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[Endoscopic therapy of pre-patellar bursitis]
1Sportkrankenhaus Hellersen, Abteilung Sportmedizin.
Summary
Endoscopic bursectomy is a successful treatment for prepatellar bursitis when conservative methods fail. This minimally invasive technique offers a promising alternative for athletes and workers, enabling a quicker return to activities.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Minimally invasive procedures
Context:
- Prepatellar bursitis commonly arises from sports or occupational activities.
- Conservative treatments are often insufficient for persistent cases.
- Open bursa removal has traditionally been the surgical option.
Purpose:
- To evaluate the efficacy of arthroscopic bursectomy for prepatellar bursitis.
- To describe the surgical technique, postoperative care, and patient outcomes.
- To assess the feasibility of endoscopic bursectomy as an outpatient procedure.
Summary:
- Twenty-two arthroscopic bursectomies were performed over five years.
- The study details the endoscopic surgery, postoperative management, and therapeutic results.
- Follow-up revealed successful outcomes in 21 patients, with one requiring open surgery for recurrence.
Impact:
- Arthroscopic bursectomy is a less radical and effective treatment for prepatellar bursitis.
- Professional athletes returned to sport in an average of 24 days.
- Average return-to-work time was 18 days, highlighting the procedure's efficiency.