Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review
Synovial fistula and cyst formation after anterior cruciate ligament (ACL) reconstruction is very unusual and almost always affects the tibia. Only 3 cases originating in the femur have been reported. We present a rare case of late-onset femoral cyst formation related to ACL reconstruction. Ten year...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/3586981 |
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| author | Enrique Sanchez-Munoz Antonio Maestro Fernández Iván Pipa Muñiz Nicolas Rodríguez García |
| author_facet | Enrique Sanchez-Munoz Antonio Maestro Fernández Iván Pipa Muñiz Nicolas Rodríguez García |
| author_sort | Enrique Sanchez-Munoz |
| collection | DOAJ |
| description | Synovial fistula and cyst formation after anterior cruciate ligament (ACL) reconstruction is very unusual and almost always affects the tibia. Only 3 cases originating in the femur have been reported. We present a rare case of late-onset femoral cyst formation related to ACL reconstruction. Ten years after successful ACL reconstruction surgery, effusion and pain at the lateral aspect of the lateral femoral condyle appeared. Symptoms persisted despite initial percutaneous drainage and conservative treatment. Surgery was carried out, with drainage and graft-fixation pin device removal, with recurrent cyst formation after the intervention. Total recovery of the patient was achieved after carrying out revision surgery consisting in bone tunnel filling using autologous bone graft and occlusion of cortical bone defect with local fascial flap. The development of this unusual complication was related to lack of absorption of the fixation device, bone burn due to drilling, and persistent synovial fluid in the femoral bone tunnel, combined with the absence of bone ingrowth. |
| format | Article |
| id | doaj-art-e6a67b4812f64428bbc746fdcc1cf2a7 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e6a67b4812f64428bbc746fdcc1cf2a72025-02-03T05:49:40ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/35869813586981Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature ReviewEnrique Sanchez-Munoz0Antonio Maestro Fernández1Iván Pipa Muñiz2Nicolas Rodríguez García3Knee Unit, Department of Orthopaedic Surgery and Traumatology, University Hospital of Toledo, Avenida Barber 30, ZIP 45004 Toledo, SpainReal Sporting de Gijón SAD, Department of Orthopaedic Surgery, Begoña Hospital, Av. Pablo Iglesias, 92, 33204 Gijón, Asturias., SpainDepartment of Orthopaedic Surgery, Begoña Hospital, Av. Pablo Iglesias, 92, 33204 Gijón, Asturias., SpainDepartment of Orthopaedic Surgery and Traumatology, Hospital de la Cruz Roja, Calle Uría, 37, ZIP 33202 Gijón, Asturias., SpainSynovial fistula and cyst formation after anterior cruciate ligament (ACL) reconstruction is very unusual and almost always affects the tibia. Only 3 cases originating in the femur have been reported. We present a rare case of late-onset femoral cyst formation related to ACL reconstruction. Ten years after successful ACL reconstruction surgery, effusion and pain at the lateral aspect of the lateral femoral condyle appeared. Symptoms persisted despite initial percutaneous drainage and conservative treatment. Surgery was carried out, with drainage and graft-fixation pin device removal, with recurrent cyst formation after the intervention. Total recovery of the patient was achieved after carrying out revision surgery consisting in bone tunnel filling using autologous bone graft and occlusion of cortical bone defect with local fascial flap. The development of this unusual complication was related to lack of absorption of the fixation device, bone burn due to drilling, and persistent synovial fluid in the femoral bone tunnel, combined with the absence of bone ingrowth.http://dx.doi.org/10.1155/2020/3586981 |
| spellingShingle | Enrique Sanchez-Munoz Antonio Maestro Fernández Iván Pipa Muñiz Nicolas Rodríguez García Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review Case Reports in Orthopedics |
| title | Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review |
| title_full | Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review |
| title_fullStr | Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review |
| title_full_unstemmed | Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review |
| title_short | Late-Onset Recurrent Femoral Cyst Formation 10 Years after ACL Reconstruction: A Case Report and Literature Review |
| title_sort | late onset recurrent femoral cyst formation 10 years after acl reconstruction a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/3586981 |
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