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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2005 / Cilt: 16 - Sayı: 3

The results of extensor release with cortical drilling for lateral epicondylitis resistant to conservative treatment

Konservatif tedaviye dirençli lateral epikondilitte ekstansör gevşetme ve kortikal dirillemenin sonuçları

Aziz VATANSEVER
Güvenir OKCU
Hüseyin S. YERCAN
Uğur ÖZİÇ
Pages
188–193
Publication Date
2022-10-18
DOI
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The mean follow-up period was 26 months (range 13 to 54 months).Results: The mean severity score of pain decreased significantly from 88.5 preoperatively to 14.2 postoperatively (p

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Objective & Hypothesis:Objectives: We evaluated the results of open lateral extensor release with cortical drilling in patients with lateral epicondylitis resistant to conservative treatment.Patients and methods: The study included 17 elbows of 16 patients (14 females, 2 males; mean age 43 years; range 30 to 55 years) who underwent surgical treatment with open release following unsuccessful conservative treatment for at least 12 months.
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Key Findings & Data:The mean duration of complaints prior to surgery was 13 months (range 12 to 16 months).
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Conclusion & Impact:The mean follow-up period was 26 months (range 13 to 54 months).Results: The mean severity score of pain decreased significantly from 88.5 preoperatively to 14.2 postoperatively (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: We evaluated the results of open lateral extensor release with cortical drilling in patients with lateral epicondylitis resistant to conservative treatment.Patients and methods: The study included 17 elbows of 16 patients (14 females, 2 males; mean age 43 years; range 30 to 55 years) who underwent surgical treatment with open release following unsuccessful conservative treatment for at least 12 months. The mean duration of complaints prior to surgery was 13 months (range 12 to 16 months). Surgery included extensor tenotomy distal to the lateral epicondyle with two or three holes drilled through the cortex of the lateral epicondyle. No postoperative immobilization was used. The results were assessed by comparison of preoperative and postoperative severity of pain and according to the modified functional criteria of Verhaar et al. The mean follow-up period was 26 months (range 13 to 54 months).Results: The mean severity score of pain decreased significantly from 88.5 preoperatively to 14.2 postoperatively (p

Özet

Amaç: Konservatif tedaviye yanıt vermeyen dirsek lateral epikondilitinde açık cerrahi teknikle uygulanan ekstansör tenotomi ve kortikal dirillemenin sonuçları değerlendirildi.Hastalar ve yöntemler: Çalışmaya, en az 12 ay süreyle uygulanan konservatif tedaviye yanıt alınamadığı için açık cerrahi teknikle tedavi edilen 16 hastanın (14 kadın, 2 erkek; ort. yaş 43; dağılım 30-55) 17 dirseği alındı. Cerrahi öncesi yakınmaların süresi ortalama 13 aydı (dağılım 12-16 ay). Tüm olgularda açık cerrahi teknikle lateral epikondil distalinden ekstansör tenotomiden sonra epikondile 2-3 adet dirilleme yapıldı. Ameliyat sonrasında immobilizasyon uygulanmadı. Tedavi sonuçlarının değerlendirilmesinde ameliyat öncesi ve sonrası ağrı şiddetinin karşılaştırılması ve Verhaar ve ark.nın fonksiyonel değerlendirme ölçütlerinin modifikasyonu kullanıldı. İzlem süresi ortalama 26 ay (dağılım 13-54 ay) idi.Bulgular: Ameliyat öncesinde 88.5 olan ağrı şiddeti ortalaması son kontrolde anlamlı derecede düşük (ort. 14.2) bulundu (p

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Cite This Article

VATANSEVER, A., OKCU, G., YERCAN, H. S., ÖZİÇ, U. (2022). The results of extensor release with cortical drilling for lateral epicondylitis resistant to conservative treatment. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 16 - Sayı: 3, 188–193. https://ajindex.com/articles/498863

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References (17)

  1. Gabel GT, Morrey BF. Tennis elbow. Instr Course Lect 1998;47:165-72
  2. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg [Am] 1999;81:259-78
  3. Verhaar J, Walenkamp G, Kester A, van Mameren H, van der Linden T. Lateral extensor release for tennis elbow. A prospective long-term follow-up study. J Bone Joint Surg [Am] 1993;75:1034-43
  4. Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg [Am] 1979;61:832-9
  5. Okcu G, Yercan HS, Öziç U. Tenisçi dirseğinde tekli ve çoklu lokal kortikosteroid enjeksiyonlarının karşılaştırılması. Artroplasti Artroskopik Cerrahi 2002;13:158-63
  6. Baumgard SH, Schwartz DR. Percutaneous release of the epicondylar muscles for humeral epicondylitis. Am J Sports Med 1982;10:233-6
  7. Savoie FH 3rd. Management of lateral epicondylitis with percutaneous release. Techniques in Shoulder & Elbow Surgery 2001;2:243-6
  8. Grundberg AB, Dobson JF. Percutaneous release of the common extensor origin for tennis elbow. Clin Orthop Relat Res 2000;(376):137-40
  9. Bankes MJ, Jessop JH. Day-case simple extensor origin release for tennis elbow. Arch Orthop Trauma Surg 1998;117:250-1
  10. Rosenberg N, Henderson I. Surgical treatment of resistant lateral epicondylitis. Follow-up study of 19 patients after excision, release and repair of proximal common extensor tendon origin. Arch Orthop Trauma Surg 2002;122:514-7
  11. Owens BD, Murphy KP, Kuklo TR. Arthroscopic release for lateral epicondylitis. Arthroscopy 2001;17:582-7
  12. Kaminsky SB, Baker CL Jr. Lateral epicondylitis of the elbow. Techniques in Hand & Upper Extremity Surgery 2003;7:179-89
  13. Keizer SB, Rutten HP, Pilot P, Morre HH, v Os JJ, Verburg AD. Botulinum toxin injection versus surgical treatment for tennis elbow: a randomized pilot study. Clin Orthop Relat Res 2002;(401):125-31
  14. Almquist EE, Necking L, Bach AW. Epicondylar resection with anconeus muscle transfer for chronic lateral epicondylitis. J Hand Surg [Am] 1998;23:723-31
  15. Rayan GM, Coray SA. V-Y slide of the common extensor origin for lateral elbow tendonopathy. J Hand Surg [Am] 2001;26:1138-45
  16. Oztuna V, Milcan A, Eskandari MM, Kuyurtar F. Percutaneous extensor tenotomy in patients with lateral epicondylitis resistant to conservative treatment. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:336-40
  17. Cohen MS,