Lee Hw, Yang I, Liu Y, et al. - This study was attempted to assess the clinical outcomes of patients with intractable lateral malleolar bursitis who were treated using the intraoperative saline load test to find communication between the bursal sac and the ankle joint and the quilting sutures after bursectomy to reduce the dead space. Between April 2014 and June 2017, a total of 28 patients were examined who had been treated with quilting sutures after bursectomy. Using the saline load test and quilting sutures after bursectomy, intractable lateral malleolar bursitis was successfully treated. The results revealed that the closure of the capsular opening prevented fluid drainage around the wound. After bursectomy, quilting sutures decreased dead space underneath the wound to prevent fluid accumulation and promoted healing of the skin on the underlying soft tissue.