J Korean Foot Ankle Soc.  2011 Jun;15(2):92-96.

Endoscopy versus Open Bursectomy of Lateral Malleolar Bursitis; Comparative Study

Affiliations
  • 1Department of Orthopedic Surgery, Veterans Hospital, Busan, Korea. boram20@gmail.com
  • 2Department of Orthopedic Surgery, KT Lee Orthopedic Hospital, Seoul, Korea.

Abstract

PURPOSE
To compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis, which was not treated conservatively.
MATERIALS AND METHODS
Between January 2008 and October 2009, We divided to two groups, endoscopy (group A) 11 cases, open bursectomy (group B) 11 cases. The average follow up period was 15 months (range, 12 to 18), the mean age was 66 (range, 38 to 79). We compared patients satisfaction, complete healing time, operation time, complications and recurrence.
RESULTS
Group A had significant difference in terms of the clinical satisfactions, complete healing time. operation time, complications. Group A showed satisfaction (excellent 9, good 2), mean complete healing time 11.9 (8~14) days, operation time 37 (25~45) minutes, 1 case recur. Group B showed satisfaction (excellent 4, good 3, fair 1, poor 3), complete healing time 32.7 (14~98) days, operation time 22 (18~26) minutes. complication were one case of skin necrosis, one case of wound dehiscence, two cases of superficial peroneal nerve injury, no recurrence. Significant advantages of endoscopic method include lower morbidity and rapid wound healing period (p<0.05).
CONCLUSION
Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favourable results compared to the open resection. Significant advantages of this method include lower morbidiy and rapid wound healing.

Keyword

Ankle; Lateral malleolar bursitis; Endoscopy; Open bursectomy

MeSH Terms

Animals
Ankle
Bursitis
Endoscopy
Follow-Up Studies
Humans
Necrosis
Peroneal Nerve
Recurrence
Skin
Wound Healing
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