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Iliotibial band syndrome - demotion of the lateral femoral epicondyle as a surgical alternative

MOJ Orthopedics & Rheumatology
Sergio Mainine, Nilo Eiji Nakamura Toldo, Luis Eduardo Plumacher Diaz

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Objective: Demonstrate an alternative surgery technique for the treatment of Iliotibial band syndrome (ITBS) refractory to conservative treatment, through the lowering of the lateral femoral epicondyle. Methods: From 2005 and 2017, it was analyzed 9 patients diagnosed with ITBS refractory to conservative treatment. They underwent surgery using the main author’s own technique (SM), which consists of lowering the lateral femoral epicondyle (LFE), with a mean follow-up time of 13 years, ranging from 5.5 to 16.6 years. They were assessed pre- and postoperatively for pain and return to sports activities. Results: All 9 patients had immediate relief from the pain caused by ITBS. On average, three months after the surgery they were returning to their daily activities and sport practices. Conclusion: The proposal technique of the demotion of the LFE showed excellent and immediate results in post op and long term related to pain and the return to sports activities. We believe that this technique is a great alternative for chronic and refractory cases of ITBS


iliotibial band syndrome, knee lateral pain, iliotibial band