title: Endoscopic Pubic Symphysectomy for Recalcitrant Osteitis Pubis.
abstract: Recalcitrant osteitis pubis presents a challenging problem for orthopaedic surgeons. Various surgical interventions have been described for treatment, including opening-wedge resection, symphysiodesis, and curettage. We propose that endoscopic pubic symphysectomy offers an effective method of treating such a challenging problem. This article describes in detail the technique used to perform endoscopic pubic symphysectomy, and a companion video demonstrating the procedure is included. Our experience suggests that removal of the interpubic fibrocartilaginous lamina and resection of approximately 1 cm of bone can successfully eliminate all sources of pain and dysfunction caused by the recalcitrant osteitis pubis.
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A.
authors.forename: Asheesh
authors.initials: A
authors.lastname: Gupta
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A.
authors.forename: John M
authors.initials: JM
authors.lastname: Redmond
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A.
authors.forename: Jon E
authors.initials: JE
authors.lastname: Hammarstedt
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A.
authors.forename: Carlos
authors.initials: C
authors.lastname: Suarez-Ahedo
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Martin
authors.affiliation: DISC Sports and Spine Center, Marina del Rey, California, U.S.A.
authors.forename: Dean K
authors.initials: DK
authors.lastname: Matsuda
authors.affiliation: American Hip Institute, Westmont, Illinois, U.S.A. ; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A. ; Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, U.S.A.
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Domb