scholarly journals Cyclops syndrome - A complication after anterior cruciate ligament reconstruction

2019 ◽  
Vol 72 (1-2) ◽  
pp. 17-24
Author(s):  
Vladimir Ristic ◽  
Milica Ilic ◽  
Mile Bjelobrk ◽  
Vladimir Harhaji ◽  
Vukadin Milankov

Introduction. Cyclops syndrome is one of the causes of failure of anterior cruciate ligament reconstruction. The aim of the study was to examine the quality of life of patients who had this complication and its consequences till the return to unrestricted (sports) activities. Material and Methods. During an eighteen-year follow-up of 4330 patients, cyclops syndrome was found in 71 patients (1.64%). This study included 60 of them, who agreed to fill out a questionnaire and functional scoring scales. Results and Discussion. The mean Tegner score was 5.95 and Lysholm score was 86.13 points. After the arthroscopic removal of cyclops lesion, excellent results were found in 22 patients (36.7%), good in 19 (31.7%), poor in 16 (26.7%) and very poor in three cases (5%). On average, athletes lose 10 months from injury to anterior cruciate ligament reconstruction. It takes at least 6 months to return to competitive sports. If cyclops lesion occurs, it takes approximately 10 months to arthroscopy, and on average 3 months of postoperative recovery. Conclusion. Cyclops lesion is a complication that significantly compromises the outcome of anterior cruciate ligament reconstruction, in terms of functional scores, subjective symptoms, the intensity of sports activities, and quality of life. Arthroscopic removal of the cyclops lesion leads to satisfactory postoperative results, but athletes lose 2.5 years on the whole, from injury to return to unrestricted sports activities.

2015 ◽  
Vol 68 (9-10) ◽  
pp. 308-315 ◽  
Author(s):  
Vladimir Ristic ◽  
Sinisa Ristic ◽  
Mirsad Maljanovic ◽  
Vukadin Milankov ◽  
Vladimir Harhaji ◽  
...  

Introduction. The aim of study was to analyze the influence of bilateral anterior cruciate ligament reconstructions on life quality of patients and their return to sports activities. Material and Methods. Thirty-two operated patients took part in this survey during the period of ten years. There were 5 women and 27 men, their average age being 30.46 years (19-55). The participants answered a modified Knee Injury and Osteoarthritis Outcome Score questionnaire set and gave data about preoperative and postoperative periods. Results. The participants? age and parameters of Lysholm scale did not correlate significantly with the subjective level of physical activity after the second knee surgery. After the first anterior cruciate ligament reconstruction, 4 participants (12.5%) did not return to trainings, while 28 did (87.5%); 8 patients (25%) did not return to competitions and 24 of them (75%) achieved the competition level of sports activities. After the anterior cruciate ligament reconstruction of contralateral knee, 6 (18.8%) did not return to trainings, while 26 (81.3%) did; 15 patients (46.9%) did not return to competitions, while 17 (53.1%) continued to compete without restrictions. The average values of questionnaire scores were between 95.1-98.2 points. Discussion and Conclusion. Resuming the same or higher level of sports activities after the first reconstruction is one of the preconditions for the same injury of another knee. An athlete looses more than two and a half years of competitions on average. Operations of additional meniscus ruptures do not play a crucial role in restitution of sports activities. Although we achieved good operative results, only every second athlete with bilateral injury has returned to sports activities without restrictions after the bilateral anterior cruciate reconstructions.


2012 ◽  
Vol 94 (2) ◽  
pp. e99-e100 ◽  
Author(s):  
S Kambhampati ◽  
H Ware

We report the case of an inverted cyclops lesion limiting extension of the knee joint after a four-strand hamstring anterior cruciate ligament (ACL) reconstruction. One case has been reported previously following a bone-tendon-bone reconstruction of the ACL but a similar case has not been reported.


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