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Open tennis elbow release surgery (in chronic case)
Yingyong Torudom1, Arunwong Thepchatri
1Department of Orthopeadics, Faculty of Medicine, Srinakharindwirot University, Nakhon Nayok, Thailand. torudom@hotmail.com
Summary
Open tennis elbow surgery effectively relieves pain and improves grip strength in patients who failed conservative treatment. This surgical release procedure demonstrates a low complication rate, offering a viable solution for refractory cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Elbow Surgery
Background:
- Tennis elbow (lateral epicondylitis) often fails to resolve with conservative management.
- Surgical intervention is considered for persistent symptoms despite non-operative treatments.
Purpose of the Study:
- To evaluate the outcomes of open surgical release for tennis elbow.
- To assess pain reduction and grip strength improvement post-surgery.
- To determine the complication rate associated with the procedure.
Main Methods:
- Retrospective analysis of 22 patients undergoing open tennis elbow surgery.
- Data collected included age, sex, symptom duration, pain scores (Visual Analogue Scale), and grip strength.
- Grip strength was measured using a digital hand dynamometer.
Main Results:
- Significant reduction in mean Visual Analogue Scale pain scores at one month post-surgery (p < 0.05).
- Statistically significant increases in grip strength observed at one, two, and six months post-operation (p < 0.05).
- One case of superficial wound infection successfully treated with oral antibiotics.
Conclusions:
- Open surgical release is an effective treatment for tennis elbow refractory to conservative care.
- The procedure is associated with a low rate of complications.
- Surgical intervention offers significant pain relief and functional recovery.