OUTCOME OF MODIFIED OPEN SURGERY IN TENNIS ELBOW
AbstractBackground: Tennis elbow is a common disorder of upper extremity. It can be treatedconservatively 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 hadsurgical 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 inflammatorydrugs (NSAIDS), local steroid injections and physiotherapy. Patients were followed upto sixmonths. Outcome was graded as excellent, good and poor according to pain relief and function ofthe hand. Results: Sixteen patients (17 elbows) were studied. Thirteen were female (81.25%) andthree were male (18.75%). Fifteen patients (93.75%) had unilateral Tennis Elbow, while one hadbilateral 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 releasingextensor tendon origin along with excision of lateral condylar ridge of the humerus is new andsimple procedure and yields excellent and good result in patients with resistant Tennis ElbowKeywords: Tennis elbow, lateral, epicondylitis
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