Multicenter Outcomes of Endoscopic Pubic Symphysectomy for Osteitis Pubis Associated With Femoroacetabular Impingement
Authors
Matsuda DK, Ribas M, Matsuda NA, Domb BG
DOI: 10.1016/j.arthro.2015.02.005
Purpose
To evaluate the clinical outcomes of patients with both femoroacetabular impingement (FAI) and osteitis pubis (OP) treated with combined arthroscopic FAI surgery and endoscopic pubic symphysectomy.
Methods
A retrospective multicenter case series of 7 adult athletic patients (mean age 33) who underwent concurrent arthroscopic FAI surgery and endoscopic pubic symphysectomy. Outcomes included pain measured by the visual analog scale (VAS), hip function via the Non-Arthritic Hip Score (NAHS), patient satisfaction, complications, and radiographic assessment over a mean follow-up of 2.9 years.
Key Findings
- VAS pain scores improved significantly from 6.7 preoperatively to 1.5 postoperatively (P = .03).
- NAHS improved significantly from 50.2 to 84.7 points (P = .03).
- Mean patient satisfaction was 8.3/10.
- Two patients had transient scrotal swelling; no other complications or pelvic instability noted.
- One patient required pubic symphyseal arthrodesis due to persistent pain.
Conclusion
Endoscopic pubic symphysectomy is a minimally invasive and effective treatment for osteitis pubis in athletic patients and can be safely performed alongside arthroscopic FAI surgery.
What This Means for Patients
Athletes suffering from both FAI and osteitis pubis may achieve significant pain relief and functional improvement through combined minimally invasive surgeries, reducing recovery time and complications.