December 2020. Arthroscopy was employed for adequate enlargement of the posterior medial flap opening between the cyst and the joint cavity and to completely resect the cyst wall. The popliteal cyst recurrence was assessed through Magnetic Resonance Imaging(MRI) at 3 and 12 months post-surgery, and the Rauschning and Lindgren scores were recorded to evaluate the clinical prognosis. Results A total of 14 children completed the follow-up, including 8 boys and 6 girls, with a mean age of 9.9 ± 1.1 years (5–12 years); 5 cases in the left knee and 9 cases in the right knee; the mean operative time was 19.2 ± 2.7 min (10–25 min); and the mean follow-up time was 15.1 ± 2.4 months (12–24 months). There was no intraoperative vascular or nerve injury and no incisional exudate infection. Postoperatively, posterior knee symptoms disappeared in the children, Rauschning and Lindgren scores significantly improved, and no recurrence signs were observed on MRI. Conclusions This study determined that the arthroscopic three-channel minimally invasive technique is effective and safe for treating popliteal cysts in children, making it worthy of clinical promotion.
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spelling doaj-art-4b3c90ebdb2d46c5a4f982234c93c79b2025-08-20T02:11:23ZengBMCBMC Surgery1471-24822024-10-012411610.1186/s12893-024-02620-yAnalysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in childrenYongwei Zhou0Qining Yang1Jiayu Kang2Shan He3The Orthopedics Department, Jinhua Municipal Central Hospital, Zhejiang University School of MedicineThe Orthopedics Department, Jinhua Municipal Central Hospital, Zhejiang University School of MedicineThe Orthopedics Department, Jinhua Municipal Central Hospital, Zhejiang University School of MedicineThe Department of Rheumatology and Immunology, Jinhua Municipal Central Hospital, Zhejiang University School of MedicineAbstract Background This study aimed to investigate a technique for treating pediatric popliteal cysts with a triple-channel knee arthroscopic approach, hypothesizing that this technique exhibits favorable clinical outcomes with reduced recurrence rates. Methods A retrospective analysis was conducted on the clinical data of 14 patients with symptomatic pediatric popliteal cysts admitted to the joint surgery center using an arthroscopic minimally invasive technique from December 2017 to December 2020. Arthroscopy was employed for adequate enlargement of the posterior medial flap opening between the cyst and the joint cavity and to completely resect the cyst wall. The popliteal cyst recurrence was assessed through Magnetic Resonance Imaging(MRI) at 3 and 12 months post-surgery, and the Rauschning and Lindgren scores were recorded to evaluate the clinical prognosis. Results A total of 14 children completed the follow-up, including 8 boys and 6 girls, with a mean age of 9.9 ± 1.1 years (5–12 years); 5 cases in the left knee and 9 cases in the right knee; the mean operative time was 19.2 ± 2.7 min (10–25 min); and the mean follow-up time was 15.1 ± 2.4 months (12–24 months). There was no intraoperative vascular or nerve injury and no incisional exudate infection. Postoperatively, posterior knee symptoms disappeared in the children, Rauschning and Lindgren scores significantly improved, and no recurrence signs were observed on MRI. Conclusions This study determined that the arthroscopic three-channel minimally invasive technique is effective and safe for treating popliteal cysts in children, making it worthy of clinical promotion.https://doi.org/10.1186/s12893-024-02620-yPopliteal cystPediatricArthroscopyTriple-channel
spellingShingle Yongwei Zhou
Qining Yang
Jiayu Kang
Shan He
Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
BMC Surgery
Popliteal cyst
Pediatric
Arthroscopy
Triple-channel
title Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
title_full Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
title_fullStr Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
title_full_unstemmed Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
title_short Analysis of the efficacy of triple-channel minimally invasive knee arthroscopy in treating popliteal cysts in children
title_sort analysis of the efficacy of triple channel minimally invasive knee arthroscopy in treating popliteal cysts in children
topic Popliteal cyst
Pediatric
Arthroscopy
Triple-channel
url https://doi.org/10.1186/s12893-024-02620-y
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AT qiningyang analysisoftheefficacyoftriplechannelminimallyinvasivekneearthroscopyintreatingpoplitealcystsinchildren
AT jiayukang analysisoftheefficacyoftriplechannelminimallyinvasivekneearthroscopyintreatingpoplitealcystsinchildren
AT shanhe analysisoftheefficacyoftriplechannelminimallyinvasivekneearthroscopyintreatingpoplitealcystsinchildren