A Comprehensive Scoping Review of Tibial Cysts After Anterior Cruciate Ligament Reconstruction

Overview

Journal J Exp Orthop

Publisher Wiley

Specialty Orthopedics

Date 2021 Jun 21

PMID 34151381

Citations 5

Authors

Nuno Camelo Barbosa

Joao Pedro Campos

Vania Capelao

Vikram Kandhari

Thais Dutra Vieira

Bertrand Sonnery-Cottet

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study was to perform a scoping review of published literature reporting on surgical management of tibial cysts which developed after ACLR.

Methods: A scoping review was conducted following the Arksey and O'Malley framework for scoping studies and Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) extension for scoping reviews (PRISMA-ScR) guidelines. A search strategy using the terms ["Tibial Cyst" AND "ACL"], ["Pretibial Cyst" AND "ACL"] was applied to the PUBMED database.

Results: Thirty-seven studies published between 1990 and 2019 were a part of this scoping review. Non-absorbable implants for tibial graft fixation were used in 10 studies (comprising a total 21 patients), while bio-absorbable implants were used in 27 studies (comprising a total 115 patients). Incidence of tibial cyst was reported in 3 studies (434 primary ACLRs) from whom 3.9% (n = 17) developed tibial cyst. Tibial cyst development in relation to use of bio-absorbable screws for tibial ACL graft fixation was reported in 16 studies (42.1%). Use of bio-absorbable screws with another factor was found to be related to tibial cyst development in another 1 study (2.6%). Most common symptoms were presence of mass or swelling, pain, tenderness, drainage, instability and effusion.

Conclusion: This scoping review demonstrated that tibial cysts is more frequently related to bioabsorbable screws, however it can also occur due to other causes. Current literature on tibial cyst after ACLR is of low-quality evidence. Future research is required to better understand aetiology, risk factors for cyst formation and the best possible mode of management.

Level Of Evidence: IV.

Citing Articles

Radiographic Tibial Tunnel Assessment After Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autografts and Biocomposite Screws: A Prospective Study With 10-Year Follow-up.

Balasingam S, Karikis I, Rostgard-Christensen L, Ahlden M, Sernert N, Kartus J Orthop J Sports Med. 2024; 12(10):23259671241278340.

PMID: 39430113 PMC: 11489965. DOI: 10.1177/23259671241278340.

Outcomes of RigidFix Cross Pin Fixation in Femoral and Tibial Tunnel for Anterior Cruciate Ligament Reconstruction.

Yuan W, Qi W, Hu T, Zhang J, An M, Zhao G Orthop Surg. 2023; 16(2):337-345.

PMID: 38088239 PMC: 10834228. DOI: 10.1111/os.13934.

[Research progress of tibial-graft fixation methods on anterior cruciate ligament reconstruction].

Yang D, Wang F, Zhang Q, Zhang Y, Shentu H, Wang F Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023; 37(9):1162-1168.

PMID: 37718432 PMC: 10505633. DOI: 10.7507/1002-1892.202306041.

Symptomatic tibial tunnel ganglion cyst presenting four years following an ACL hamstring autograft reconstruction: a case report of a rare complication of ACL surgery.

Oh D, Lee A, Smith A J Can Chiropr Assoc. 2023; 66(3):293-299.

PMID: 36818358 PMC: 9914829.

Iliotibial band reconstruction with allograft fasciae latae tissue: Imaging aspects of a novel surgical technique.

Vidal Leao R, De Souza T, Partezani Helito P, de Paula Correa M, Helito C Radiol Case Rep. 2022; 18(2):556-562.

PMID: 36457792 PMC: 9705382. DOI: 10.1016/j.radcr.2022.11.003.

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