Title: Surgical Management of Tennis Elbow- A Comparative Study
Authors: Dr Manoj Kumar R, Dr Sabarisree M
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.171
Abstract
Introduction: Tennis elbow denotes a symptom complex characterized by pain in the lateral epicondylar area of the elbow which is accentuated by active contraction or passive stretching of muscles originating from the involved epicondyle - also known as lateral epicondylitis.
Materials and Methods: A prospective study of 80 cases of tennis elbow not responding to conservative treatment was done at the Department of Orthopaedics, Govt Medical College, Thiruvananthapuram.
Results: At one year excellent results were found in 35% of closed tenotomy, 45% of open tenotomy, 50% of Nirschl's release and 55% of Boyd and McLeod release. Good results were obtained in 45% of closed tenotomy, 40% of open tenotomy, 35% of Nirschl's release and 40% of Boyd and McLeod release. Fair results were obtained in 10% each of closed tenotomy, open tenotomy and Nirschl's release, 5% of Boyd and McLeod release. Poor results were obtained in 10% of closed tenotomy, 5% each of open tenotomy and Nirschl's release. There was no poor result in Boyd and McLeod release.
Conclusion: Surgery is indicated in tennis elbow resistant to conservative treatment. Percutaneous release and open extensor release produce nearly as good result as Nirschl's release and Boyd and McLeod release. Open release produced slightly better results than percutaneous release as the aponeurosis is seen and released. Most of the patients benefited from surgery.
Keywords: Tennis elbow, Nirschls release, Boyds and McLeods release.
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