Riff Andrew J, Saltzman Bryan M, Cvetanovich Gregory, Frank Jonathan M, Hemu Mohamad R, Wysocki Robert W
Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL.
Am J Orthop (Belle Mead NJ). 2018 Jun;47(6). doi: 10.12788/ajo.2018.0043.
This study was performed to compare outcomes of open, arthroscopic, and percutaneous surgical techniques for lateral epicondylitis. We searched PubMed (MEDLINE) for literature published between January 1, 2004 and May 23, 2015 using these key words: lateral epicondylitis AND (surgery OR operative OR surgical OR open OR arthroscopic OR percutaneous). Meta-analyses were performed for outcomes reported in 3 studies using 2-sample and 2-proportion Z-tests. Thirty-five studies including 1640 elbows (1055 open, 401 arthroscopic, 184 percutaneous) met the inclusion criteria. There were no differences between groups regarding duration to return to work, complication rate, or patient satisfaction. A greater proportion of patients were pain free in the open group than in the arthroscopic group (70% vs 60%). Despite the absence of a difference among techniques regarding return to work and subjective function, we recommend open débridement as the technique most likely to achieve a pain-free outcome.
本研究旨在比较开放性、关节镜下和经皮手术技术治疗外侧上髁炎的疗效。我们使用关键词“外侧上髁炎 AND（手术 OR 手术的 OR 外科手术的 OR 开放的 OR 关节镜的 OR 经皮的）”在PubMed（MEDLINE）上检索了2004年1月1日至2015年5月23日发表的文献。对3项研究报告的结果进行荟萃分析，采用双样本和双比例Z检验。35项研究纳入标准，共涉及1640例肘部患者（1055例开放性手术、401例关节镜手术、184例经皮手术）。在恢复工作时间、并发症发生率或患者满意度方面，各组之间没有差异。开放性手术组无痛患者的比例高于关节镜手术组（70%对60%）。尽管在恢复工作和主观功能方面，不同技术之间没有差异，但我们建议开放性清创术是最有可能实现无痛结局的技术。
