Zingg Patrick O, Schneeberger Alberto G
Department of Orthopaedic Surgery, University of Zurich, Balgrist, Zurich, Switzerland.
J Shoulder Elbow Surg. 2006 May-Jun;15(3):347-50. doi: 10.1016/j.jse.2005.07.002.
Twenty-one patients treated for tennis elbow with debridement of the extensors, without repair of the affected tendons, and with decortication by drilling of the lateral epicondyle were reviewed retrospectively after a mean follow-up of 15 months (range, 11-33 months). The early postoperative period was characterized by a painful and slow recovery. At latest follow-up, 17 patients (81%) had a satisfactory outcome with no or only mild pain. Of the patients, 20 (95%) felt that they were better or much better compared with preoperatively. There were 2 complications: 1 hematoma that was aspirated and 1 temporary frozen shoulder. Debridement of the extensors and drilling of the lateral epicondyle relieved pain and restored function in the majority of the patients. However, recovery was slow and was never found to be immediate as described in other series of tennis elbow procedures where the extensors were simply released and the lateral epicondyle was not decorticated.
对21例因网球肘接受伸肌清创术（未修复受损肌腱）及外侧髁钻孔去皮质术治疗的患者进行了回顾性研究，平均随访15个月（范围11 - 33个月）。术后早期的特点是疼痛且恢复缓慢。在最近一次随访时，17例患者（81%）获得了满意的结果，无痛或仅有轻微疼痛。其中20例患者（95%）感觉与术前相比有所好转或明显好转。有2例并发症：1例血肿经抽吸处理，1例出现暂时性肩周炎。伸肌清创术及外侧髁钻孔术使大多数患者的疼痛得到缓解，功能得以恢复。然而，恢复过程缓慢，不像其他系列网球肘手术（仅松解伸肌且未对外侧髁进行去皮质术）所描述的那样能立即恢复。
