A comparison of open and percutaneous techniques in the surgical treatment of tennis elbow

Abstract

We conducted a prospective, randomised, controlled trial of 45 patients (47 elbows), with tennis elbow, who underwent either a formal open release or a percutaneous tenotomy. All patients had pre- and post-operative assessment using the Disability of Arm, Shoulder and Hand (DASH) scoring system. Both groups were followed up for a minimum of 12 months. Statistical analyses using the Mann-Whitney U test and repeated measured ANOVA showed significant improvements for patient satisfaction (p = 0.012), time to return to work (p = 0.0001), improvements in DASH score (p = 0.001) and improvement in sporting activities (p = 0.046) in the percutaneous group. Those patients undergoing a percutaneous release returned to work on average three weeks earlier and improved significantly more quickly than those undergoing an open procedure. The percutaneous procedure is a quicker and simpler procedure to undertake and produces significantly better results.

Outcome of Boyd-McLeod procedure for recalcitrant lateral epicondylitis of elbow

“…Percutaneous extensor tenotomy for chronic tennis elbow preformed as an office procedure under local or general anaesthesis is a simple procedure resulting in good result, quick recovery and minimal complications [13][14][15]. Dunkow et al reported better results and quicker recovery with precutaneous release in a radomised comparative trial…”

“…between percutaneous and open releases [14]. Difficulty in visualisation and isolating ECRB tendon from common extensor origin is a drawback with percutaneous tenotomy [16].…”

Ortopedi ve travmatolojide şok dalga tedavisi

“…Bir yıllık izlemde, cerrahi uygulanan farklılıklar içermektedir. [72,73] Şok dalga tedavisi ile lateral epikondilit tedavisinde de %90,9'a varan başarılı sonuçlar bildirilmiştir. İnvaziv bir girişim olmaması ve bildirilen düşük komplikasyon oranları kullanım sıklı-ğını arttırmıştır.…”

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

“…However, with the advent of percutaneous techniques, shorter procedural times and improved aesthetic outcomes became possible. Furthermore, there is evidence to suggest that percutaneous tenotomy is as safe and effective as the open procedure.It is notable that the extent of the tendinous portion divided in the muscle of interest appears directly correlated with increased postoperative mobility [54,55] . In animal studies, ultrasoundguided percutaneous tenotomy has been shown to increase complete tendon transection and decrease damage to surrounding structures compared to palpation-guided tenotomy (63).…”

“…A brief listing of clinical indications and contraindications for percutaneous tenotomy are listed in Table 5. A comprehensive discussion of this topic is beyond the scope of this review [53][54][55][56][57][58][59][60][61][62][63] . Percutaneous tenotomy is ideally performed at the bedside or in an outpatient setting.…”