The Journal of Bone and Joint Surgery, Vol 71, Issue 3 358-364, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Wedge resection of the symphysis pubis for the treatment of osteitis pubis
JN Grace, FH Sim, TC Shives and MB Coventry
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
Ten patients had a wedge resection of the symphysis pubis for the treatment
of symptoms of osteitis pubis that had been recalcitrant to non-operative
treatment for at least six months. Preoperatively, the average duration of
symptoms was thirty-two months. The symptoms included a waddling gait and
crepitus, pain, and tenderness over the symphysis pubis. The early
radiographic signs of the disease were rarefaction of the adjacent pubic
bones and widening of the symphysis pubis. Later signs included sclerosis
and narrowing of the symphyseal joint space. Pathological examination of
the resected joint revealed chronic inflammatory reaction in all patients.
At an average of fourteen months postoperatively, all of the patients had
marked improvement and were fully active. However, at an average of
ninety-two months postoperatively, three of the ten patients were not
satisfied with the result. One patient needed bilateral sacro-iliac
arthrodesis for pain that was caused by instability.
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