Paper 22: Results of Endoscopic Lengthening of Fascia Lata and Trochanteric Bursectomy for the Treatment of Persistent Trochanteric Bursitis ARASH NABAVITABRIZI, MD, AUSTRALIA, PRESENTING AUTHOR · Sydney Bone and Join Clinic
Endoscopic lengthening of Fascia Lata and trochanteric bursectomy is an effective and safe treatment for recalciterant trochanteric bursitis.
Aim: This study describes a safe endoscopic technique for decompression of trochanteric bursa and presents the results of this procedure. Introduction: 30 patients who had failed nonoperative treatment for trochanteric bursitis were treated by endoscopic lengthening of fascia lata (FL) and trochanteric bursectomy. Two patients had also failed open decompressions performed at another institution prior to their endoscopic surgery. All patients took part in questionnaires pre operatively and at 3 months and twelve months.
Method: A two portal endoscopic procedure was performed in all subjects. A Cruciate incision was made in the FL hence lengthening it in three dimensions. A trochanteric bursectomy was then performed using a mechanical shaver.
Results: No patients were lost to follow up. At last review 28 patients rated their result as excellent, 2 patients had a fair result. There were no complications. The modified Harris hip score improved from 48 to 88, Nonarthritic hip score improved from 48 to 91, SF12 score improved from 31 to 47.
Conclusion: Endoscopic lengthening of FL and trochanteric bursectomy is a safe and effective procedure in relieving the symptoms of persistent trochanteric bursitis.