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nexpected ulnar nerve and artery injuries. Large cystic swellings in the knee are a rare complication of anterior cruciate ligament (ACL) reconstruction surgery. Most cystic swellings in the literature arise from the tibia; femoral cystic swellings which are clinically significant and infected are thus extremely rare. Little is known about the etiology of such cystic swellings post-ACL reconstruction, and there are no standardized protocols for their treatment. Our patient presented 6 months post-ACL reconstruction, with a large swelling