Trochanteric Bursitis Surgery
A Patient's Guide to Trochanteric Bursitis Surgery
IntroductionThe bump of bone on the outside of the
This guide will help you understand
AnatomyWhy did my trochanteric bursa become a problem?
Where friction must occur between muscles, tendons, and bones, there is usually a
Walking causes the gluteus maximus to pull on the tendon. If the tendon is tight, it will start to press and rub against the greater trochanteric bursa. It is unclear why the tendon becomes tight. The rubbing causes friction to build in the greater
View animation of rubbing on the
Friction can also start if the outer hip muscle (gluteus medius) is weak, if one leg is longer than the other, or if you run on banked (slanted) surfaces.
Related Document: A Patient's Guide to Hip Anatomy
RationaleWhat does the surgeon hope to achieve?
The primary goal of the surgical procedure for this condition is to remove the thickened bursa, to remove any bone spurs (knobby outgrowths) that may have formed on the greater trochanter, and to relax the large tendon of the gluteus maximus. Some surgeons prefer to simply lengthen the tendon a bit, and some prefer to remove a section of the tendon that rubs directly on the greater trochanter. Both procedures give good results by taking pressure off the bursa.
PreparationWhat do I need to do before surgery?
The decision to proceed with surgery must be made jointly by you and your surgeon. You need to understand as much about the procedure as possible. If you have concerns or questions, you should talk to your surgeon.
Once you decide on surgery, you need to take several steps. Your surgeon may suggest a complete physical examination by your regular doctor. This exam helps ensure that you are in the best possible condition to undergo the operation.
On the day of your surgery, you will probably be admitted to the hospital early in the morning. You shouldn't eat or drink anything after midnight the night before. The amount of time patients spend in the hospital varies. You will need to stay until your medical condition has stabilized and you can safely use crutches or a walker.
Surgical ProcedureWhat happens during the operation?
Before surgery begins, you will be given anesthesia. There are two basic options: a general anesthetic (one that puts you to sleep) or a regional block (one that numbs the area to be worked on). For hip surgery the most common type of regional anesthetic available is either a spinal block or an epidural block. Both of these regional blocks numb the body from the waist down.
If you choose to have a regional anesthetic, you may also be given medication to allow you to drift off to sleep if you are anxious. Either type of anesthetic can be used to perform this procedure. Be sure to discuss this with your surgeon.
To begin the surgical procedure, an incision is made in the side of the thigh over the area of the greater trochanter. The surgeon continues the incision through the tissues that lie over the bursa.
The tendon is then split so that the trochanteric bursa and the bone of the greater trochanter can be seen. The tendon is split lengthwise. The bursa sac is removed. The bone of the greater trochanter is smoothed, and any bone spurs are removed.
ComplicationsWhat might go wrong?
As with all major surgical procedures, complications can occur. This document doesn't provide a complete list of the possible complications, but it does highlight some of the most common problems. Some of the most common complications following surgery for trochanteric bursitis include
Most surgical procedures require that some type of anesthesia be done before surgery. A very small number of patients have problems with anesthesia. These problems can be reactions to the drugs used, problems related to other medical complications, and problems due to the anesthesia. Be sure to discuss the risks and your concerns with your anesthesiologist.
Thrombophlebitis (Blood Clots)
Thrombophlebitis, sometimes called deep venous thrombosis (DVT), can occur after any operation, but it is more likely to occur following surgery on the hip, pelvis, or knee. DVT occurs when the blood in the large veins of the leg forms blood clots. This may cause the leg to swell and become warm to the touch and painful. If the blood clots in the veins break apart, they can travel to the lung, where they lodge in the capillaries and cut off the blood supply to a portion of the lung. This is called a pulmonary embolism. (Pulmonary means lung, and embolism refers to a fragment of something traveling through the vascular system.) Most surgeons take preventing DVT very seriously. There are many ways to reduce the risk of DVT, but probably the most effective is getting you moving as soon as possible. Two other commonly used preventative measures include
Any operation carries a small risk of infection. This procedure is no different. You will probably be given antibiotics before the operation to reduce the risk of infection. If an infection occurs you will most likely need antibiotics to cure the infection. You may need additional operations to drain the infection if it involves the area around the hip.
Nerve or Blood Vessel Injury
Several smaller nerves travel in the area where the surgery is performed. It is possible to injure the nerves during surgery, but this is extremely unlikely during this type of surgery. Nerve problems may well be temporary if the nerves have been stretched by retractors holding them out of the way. It is rare to have permanent injury to the nerves, but it is possible.
Failure of the Operation
This operation may not be successful. All operations have a chance of failure, and this operation is no different. Even after going through the procedure, you may continue to have pain from trochanteric bursitis. This is clearly not the expected outcome, and the majority of patients are relieved by the procedure.
After SurgeryWhat happens after surgery?
After surgery, your hip will be covered with a padded dressing. Try to avoid a lot of activity within the first week after surgery. Support your outer hip with a pillow when you sit or recline. During this time, you may also be instructed to use crutches to keep from placing weight on your hip while you stand or walk.
Keep the dressing on your hip until you return to the surgeon. Avoid getting the stitches wet. Your stitches will be removed 10 to 14 days after surgery. If your surgeon chooses to use dissolvable stitches, these will not need to be removed.
RehabilitationWhat should I expect during my recovery?
Rehabilitation after surgery can be a slow process. You will probably need to attend physical therapy sessions for several weeks, and you should expect full recovery to take several months. Getting the hip moving as soon as possible is important. However, this must be balanced with the need to protect the healing muscles and tissues.
Ice and electrical stimulation treatments may be used during your first few therapy sessions to help control pain and swelling from the surgery. Your therapist may also use massage and other hands-on treatments to ease muscle spasm and pain.
Treatments include range-of-motion exercises and gradually work into active stretching and strengthening. Active therapy starts two to three weeks after surgery. You may begin with light isometric strengthening exercises. These exercises work the muscles without straining the healing tissues.
At about four weeks you may start doing more active strengthening. Exercises focus on improving the strength and control of the buttock and hip muscles. Your therapist will help you retrain these muscles to keep the ball of the femur moving smoothly in the socket.
Some of the exercises you'll do are designed get your hip working in ways that are similar to your work tasks and sport activities. Your therapist will help you find ways to do your tasks that don't put too much stress on your hip. Before your therapy sessions end, your therapist will teach you a number of ways to avoid future problems.
*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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