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The onset of infection coincided with a cortisone injection. Initial management consisted of arthroscopic irrigation and debridement (I&amp;D) on 2 consecutive occasions without resolution of the infection. Only after open excision of the popliteal cyst in conjunction with I&amp;D of the knee joint proper did the infection resolve. This is the first reported case of a patient requiring excision of a popliteal cyst to clear pyarthrosis of the knee after failure of arthroscopic I&amp;D. Consideration should be given to open debridement or drainage of popliteal cysts in patients who present with septic arthritis in the presence of a popliteal cyst. A treatment algorithm for managing this clinical scenario is presented.<\/jats:p>","DOI":"10.1016\/j.arthro.2009.02.024","type":"journal-article","created":{"date-parts":[[2009,6,5]],"date-time":"2009-06-05T05:14:40Z","timestamp":1244178880000},"page":"696-700","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Surgical Management of Septic Arthritis of the Knee With a Coexistent Popliteal Cyst"],"prefix":"10.1002","volume":"25","author":[{"given":"Josef K.","family":"Eichinger","sequence":"first","affiliation":[{"name":"Orthopaedic Service Madigan Army Medical Center Tacoma Washington U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric M.","family":"Bluman","sequence":"additional","affiliation":[{"name":"Orthopaedic Service Madigan Army Medical Center Tacoma Washington U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven 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