Bankes M J, Jessop J H
Department of Orthopaedics, Watford General Hospital, Hertfordshire, UK.
Arch Orthop Trauma Surg. 1998;117(4-5):250-1. doi: 10.1007/s004020050238.
The results of day-case lateral release for resistant tennis elbow were evaluated in 20 patients after an average follow-up of 16 months. Using the outcome criteria of Verhaar et al. [4] an excellent result was obtained in 55%, a good result in 35% and a fair result in 10%, with all patients benefiting from surgery. We believe surgery should be offered at an earlier stage in the treatment of tennis elbow, with the simple and effective nature of the operation providing little justification for persisting with conservative treatment. With hindsight, three-quarters of our patients would have preferred earlier surgical referral.
对20例顽固性网球肘患者进行日间门诊外侧松解术,平均随访16个月后评估结果。采用Verhaar等人[4]的疗效标准,55%的患者结果优秀,35%的患者结果良好,10%的患者结果尚可,所有患者均从手术中获益。我们认为,在网球肘治疗中应更早地提供手术治疗,手术简单有效,没有理由坚持保守治疗。事后看来,我们四分之三的患者更希望能更早转诊接受手术。