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TROCHANTERIC REDUCTION OSTEOTOMY FOR RESISTANT CHRONIC GREATER TROCHANTERIC BURSITIS



Abstract

Aim: To present the results of trochanteric reduction osteotomy for treatment of resistant trochanteric bursitis.

Methods: Trochanteric reduction osteotomy was performed on ten patients. All patients had been conservatively managed for at least one year with analgesics, anti-inflammatory medications and local steroid injections. All these measures however failed to relieve patients symptoms. The senior author performed trochanteric reduction osteotomy and the osteotomy site was fixed using screws. Patients were assessed pre and postoperatively with a minimum follow-up of six months using oxford hip and modified UCLA scores.

Results and Conclusions: Patient demography, patient selection, surgical technique and results will be presented. All patients were followed-up for a minimum period of six months at regular intervals before being discharged. Early results are very encouraging. Trochanteric reduction osteotomy is a good treatment option in the management of resistant GT bursitis who do not respond to conservative treatment as most of the patients were disabled before operation.

Editoral Secretary Mr Peter Howard. Correspondence should be addressed to BHS at the Royal College of Surgeons, 35 - 43 Lincoln’s Inn Fields, London WC2A 3PN.