Personal observation of patients who underwent open olecranon or prepatellar bursectomy revealed several of these patients had difficulty with the healing of their incision. The literature reveals that the most common complication is with the wound. This article describes an arthroscopic technique for the resection of subcutaneous olecranon and prepatellar bursae. The original article described the results of this technique in a series of six patients. This article includes those patients and five more whose cases are reviewed. The pathophysiology of subcutaneous bursae, conservative treatment, the operative technique, both open and arthroscopic, and the results of the operations are discussed.
"Witonski  suggested an arthroscopic resection of prepatellar bursitis of traumatic origin with good cosmetic results and economic advantages (reduced costs, time-saving and shortened hospital stays). Kerr et al.  reported that arthroscopic bursectomy could prevent wound problems [11–16]; however, their patients needed hospitalisation and general anaesthesia. "
[Show abstract][Hide abstract] ABSTRACT: Operative treatment of prepatellar bursitis is indicated in intractable bursitis. The most common complication of surgical treatment for prepatellar bursitis is skin problems. For traumatic prepatellar bursitis, we propose a protocol of outpatient endoscopic surgery under local anaesthesia. From September 1996 to February 2001, 60 cases of failed nonoperative treatment for prepatellar bursitis were included. The average age was 33.5 ± 11.1 years (range 21-55). The average operation duration was 18 minutes. Two to three mini-arthroscopic portals were used in our series. No sutures or a simple suture was needed for the portals after operation. After follow-up for an average of 36.3 months, all patients are were symptom-free and had regained knee function. None of the population had local tenderness or hypo-aesthesia around their wound. Their radiographic and sonographic examinations showed no recurrence of bursitis. Outpatient arthroscopic bursectomy under local anaesthesia is an effective procedure for the treatment of post-traumatic prepatellar bursitis after failed conservative treatments. Both the cosmetic results and functional results were satisfactory.
International Orthopaedics 03/2011; 35(3):355-8. DOI:10.1007/s00264-010-1033-5 · 2.11 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Endoscopic surgery of the limbs. Creation of a space to work in is necessary for endoscopic surgery. In orthopedics, the joints have long been the privileged sites of ar- throscopic treatment. However, subacromial decompression or the endoscopic treatment of carpal tunnel syndrome have been used for many decades and have shown that it is possible to work outside of the articulations. At the end of 2003 we held a symposium with the French Society of Arthroscopy to better define the possibility of endoscopic surgery outside of the joints in orthopaedic practice. These techniques are rarely practised and, in general, fewer than 10 surgeons have more than an anecdotal experience. However, we believe that these techniques, rather than being isolated and without a future, are the beginning of a new era. Extra-articular endoscopy is only part of the development of mini-invasive surgery. The en- doscope is the technical means to control and/or realize less inva- sive procedures, believed to lessen morbidity.
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