title: Coccygectomy with or without periosteal resection.
abstract: The purpose of this study was to compare the clinical outcomes and wound complications in coccygectomy with or without subperiosteal resection. This retrospective study included 25 patients who underwent coccygectomy. Resection of all mobile coccygeal segments including the periosteum was performed in 11 patients (group 1) and resection was performed subperiostally sparing the periosteum in the remaining 14 patients (group 2). A visual analogue scale was used for pain assessment before and after the surgery both in sitting and standing positions. A questionnaire to evaluate subjective patient satisfaction was also used. The two groups were statistically similar in terms of age, sex, aetiology, duration of symptoms before surgery and follow-up time. Both surgical techniques resulted in a statistically similar clinical outcome. Overall, 84% of patients who underwent coccygectomy benefited from surgery. We observed four wound infections (two superficial and two deep) that caused delayed wound healing in group 1. The rate of infection in group 1 was statistically higher than in group 2. The results of this study suggest that periosteal preservation and closure are related to low risk of infection.
authors.affiliation: Department of Orthopaedics, GATA, Ankara, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Bilgic
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kurklu
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Yurttaş
authors.forename: Huseyin
authors.initials: H
authors.lastname: Ozkan
authors.forename: Erbil
authors.initials: E
authors.lastname: Oguz
authors.forename: Ali
authors.initials: A
authors.lastname: Sehirlioglu
mesh_terms: D000328:Adult; D003050:Coccyx / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D010521:Periosteum / Q000601:surgery*; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult