Indications for Surgery
Throughout the knee there are several bursae (fluid filled sacs) that function to lessen the friction between soft tissue structures and bone. Bursae can become inflamed and symptomatic with repetitive movements or direct contact, such as prolonged kneeling or a fall. Initial treatment consists of medication and ice to relieve the pain, stretching and strengthening exercises, and modification of the activity that initially caused the problem to occur. If symptoms persist or recur, withdrawing fluid from the bursa, with or without a steroid injection, may be needed. Bursae that persist despite conservative treatment, that recur, or that are infected may require surgical excision (removal).
Contraindications to Surgery
- Inability or unwillingness to complete an appropriate postoperative rehabilitation program
Potential Surgical Risks and Complications
- Infection
- Persistent knee stiffness (loss of knee motion), worse than before if not compliant with post-operative program
Hospitalization and Anesthesia
- Outpatient surgery (you go home the same day)
- IV Sedation and local anesthetic