Management of Cyst on Anterior Tibia following Cementless Total Knee Arthroplasty - Case Report -

Young-Rae Moon; Sang-Hong Lee; Dong-Hui Kim; Ki-Young Nam

doi:10.4055/jkoa.2008.43.2.257

Journal List > J Korean Orthop Assoc > v.43(2) > 1012776

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Moon, Lee, Kim, and Nam: Management of Cyst on Anterior Tibia following Cementless Total Knee Arthroplasty - Case Report -

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2008; 43(2): 257-261.

Published online: 30 April 2008

DOI: https://doi.org/10.4055/jkoa.2008.43.2.257

Management of Cyst on Anterior Tibia following Cementless Total Knee Arthroplasty - Case Report -

Young-Rae Moon, M.D., Sang-Hong Lee, M.D., Dong-Hui Kim, M.D., Ki-Young Nam, M.D.

Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea.

Address reprint requests to Dong-Hui Kim, M.D. Department of Orthopaedic Surgery, Chosun University Hospital, 588 Seosuk-Dong, Dong-Gu, Gwangju 501-717, Republic of Korea. Tel: +82.62-220-3147, Fax: +82.62-226-3379, oskdh@chosun.ac.kr

Abstract

There are no reports of the occurrence of a cyst in the anteromedial side of the proximal tibia after cementless total knee arthroplasty in the Korean literature. The authors encountered 2 cases with a cyst, in whom the pain improved after cemented total knee revision arthroplasty. We report these cases with a review of the relevant literature.

Keywords: Cementless screw fixation, Cyst, Total knee revision arthroplasty

Figures and Tables

Fig. 1

(A) The CT image of a knee of a 71-year-old female showing a cyst communicating with the screw hole of the tibia component. (B) The varus and valgus stress radiography showing displacement of the tibial component suggesting possible loosening. (C) An egg-size cyst was excised. (D) The biopsy of the cyst shows a pseudocyst without endothelial lining (H-E, 40× magnification).

Fig. 2

Cemented total knee revision arthroplasty was performed.

Fig. 3

(A) Painless cyst in the anteromedial side of proximal tibia. (B) Simple radiographs of a 68-year-old female showing a radioluncent line on the femoral and tibial component suggesting possible osteolysis. (C) The CT image shows a cyst communicating with the tibial component. (D) Fistula was found between the upper joint line of the tibia and a cyst on the anteromedial side of the proximal tibia during surgery. Cement was used to fill the fistula.

References

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