Document Detail

Distal fascia lata lengthening: an alternative surgical technique for recalcitrant trochanteric bursitis.
MedLine Citation:
PMID:  19214507     Owner:  NLM     Status:  MEDLINE    
This article presents a simple technique for fascia lata lengthening that is less aggressive, can be performed under local anaesthetic with little morbidity and disability, and has excellent results. Eleven patients (13 hips) were enrolled in this study. Mean age was 54.6 years, there was one man and ten women. Outcomes were assessed by using a visual analog pain scale, Harris hip score and Lickert scale (satisfaction). There was a mean follow-up time of 43 months (range 15-84). All patients were scored by the Harris hip scale with a mean improvement from 61 (range 48-77) to 91 (range 76-95) after surgery. The mean visual analogue scale (VAS) score improved from 83 (range 60-99) to 13 (range 0-70). We had 12 of 13 patients reporting a good result. Mean surgical time was 15 min, and only one seroma was reported as a complication. No inpatient management was needed. In conclusion, distal "Z" lengthening of the fascia lata appears to be a good alternative for treatment of this condition.
Juan Pretell; Javier Ortega; Ramón García-Rayo; Carlos Resines
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Publication Detail:
Type:  Journal Article     Date:  2009-02-12
Journal Detail:
Title:  International orthopaedics     Volume:  33     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-12-22     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1223-7     Citation Subset:  IM    
Orthopaedic Surgery, Doce de Octubre Hospital, Calle Juan de Urbieta 26 2 degrees Izquierda, 28007, Madrid, Spain.
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MeSH Terms
Arthroscopy / adverse effects,  methods*
Bursitis / complications,  physiopathology,  surgery*
Fascia Lata / surgery*
Hip Joint / physiopathology,  surgery*
Middle Aged
Motor Activity
Pain / etiology,  physiopathology,  surgery
Pain Measurement
Postoperative Complications
Range of Motion, Articular
Severity of Illness Index
Comment In:
Int Orthop. 2009 Oct;33(5):1467   [PMID:  19412617 ]

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