Arthroscopic Treatment of Popliteal Cysts with and without Cystectomy: A Systematic Review and Meta-AnalysisArthroscopic Treatment of Popliteal Cysts with and without Cystectomy: A Systematic Review and Meta-Analysis
- Other Titles
- Arthroscopic Treatment of Popliteal Cysts with and without Cystectomy: A Systematic Review and Meta-Analysis
- Authors
- Ji Hoon Han; Ji Hoon Bae; Kyung Wook Nha; Young Soo Shin; Dae Hee Lee; Hyun Jae Sung; 김재균
- Issue Date
- 2019
- Publisher
- 대한슬관절학회
- Keywords
- Knee; Popliteal cyst; Arthroscopy; Cystectomy; Systematic review; Meta-analysis
- Citation
- Knee Surgery and Related Research, v.31, no.2, pp.103 - 112
- Indexed
- KCI
- Journal Title
- Knee Surgery and Related Research
- Volume
- 31
- Number
- 2
- Start Page
- 103
- End Page
- 112
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/70023
- ISSN
- 1225-1623
- Abstract
- Purpose: To compare the clinical outcomes of the arthroscopic treatments for popliteal cysts with and without cystectomy.Methods: PubMed/MEDLINE, EMBASE, KoreaMed, and Cochrane Library were searched from the earliest available date of indexing through August 2016. The methodological quality of all articles was assessed according to the Coleman methodology score (CMS). Studies were grouped according to the surgical method, and a metaanalysis was conducted to identify the unsuccessful clinical outcome and complication rates.Results: Nine studies were included; the mean CMS was 67.33 (standard deviation, 8.75 points). Cystectomy was reported in five studies; cystectomy was not performed in four studies. The odds ratio of unsuccessful clinical outcomes evaluated by Rauschning and Lindgren score was 122.05 (p<0.001) with cystectomy and 58.12 (p<0.001) without cystectomy. The effect size of complications was 0.16 (p<0.001) with cystectomy and 0.03 (p<0.001) without cystectomy. The recurrence rate was 0% with cystectomy and 6.4% without cystectomy.Conclusions: All the currently available studies showed satisfactory outcomes in both with and without cystectomy groups. However, arthroscopic cystectomy concurrently performed with management of intraarticular lesions was associated with a relatively low recurrence rate and a relatively high incidence of complications.
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