Table 4 Treatment Strategies for Knee Cysts
From: Comprehensive analysis of knee cysts: diagnosis and treatment
Treatment Type | Description | Advantages | Disadvantages | Effectiveness | Cyst Type | References |
|---|---|---|---|---|---|---|
Conservative Treatment | NSAIDs, physiotherapy, aspiration, corticosteroid injections | Minimally invasive, reduces symptoms in mild cases | High recurrence rate | Varies, limited evidence | All | |
Arthroscopic Treatment | Meniscal tear debridement and cyst management via minimally invasive surgery | Effective, good clinical outcomes, allows meniscus preservation | Some recurrence, surgical risks | 86.9% success rate | Meniscal Cyst | |
Open Surgery | Full cyst removal via incision, often used for larger or recurrent cysts | Low recurrence (3.41%), high success rate (87.5%) | More invasive, longer recovery | High success rate | All | |
PRP + HA Injections | Intra-articular injections combining PRP with hyaluronic acid to reduce inflammation and promote healing | Minimally invasive, potential for pain relief and cyst reduction | Limited long-term data, requires multiple injections | 70% success rate in treating meniscal cysts | Meniscal Cyst | [30] |
PRFM-Augmented Surgical Repair | Use of platelet-rich fibrin matrix (PRFM) to enhance healing after cyst resection | May improve healing and reduce recurrence | Experimental, no long-term data | Potential to reduce recurrence rates | Parameniscal Cyst | [29] |
Ultrasound-Guided Aspiration & Injection (UGAFI) | Used for cyst decompression and simultaneous PRP injection | Minimally invasive, cost-effective | High recurrence risk if meniscal pathology is not treated | Promising but requires further study | Meniscal Cyst | [30] |