A comprehensive scoping review of tibial cysts after anterior cruciate ligament reconstruction

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

Comparison of Graft Type and Fixation Method in Anterior Cruciate Ligament Reconstruction

“…This information can be used to guide clinical decision-making in ACLR because many studies have previously shown metal interference screws to provide superior outcomes compared with bioabsorbable screws. This meta-analysis demonstrates that bioabsorbable screws may offer superior outcomes, which is useful information that can be used to guide clinical decision-making, as much of the current literature details the high rates of failure and postop complications of using bioabsorbable screws 39-41 .…”

Transferencia del tendón tibial anterior para el tratamiento de la supinación dinámica en el pie bot. Análisis de los resultados clínicos y las complicaciones

“…Si bien no encontramos casos similares en la literatura, el desarrollo de quistes sinoviales postoperatorios ha sido descrito en otras localizaciones en relación con el uso de tornillos bioabsorbibles, reacción al material de sutura, aumento de la producción de líquido sinovial, necrosis del tendón y micromovimiento. 28 Este estudio presenta ciertas limitaciones debido a su diseño metodológico y el seguimiento relativamente corto de la muestra. Además, a pesar de que nuestra muestra no incluyó pacientes con pie bot sindrómico o neuromuscular, sí evaluó pacientes con características de pie bot idiopático y complejo/atípico.…”

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

“…Tibial cysts related to the tibial screw are more commonly reported in literature than femoral ones. However, femoral cysts might also occur when the femoral fixation is performed with an interference screw from outside in and those cysts may damage adjacent soft tissue structures [7] .…”