Işikan U Erdem, Sarban Sezgin, Kocabey Yavuz
Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Harran University, Sanliurfa, Turkey.
Acta Orthop Traumatol Turc. 2005;39(2):128-32.
We evaluated the clinical and subjective functional results of open surgical treatment in patients with chronic refractory lateral epicondylitis.
Eleven patients (7 females, 4 males; mean age 42 years, range 29 to 56 years) underwent open surgical treatment for chronic refractory lateral epicondylitis. All the patients had received conservative treatment for at least a year without favorable response. Surgical procedure included release of the lateral extensor origin, excision of the degenerative tissue, decortication or drilling of the anterior lateral condyle, and repair of the extensor tendons. The results were evaluated according to the criteria proposed by Verhaar et al. The mean follow-up was 29 months (range 18 to 45 months).
The results were excellent or good in 10 patients (90.9%) and acceptable in one patient (9.1%). The mean time to return to work was two months. Nine patients were free of pain in the forearm in the postoperative third month. No wound-related complications were encountered. On subjective evaluations, 10 patients reported full satisfaction, and one patient reported partial satisfaction with the result of the treatment.
Open surgical procedure including release of the origins of the common extensor tendons and excision of the degenerative tissue yields favorable results in the treatment of patients with chronic refractory lateral epicondylitis.
我们评估了开放性手术治疗慢性难治性外侧上髁炎患者的临床和主观功能结果。
11例患者（7例女性，4例男性；平均年龄42岁，范围29至56岁）接受了慢性难治性外侧上髁炎的开放性手术治疗。所有患者均接受了至少一年的保守治疗，但效果不佳。手术步骤包括松解伸肌起点、切除退变组织、对外侧髁前部进行去皮质或钻孔以及修复伸肌腱。根据Verhaar等人提出的标准对结果进行评估。平均随访时间为29个月（范围18至45个月）。
10例患者（90.9%）结果为优或良，1例患者（9.1%）结果可接受。平均重返工作时间为两个月。9例患者在术后第三个月前臂无疼痛。未遇到与伤口相关的并发症。在主观评估中，10例患者对治疗结果表示完全满意，1例患者表示部分满意。
包括松解伸肌总腱起点和切除退变组织的开放性手术在治疗慢性难治性外侧上髁炎患者方面产生了良好的效果。
