Endoscopic Pubic Symphysectomy for Recalcitrant Osteitis Pubis

• Main Authors: Asheesh Gupta, M.D., M.P.H., John M. Redmond, M.D., Jon E. Hammarstedt, B.S., Carlos Suarez-Ahedo, M.D., Timothy J. Martin, M.A., Dean K. Matsuda, M.D., Benjamin G. Domb, M.D.
• Format: Article
• Language: English
• Published: Elsevier 2015-04-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S2212628714001376

Recalcitrant osteitis pubis presents a challenging problem for orthopaedic surgeons. Various surgical interventions have been described for treatment, including opening-wedge resection, symphysiodesis, and curettage. We propose that endoscopic pubic symphysectomy offers an effective method of treating such a challenging problem. This article describes in detail the technique used to perform endoscopic pubic symphysectomy, and a companion video demonstrating the procedure is included. Our experience suggests that removal of the interpubic fibrocartilaginous lamina and resection of approximately 1 cm of bone can successfully eliminate all sources of pain and dysfunction caused by the recalcitrant osteitis pubis.