Surgical Management of a Large Chronic Prepatellar Bursitis: 2-Stage Technique

Abstract

Treatment of a large chronic prepatellar bursitis can be difficult to manage surgically because of a high rate of local complications and a significant chance of recurrence. We present a 2-stage technique using negative pressure dressings which produced a good outcome with no recurrence at one year after surgery.

An Unusually Massive Haemorrhagic Superficial Infrapatellar Bursa Excised in a One-stage Procedure: Case Report

“…Skin compromise is a devastating complication following surgical excision of bursae over the anterior aspect of the knee [ 16 ], prompting the use of endoscopic [ 17 ], and two-stage open [ 18 ] procedures for these cases. Quayle and Robinson suggested excision of the posterior wall of the bursa only, leaving the anterior wall with its overlying skin undisturbed [ 19 ].…”

“…Quayle and Robinson suggested excision of the posterior wall of the bursa only, leaving the anterior wall with its overlying skin undisturbed [ 19 ]. Senthilkumaran and Hamilton reported the use of the two-stage technique for the management of a large chronic prepatellar bursitis in a 62-year-old male patient [ 16 ]. However, Uçkay et al, studying cases of moderate to severe septic olecranon and prepatellar bursitis, asserted the safety, efficiency, and resource effectiveness of bursectomy with primary closure, reporting higher rates of wound dehiscence with the use of a two-stage technique for olecranon bursitis compared to the use of a one-stage technique [ 18 ].…”