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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.
AuthorsP D Dunkow, M Jatti, B N Muddu
JournalThe Journal of bone and joint surgery. British volume (J Bone Joint Surg Br) Vol. 86 Issue 5 Pg. 701-4 (Jul 2004) ISSN: 0301-620X [Print] England
PMID15274267 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
Topics
  • Adult
  • Analysis of Variance
  • Elbow Joint (surgery)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Prospective Studies
  • Tendons (surgery)
  • Tennis Elbow (surgery)
  • Treatment Outcome

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