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Endoscopy versus Open Bursectomy of Lateral Malleolar Bursitis; Comparative Study
J Korean Foot Ankle Soc. 2011;15:92-96
Published online June 1, 2011
© 2011 J Korean Foot Ankle Soc.

Choi, Jae-Hyuck;Kim, Jeong-Ryoul;Kim, Dong-Hyun;Chung, Woo-Chull;Yoon, Jung-Ro;Oh, Seong-Rok;Lee, Kyung-Tai

Department of Orthopedic Surgery, Veterans Hospital, Busan, Korea
Received April 13, 2011; Revised May 7, 2011; Accepted May 11, 2011.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Ankle; Lateral malleolar bursitis; Endoscopy; Open bursectomy


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