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The Journal of Bone and Joint Surgery, Vol 75, Issue 7 1034-1043, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
Lateral extensor release for tennis elbow. A prospective long-term follow-up study
J Verhaar, G Walenkamp, A Kester, H van Mameren and T van der Linden
Department of Orthopaedics, University Hospital Maastricht, The Netherlands.
A prospective study was done of the results of lateral release of the
common extensor origin in sixty-three patients who had a tennis elbow.
Fifty-seven of these patients were followed for a mean of fifty-nine months
(range, fifty to sixty-five months). At the time of the operation, the
extensor origin was macroscopically normal in all but six patients.
Forty-seven (76 per cent) of the sixty-two patients who were evaluated at
one year had no pain or only slight pain, whereas before the operation
three patients (5 per cent) had had slight pain and sixty (95 per cent),
severe pain. Of the fifty-seven patients who were re-examined after five
years, fifty-two (91 per cent) had no pain or only slight pain. At one
year, twenty patients (32 per cent) had an excellent over-all result;
twenty-three (37 per cent), a good result; twelve (19 per cent), a fair
result; and seven (11 per cent), a poor result. At five years, there were
thirty-two excellent results (56 per cent), nineteen good results (33 per
cent), four fair results (7 per cent), and two poor results (4 per cent).
No association between the preoperative findings and the results of the
operation was found. It was concluded that lateral extensor release, a
relatively simple operation that can be performed in an outpatient setting,
may be regarded at this time as the operative procedure with which other
operations for tennis elbow should be compared.

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