Higher body mass index, post-operative bracing, narrower femoral notch, and anterior tibial tunnel positioning are independent risk factors for cyclops syndrome following anterior cruciate ligament reconstruction

Key Points

• To identify independent risk factors associated with cyclops syndrome following ACL reconstruction.
• Cohort study involving patients undergoing primary ACL reconstruction in the Middle East.
• Data collection on body mass index, post-operative bracing, femoral notch width, and tibial tunnel positioning.
• Statistical analyses to assess relationships between risk factors and cyclops syndrome incidence.
• Incidence of cyclops syndrome was approximately 10.2% among patients undergoing ACL reconstruction.
• Higher BMI, use of post-operative bracing, narrower notch apex, and specific anterior tibial tunnel positions were found to be significant risk factors.
• Reoperation rate for cyclops syndrome was around 6% in the analyzed cohort.