Arthroscopically assisted minimally invasive symphysioplasty for the treatment of pubic related groin pain

Abstract

Therapy of pubic related groin pain via minimally invasive symphysioplasty. Therapy of refractory pubic related groin pain based on osteitis pubis. Groin pain from causes other than pubic related groin pain. After aminimally invasive approach, an incision in the anterior capsule is made while protecting the dorsal capsule parts and the arcuate pubic ligament. The symphysis end plates are remodeled arthroscopically assisted using asurgical burr. The newly created pubic symphysis joint is filled with autogenous fibrin to support the formation of anew discus interpubicus. Partial weight-bearing for 4weeks with 20 kg using crutches is recommended. During the first 4weeks the range of motion should be restricted. Since2010, 10athletes (7men, 3women; average age 34.1 ± 7.8 (23-47) years) have undergone arthroscopically assisted minimally invasive symphysioplasty and treatment of femoroacetabular impingement syndrome. The average follow-up time was 5.1 (2-9) years. All patients returned to their sport level. The mean preoperative Nonarthritic Hip Score (NAHS) of 64.4 ± 15.1 (32.1-86.5) points improved to amean postoperative NAHS of 91.4 ± 9.8 (62.4-98.75) points (p < 0.0001). The average patient satisfaction (scale0 to10; 10highest satisfaction) was 9.8 ± 0.4 (9-10).