title: Distal fascia lata lengthening: an alternative surgical technique for recalcitrant trochanteric bursitis.
abstract: This article presents a simple technique for fascia lata lengthening that is less aggressive, can be performed under local anaesthetic with little morbidity and disability, and has excellent results. Eleven patients (13 hips) were enrolled in this study. Mean age was 54.6 years, there was one man and ten women. Outcomes were assessed by using a visual analog pain scale, Harris hip score and Lickert scale (satisfaction). There was a mean follow-up time of 43 months (range 15-84). All patients were scored by the Harris hip scale with a mean improvement from 61 (range 48-77) to 91 (range 76-95) after surgery. The mean visual analogue scale (VAS) score improved from 83 (range 60-99) to 13 (range 0-70). We had 12 of 13 patients reporting a good result. Mean surgical time was 15 min, and only one seroma was reported as a complication. No inpatient management was needed. In conclusion, distal "Z" lengthening of the fascia lata appears to be a good alternative for treatment of this condition.
authors.affiliation: Orthopaedic Surgery, Doce de Octubre Hospital, Calle Juan de Urbieta 26 2 degrees Izquierda, 28007, Madrid, Spain. el_giova23@yahoo.com
authors.forename: Juan
authors.initials: J
authors.lastname: Pretell
authors.forename: Javier
authors.initials: J
authors.lastname: Ortega
authors.forename: Ramón
authors.initials: R
authors.lastname: García-Rayo
authors.forename: Carlos
authors.initials: C
authors.lastname: Resines
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000009:adverse effects / Q000379:methods*; D002062:Bursitis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005206:Fascia Lata / Q000601:surgery*; D005260:Female; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010146:Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D010147:Pain Measurement; D011183:Postoperative Complications; D016059:Range of Motion, Articular; D012720:Severity of Illness Index