Early results of endoscopic trochanter bursectomy

Between 1995 and 2000, we performed 45 endoscopic bursectomies in 42 patients (average age 51, range 17-61 years). All patients had at least 6 months of failed conservative treatment, and all responded positively to a sonographic-guided injection with Mepivacaine 0.5%. The bursa was removed using a...

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Bibliographic Details
Published in:International orthopaedics 2004-08, Vol.28 (4), p.218-221
Main Authors: Wiese, Matthias, Rubenthaler, Frank, Willburger, Roland Ernst, Fennes, Sabine, Haaker, Rolf
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthroplasty, Replacement, Hip
Arthroscopy
Bursitis - diagnostic imaging
Bursitis - surgery
Female
Fluoroscopy
Hip Joint - diagnostic imaging
Hip Joint - surgery
Humans
Male
Middle Aged
Original Paper
Treatment Outcome
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Summary:Between 1995 and 2000, we performed 45 endoscopic bursectomies in 42 patients (average age 51, range 17-61 years). All patients had at least 6 months of failed conservative treatment, and all responded positively to a sonographic-guided injection with Mepivacaine 0.5%. The bursa was removed using a synovial resector. An additional tractopexie was performed in four cases. We followed 37 patients for 12-48 months. Pre-operatively, the mean modified Japanese Orthopaedic Association (JOA) disability hip score was 40.5 points. It improved to 72.6 points after a mean of 25 months. Severe complications did not occur. The minimally invasive technique requires only stab incisions, and immobilisation and hospitalisation are minimal.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-004-0569-7