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 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.
Wiese
Matthias
M
Department of Orthopaedic Surgery, Ruhr-University-Bochum, St Josef-Hospital, Gudrunstr. 56, 44791, Germany. matthias.wiese@ruhr-uni-bochum.de
Rubenthaler
Frank
F
Willburger
Roland Ernst
RE
Fennes
Sabine
S
Haaker
Rolf
R
D000293:Adolescent; D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D001182:Arthroscopy; D002062:Bursitis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome