OUTCOME OF MODIFIED OPEN SURGERY IN TENNIS ELBOW

Muhammad Shoaib Khan, Haider Kamran, Shamsher Ali Khan, Mukhtar Ahmed, Alamzeb Khan, Mohammad Younas, Sadulah Khan

Abstract


Background: Tennis elbow is a common disorder of upper extremity. It can be treated
conservatively in majority of the patients but some resistant cases eventually need surgery.
Material & Methods: This descriptive study was conducted at Department of Orthopaedics,
Ayub Teaching Hospital, Abbottabad, from January 2002 to June 2006. Sixteen patients had
surgical release of the extensor tendon origin along with excision of the lateral epicondyle ridge.
These patients did not res pond to conservative treatment i.e. rest, non- steroidal anti inflammatory
drugs (NSAIDS), local steroid injections and physiotherapy. Patients were followed upto six
months. Outcome was graded as excellent, good and poor according to pain relief and function of
the hand. Results: Sixteen patients (17 elbows) were studied. Thirteen were female (81.25%) and
three were male (18.75%). Fifteen patients (93.75%) had unilateral Tennis Elbow, while one had
bilateral involvement (6.25%). In unilateral disease, right side was affected in eleven patients
(68.75%) and left side in four (25%). Excellent outcome was noticed in eleven patients (68.75%)
and good result in five patient (31.25% ). Conclusion: Open surgical technique of releasing
extensor tendon origin along with excision of lateral condylar ridge of the humerus is new and
simple procedure and yields excellent and good result in patients with resistant Tennis Elbow
Keywords: Tennis elbow, lateral, epicondylitis

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