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Intraoperative Classification System Yields Favorable Outcomes for Patients Treated Surgically for Greater Trochanteric Pain Syndrome

Authors: Annin S, Lall AC, Meghpara MB, Maldonado DR, Shapira J, Rosinsky PJ, Ankem HK, Domb BG

DOI: 10.1016/j.arthro.2021.01.058

Background:

Greater trochanteric pain syndrome (GTPS) is a common source of lateral hip pain caused by tendon inflammation or tears. This study evaluates the use of the Lall intraoperative classification system to guide surgical treatment and predict patient outcomes.

Methods:

Patients undergoing surgery for GTPS between 2008-2018 were classified intraoperatively using the Lall system, which helped select the appropriate surgical procedure. Patient-reported outcomes were assessed postoperatively.

Key Findings:

  • Patients experienced significant improvement in pain and function after surgery.
  • The classification system effectively guided surgical decision-making and predicted favorable outcomes.
  • High patient satisfaction was reported.

Conclusions:

The Lall GTPS classification system is a useful tool to tailor surgical treatment, leading to better patient outcomes in GTPS.

What Does This Mean for Patients:

If you’re having surgery for hip pain due to GTPS, this classification system helps your surgeon choose the best treatment for your specific condition, improving your chances for a successful recovery.

What Does This Mean for Providers:

  • Incorporate the Lall GTPS classification system intraoperatively to optimize surgical treatment strategies.
  • Use the system to predict patient outcomes and set realistic expectations.
  • Tailor surgical interventions based on classification to improve pain relief and function.
  • The system enhances surgical decision-making and patient satisfaction in GTPS management.