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KMID : 1130920110150020092
Journal of Korean Foot and Ankle Society
2011 Volume.15 No. 2 p.92 ~ p.96
Endoscopy versus Open Bursectomy of Lateral Malleolar Bursitis; Comparative Study
Choi Jae-Hyuck

Kim Heong-ryoul
Kim Dong-Hyun
Chung Woo-Chull
Yoon Jung-Ro
Oh Seong-rok
Lee Kyung-Tai
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
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