PMC7201794_01
Lesion.
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fig1
It was occasionally tender to kneel on; however, it was the large size of the lesion that was his main problem (Figure 1).
MRI scan of lesion.
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A MRI scan (Figure 2) revealed a cystic lesion measuring 7.6 x 6.4 x 4.1 cm, anterior to the patellar tendon.
Excised lesion.
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fig3
A well-circumscribed lesion was excised along with an ellipse of the skin (Figure 3).
Application of VAC dressing.
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fig4
A vacuum-assisted closure (VAC) ( KCI Medical) dressing was applied (Figure 4).
PICO dressing.
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fig5
A second negative pressure dressing, PICO  (Smith & Nephew), was applied over the wound for one week (Figure 5).
Surgical scar at 1 year.
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fig6
His wound has healed without any complications (Figure 6).