Outcomes of surgical treatment of popliteal cysts in Burkina Faso

Abstract

Introduction: popliteal cyst is the most common synovial cyst. However, its symptoms remain relatively unknown and its treatment modalities are controversial.

Aim: the purpose of this study was to describe the clinical aspects of popliteal cysts in the regional hospital of Tenkodogo and to report the results of cystectomy using open posterior approach.

We conducted, from January 2010 to December 20 14, a prospective study, involving cases of symptomatic popliteal cysts that underwent surgery in the regional hospital of Tenkodogo. The popliteal cyst diagnosis was made on clinical examination and on Doppler ultrasound. Ali patients underwent surgery using open posterior approach. We used the Rauschning and Lindgren criteria for evaluation.

Thirty-two patients were included in the study. The average age of patients was 48 years. There were 2 1 women (65%). Patients were admitted primarily for pain in the posterior side of the knee and paraesthesia. Ultrasound found swelling in the popliteal region, with fluid content and communicating with the knee joint cavity. All patients underwent surgery. The mean duration of postoperative follow-up was 12 months. No recurrence was noted after one year. The swelling and spontaneous pain decreased in  all cases. Popliteal cyst is common in current practice. Cystectomy using open posterior approach yields satisfactory results in terms of clinical remission.