Patient satisfaction after open release of common extensor origin in treating resistant tennis elbow

Resistant tennis elbow has been an enigma for orthopaedic surgeons. Several treatment methods have been suggested. We assessed the outcome of open release in the management of resistant tennis elbows, based on patient satisfaction. Eighteen patients (24 elbows) who underwent open release were followed up. Surgery was done after a mean waiting time of 23 months from the onset of pain and an unsuccessful trial of non operative methods. Post operatively they were followed up for clinical improvement and complications. They were later contacted to assess effectiveness from the surgery. In fifteen patients (83%) excellent pain relief was achieved and they regained normal use of the limb. One patient (6%) had moderate improvement and two (11%) gained minimal benefit with persistent symptoms. There were no complications in this series. We conclude that despite recent advances, this time tested procedure still remains an excellent option when non-operative management has failed.