Editorial Commentary: Increased Tibial Slope and Decreased Medial Proximal Tibial Angle Negatively Affect Anterior Cruciate Ligament Graft Maturation: Objective Evidence on When to Add a Lateral Extra-Articular Augmentation Procedure to a Soft-Tissue Ante

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: C.M.L. reports speaking and lecture fees from Foundation Medical and Evolution Surgical and has a family member that reports relationships with Ossur Americas, Smith & Nephew, Linvatec Europe, and Responsive Arthroscopy that include consulting or advisory; a family member that reports relationships with Ossur Americas, Smith & Nephew, Arthroscopy Association of North America, and American Orthopaedic Society for Sports Medicine that include funding grants. R.F.L. reports consulting or advisory for Ossur Americas, Smith & Nephew, Linvatec Europe, and Responsive Arthroscopy; and funding grants from Ossur Americas, Smith & Nephew, Arthroscopy Association of North America, and American Orthopaedic Society for Sports Medicine. The other author (L.V.T.) declares that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 6. World J Orthop. 2023 Nov 18;14(11):836-842. doi: 10.5312/wjo.v14.i11.836. eCollection 2023 Nov 18. Recurrent cyclops lesion after primary anterior cruciate ligament reconstruction using bone tendon bone allograft: A case report. Kelmer G(1)(2), Johnson AH(3), Turcotte JJ(1), Redziniak DE(4). Author information: (1)Orthopedic Research, Anne Arundel Medical Center, Annapolis, MD 21401, United States. (2)Medical School, Campbell University School of Osteopathic Medicine, Lillington, NC 27546, United States. (3)Orthopedic Research, Anne Arundel Medical Center, Annapolis, MD 21401, United States. ajohnson21@luminishealth.org. (4)Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD 21401, United States. BACKGROUND: Cyclops lesions are a known complication of anterior cruciate ligament (ACL) reconstruction, with symptomatic cyclops syndrome occurring in up to 11% of surgeries. Recurrent cyclops lesions have been rarely documented; this case study documents the successful treatment of a recurrent cyclops lesion. CASE SUMMARY: A 28-year-old female presented following a non-contact injury to the right knee. Workup and clinical exam revealed an ACL tear, and arthroscopic reconstruction was performed. Two years later a cyclops lesion was discovered and removed via arthroscopic synovectomy. Seven months postoperatively, the patient presented with pain, stiffness, and difficulty achieving terminal extension. A smaller recurrent cyclops lesion was diagnosed, and a repeat synovectomy was performed. The patient recovered fully. CONCLUSION: To the best of our knowledge, this is the first documented case of recurrent cyclops lesion after bone-patellar tendon-bone allograft ACL reconstruction presenting as cyclops syndrome. ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. DOI: 10.5312/wjo.v14.i11.836 PMCID: PMC10698338