Closing Wedge Trochanteric Reduction Osteotomy for Treatment of Trochanteric Bursitis: A Case Report.

CASE: A 41-year-old patient presented with chronic, left-sided trochanteric bursitis, unresponsive to conservative treatments including intensive physiotherapy, local and systemic anti-inflammatory therapy, and neuromodulation. A novel surgical approach was used, involving an adducting trochanteric closing wedge osteotomy to reduce the lateral prominence of the greater trochanter without relevantly affecting the abductor lever arm. The procedure resulted in substantial symptom relief, with excellent functional outcomes.

CONCLUSION

This case underscores the potential of the adducting trochanteric closing wedge osteotomy as a potential biomechanical solution for recalcitrant trochanteric bursitis, providing durable pain relief and enhanced function.