What the study found
Endoscopic pubic symphysectomy was associated with symptom relief, improved patient-reported outcomes, and a high return-to-sport rate in patients with refractory osteitis pubis at a minimum 2-year follow-up.
Why the authors say this matters
The authors conclude that the study suggests this procedure may be a useful treatment option for refractory osteitis pubis, and that it was associated with clinical improvement and return to sport in this patient group.
What the researchers tested
The researchers retrospectively analyzed prospectively collected data from patients who had endoscopic pubic symphysectomy for osteitis pubis between May 2012 and September 2021. They reviewed preoperative and at least 2-year postoperative questionnaires, including the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports-Specific Subscale, International Hip Outcome Tool-12 (iHOT-12), visual analog scale, and patient satisfaction, and they also analyzed return-to-sport outcomes.
What worked and what didn't
Among 14 included patients, all experienced symptom relief, and there were significant improvements in mHHS, NAHS, and iHOT-12. Patient satisfaction was high, with a mean score of 8.5 ± 2.7, and many patients reached the minimal clinically important difference for several outcome measures.
What to keep in mind
This was a retrospective case series with Level IV evidence, and the sample was small (14 patients). The abstract does not describe a comparison group, and limitations beyond this are not described in the available summary.
Key points
- Fourteen patients were included in the study.
- All included patients experienced symptom relief after endoscopic pubic symphysectomy.
- Patient-reported outcomes improved significantly for mHHS, NAHS, and iHOT-12.
- The overall return-to-sport rate was 75%, and all patients who tried to return were able to do so within 1 year.
- Mean patient satisfaction was 8.5 ± 2.7.
Disclosure
- Research title:
- Endoscopic pubic symphysectomy improved function and return to sport
- Image credit:
- Photo by Funkcinės Terapijos Centras on Pexels
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