Trochanteric reduction osteotomy as a treatment for refractory trochanteric bursitis

被引:35
作者
Govaert, LHM
van der Vis, HM
Marti, RK
Albers, GHR
机构
[1] Ziekenhuis Hilversum, Dept Orthopaed & Trauma Surg, NL-1213 XZ Hilversum, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Orthopaed Surg, NL-1105 AZ Amsterdam, Netherlands
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2003年 / 85B卷 / 02期
关键词
D O I
10.1302/0301-620X.85B2.13474
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe a new operative procedure for patients with chronic trochanteric bursitis. Between March 1994 and May 2000, a trochanteric reduction osteotomy was performed on ten patients (12 hips). All had received conservative treatment for at least one year. Previous surgical treatment with a longitudinal release of the iliotibial band combined with excision of the trochanteric bursa had been performed on five hips. None had responded to these treatments. The mean follow-up was 23.5 months (6 to 77). The mean Merle d'Aubigne and Postel score improved from 15.8 (8 to 20) before to 27.5 (18 to 30) after operation, six patients showing very great improvement, five great improvement and one fair improvement. We conclude that trochanteric reduction osteotomy is a safe and effective procedure for patients with refractory trochanteric bursitis who do not respond to conservative treatment.
引用
收藏
页码:199 / 203
页数:5
相关论文
共 13 条
[1]  
BROOKER F, 1979, J HOPKINS MED J, V145
[2]   RUNNERS INJURIES .2. EVALUATION AND TREATMENT OF SPECIFIC INJURIES [J].
CLANCY, WG .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1980, 8 (04) :287-289
[3]   Trochanteric transfer in total hip replacement: Effects on the moment arms and force-generating capacities of the hip abductors [J].
Free, SA ;
Delp, SL .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1996, 14 (02) :245-250
[4]  
GLASSMAN AH, 1992, ORTHOP CLIN N AM, V23, P321
[5]  
GORDON E J, 1961, Clin Orthop, V20, P193
[6]  
Kramer KL, 1993, SCORES BEWERTUNGSSCH, P190
[7]   DISTAL TRANSFER OF THE GREATER TROCHANTER [J].
MACNICOL, MF ;
MAKRIS, D .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (05) :838-841
[8]  
RITTER MA, 1981, CLIN ORTHOP RELAT R, P177
[9]   THE SNAPPING HIP SYNDROME [J].
SCHABERG, JE ;
HARPER, MC ;
ALLEN, WC .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1984, 12 (05) :361-365
[10]   Trochanteric bursitis (greater trochanter pain syndrome) [J].
Shbeeb, MI ;
Matteson, EL .
MAYO CLINIC PROCEEDINGS, 1996, 71 (06) :565-569