[Arthroscopically assisted minimally invasive symphysioplasty for the treatment of pubic related groin pain]. / Arthroskopisch assistierte minimal-invasive Symphysioplastik zur Behandlung des schambeinbezogenen Leistenschmerzes.
Oper Orthop Traumatol
; 34(2): 109-116, 2022 Apr.
Article
in De
| MEDLINE
| ID: mdl-34878585
ABSTRACT
OBJECTIVE:
Therapy of pubic related groin pain via minimally invasive symphysioplasty. INDICATIONS Therapy of refractory pubic related groin pain based on osteitis pubis. CONTRAINDICATIONS Groin pain from causes other than pubic related groin pain. SURGICAL TECHNIQUE After a minimally invasive approach, an incision in the anterior capsule is made while protecting the dorsal capsule parts and the arcuate pubic ligament. The symphysis end plates are remodeled arthroscopically assisted using a surgical burr. The newly created pubic symphysis joint is filled with autogenous fibrin to support the formation of a new discus interpubicus. POSTOPERATIVE MANAGEMENT Partial weight-bearing for 4 weeks with 20â¯kg using crutches is recommended. During the first 4 weeks the range of motion should be restricted.RESULTS:
Since 2010, 10 athletes (7 men, 3 women; average age 34.1⯱ 7.8 (23-47) years) have undergone arthroscopically assisted minimally invasive symphysioplasty and treatment of femoroacetabular impingement syndrome. The average follow-up time was 5.1 (2-9) years. All patients returned to their sport level. The mean preoperative Nonarthritic Hip Score (NAHS) of 64.4⯱ 15.1 (32.1-86.5) points improved to a mean postoperative NAHS of 91.4⯱ 9.8 (62.4-98.75) points (pâ¯< 0.0001). The average patient satisfaction (scale 0 to 10; 10 highest satisfaction) was 9.8⯱ 0.4 (9-10).Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteitis
/
Athletic Injuries
Type of study:
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
De
Journal:
Oper Orthop Traumatol
Journal subject:
ORTOPEDIA
/
TRAUMATOLOGIA
Year:
2022
Document type:
Article