Operation of a Baker's cyst
Surgical therapy of the Baker's cyst
There is no significant improvement in symptoms within 6 months Baker's cyst under conservative therapy are achieved, the therapy should be considered surgical removal of the Baker's cyst. The focus here is on the renovation of the cyst underlying knee disease, i.e. the Meniscus damage or the arthrosis.
Can the knee damage e.g. by a Arthroscopy If this is corrected, the Baker's cyst regresses by itself in 2/3 of the cases. An operation of the Baker's cyst in itself is therefore mostly unnecessary. exception educate the Rheumatism. Since there is inflammatory changed capsule tissue in the cyst, this should be removed initially.
When the cyst is operated on, the entire cyst is removed. In the case of Baker cysts connected to the joint capsule, care must be taken to ensure that the stalk that connects the cyst and Knee joint represents, is prevented.
In order to rule out malignancy of the cyst, the removed capsule tissue should be examined with a fine tissue.
Duration
The duration of the Baker's cyst surgery depends on the person Size of the cyst and any risks that may arise during the operation.
Appointment with a knee specialist?
I would be happy to advise you!
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The knee joint is one of the joints with the greatest stress.
Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
Pain
The pain that is triggered by a Baker cyst usually occurs movement dependent on. This is mainly caused by Flexing in the knee joint Pain. The hollow of the knee can also be examined Tenderness determine. The pain is followed by swelling of the back of the knee, which can cause restricted mobility. It comes to one Baker's cyst ruptured arise stabbing and shooting pains in the area of Knees. With a ruptured Baker's cyst, the pain is usually similar to that of inflammation and can cause reddening and overheating of the leg. The Baker's cyst can be greatly enlarged annoy and Vessels get trapped in the hollow of the knee, this can also lead to pain in the lower leg and knee area. Also a Numbness and Circulatory disorders can cause discomfort. By an increased Probability of thrombosis can it to one Feeling of tension and heaviness come in the affected leg.
Risks
Above all a massive growth of the cyst can cause significant complications. The space-consuming process can pinch nerves and vessels. This leads to deafness of Lower leg and the foot. There is also one increased risk of thrombosis. When removing the Baker cyst, care must be taken not to damage the surrounding tissue. Only at complete removal the Baker's cyst can eliminate the risk of recurrence. In addition to damage to the surrounding tissue (Nerves and vessels) it can also increase in the removal of the Baker's cyst Wound healing disorders come.
Further risks can be Infections, deep vein thrombosis, Bruising or Scarring be. However, the risks of Baker's cyst surgery are general very low and are particularly dependent on the individual risk of the person being operated on.
How long sick
The first week of a Baker's cyst removal is mostly on Immobilization the affected leg respected. For this purpose, the leg is usually cast. After a week, the patient slowly begins to put weight on the leg again. In the next few weeks it will be on Protection and targeted mobilization the leg respected. Often one closes rehabilitation in the area of physical therapy emotional. Any follow-up treatment for a removed Baker's cyst can be 3 to 4 weeks take advantage of.
Outpatient possible?
The arthroscopic removal the Baker cyst usually takes place on an outpatient basis. In order to generally differentiate between outpatient and inpatient treatment, one has to weigh the size and the respective risks. Any previously known wound healing disorders and other previous illnesses are also taken into account when making the decision. However, if the Baker cysts are uncomplicated, the operation is usually performed on an outpatient basis.
Illustration of a Baker's cyst
- Baker's cyst
(Popliteal cyst) - Femur -
Femur - Semi-membranous muscle -
Semimembranosus muscle - Joint capsule, fiber layer
(yellow) -
Capsula articularis,
Membrana fibrosa - Joint capsule, soft layer
(orange) -
Capsula articularis,
Synovial membrane - Joint cavity
(filled with synovial fluid) -
Articular cavity, synovia - Shin - Tibia
- Internal calf muscle -
M. gastrocnemius, caput mediale - Fibula - Fibula
- Articular cartilage (dark blue) -
Cartilago articularis - Kneecap - patella
- Inner meniscus -
Meniscus medialis
A - Knee joint effusion with Baker's cyst
B - Healthy knee joint
a - swelling in the hollow of the knee
b - swelling in the calf muscles
You can find an overview of all Dr-Gumpert images at: medical illustrations
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