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Archives of Orthopaedic and Trauma Surgery

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01-07-2012 | Orthopaedic Surgery

Endoscopic bursectomy for the treatment of septic pre-patellar bursitis: a case series

Authors: John P. Dillon, Ilan Freedman, James S. M. Tan, David Mitchell, Shaun English

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2012

Abstract

Introduction

Operative treatment for septic pre-patellar bursitis generally involves open debridement in addition to an extended course of intravenous antibiotics. Skin necrosis and wound breakdown are potential complications of this procedure in addition to scar sensitivity and a prolonged recovery.

Method

We report endoscopic bursectomy for the treatment of septic pre-patellar bursitis in eight patients over a 3-year period. All patients had microbiological confirmation of an infective process. The average age was 36 years (23–68 years). The average hospital stay was 6 days (4–9 days).

Results

No patient had a recurrence or complained of tenderness or hypoaesthesia around their wound. No patient experienced wound complications or skin necrosis. The average return to work time was 18 days (7–22 days).

Conclusion

We conclude that endoscopic bursectomy is a safe and effective treatment for septic pre-patellar bursitis with a shortened hospital stay and a quicker return to work than conventional open debridement.

Wilson-MacDonald J (1987) Management and outcome of infective prepatellar bursitis. Postgrad Med J 63(744):851–853PubMedCrossRef

Raddatq DA, Hoffman GS, Franck WA (1987) Septic bursitis: presentation, treatment and prognosis. J Rheumatol 14(6):1160–1163

Gendernalik JD, Sechriest VF 2nd (2009) Prepatellar septic bursitis: a case report of skin necrosis associated with open bursectomy. Mil Med 174(6):666–669PubMed

Gómez-Rodríguez N, Méndez-García MJ, Ferreiro-Seoane JL, Ibáñez-Ruán J, Penelas-Cortés Bellas Y (1997) Infectious bursitis: study of 40 cases in the pre-patellar and olecranon regions. Enferm Infecc Microbiol Clin 15(5):237–242PubMed

Huang YC, Yeh WL (2011) Endoscopic treatment of prepatellar bursitis. Int Orthop 35(3):355–358PubMedCrossRef

Ogilvie-Harris DJ, Gilbart M (2000) Endoscopic bursal resection: the olecranon bursa and prepatellar bursa. Arthroscopy 16(3):249–253PubMedCrossRef

Kaalund S, Breddam M, Kristensen G (1998) Endoscopic resection of the septic prepatellar bursa. Arthroscopy 14(7):757–758PubMedCrossRef

Knight JM, Thomas JC, Maurer RC (1986) Treatment of septic olecrannon and prepatellar bursitis with percutaneous placement of a suction-irrigation system. A report of 12 cases. Clin Orthop Relat Res (206):90–93

Ger R (1978) The skin incision in the excision of the prepatellar bursa. J Dermatol Surg Oncol 4(2):166–167PubMed

10.

Younger AS, Duncan CP, Masri BA (1998) Surgical exposure in revision total knee arthroplasty. J Am Acad Orthop Surg 6(1):55–64 (Review)PubMed

11.

Quayle JB, Robinson MP (1976) An operation for chronic prepatellar bursitis. J Bone Jt Surg Br 58(4):504–506

12.

Martinez-Taboada VM, Cabeza R, Cacho PM, Blanco R, Rodriguez-Valverde V (2009) Cloxacillin-based therapy in severe septic bursitis: retrospective study of 82 cases. Jt Bone Spine 76(6):665–669CrossRef

Title: Endoscopic bursectomy for the treatment of septic pre-patellar bursitis: a case series
Authors: John P. Dillon
Ilan Freedman
James S. M. Tan
David Mitchell
Shaun English
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-012-1494-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endoscopic bursectomy for the treatment of septic pre-patellar bursitis: a case series

Abstract

Introduction

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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