Vicente Carratalá , Francisco Javier Lucas , Ignacio Miranda , Javier Ignacio Ortego , Eduardo Sánchez-Alepuz
{"title":"关节镜治疗与开放手术治疗外侧上髁炎。前瞻性队列研究","authors":"Vicente Carratalá , Francisco Javier Lucas , Ignacio Miranda , Javier Ignacio Ortego , Eduardo Sánchez-Alepuz","doi":"10.1016/j.reaca.2016.11.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To compare the results between arthroscopic and open surgery in the treatment of lateral epicondylitis.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted on 30 patients treated with lateral epicondylitis, in which rehabilitation treatment during 3 months had failed. They were distributed into 2 groups: open surgery and arthroscopic surgery.</p></div><div><h3>Results</h3><p>The mean age of the patients was 47.63<!--> <!-->±<!--> <!-->1.19, 17 women and 13 men, with a mean follow-up time of 69.07<!--> <!-->±<!--> <!-->4.01 days. Preoperative pain (visual analogue scale (VAS) 9.27<!--> <!-->±<!--> <!-->0.12) decreased (<em>p</em> <!--><<!--> <!-->.001) with both techniques a week after surgery (7,33<!--> <!-->±<!--> <!-->0,25 in open surgery and 3.40<!--> <!-->±<!--> <!-->0.21 in arthroscopic) and at the time of discharge (2.00<!--> <!-->±<!--> <!-->0.20 in open surgery and 1.33<!--> <!-->±<!--> <!-->0.16 in arthroscopic), this decline being significantly higher one week after surgery (<em>p</em> <!--><<!--> <!-->.001), and at the time of discharge (<em>p</em> <!-->=<!--> <!-->.03) in arthroscopic surgery than in open surgery. Pre-operative functionality (Mayo Elbow Performance Score (MEPS) 45.00<!--> <!-->±<!--> <!-->0.98 in open surgery and 44.00<!--> <!-->±<!--> <!-->0.87 in arthroscopic surgery) significantly improved (<em>p</em> <!--><<!--> <!-->.001) in both groups after surgery (87.67<!--> <!-->±<!--> <!-->1.45 in open surgery and 90.33<!--> <!-->±<!--> <!-->1.98 in arthroscopic surgery), with no significant differences between the two groups. The time to discharge for the return to work activity was significantly lower (<em>p</em> <!-->=<!--> <!-->.004) in arthroscopic surgery (58.87<!--> <!-->±<!--> <!-->4.15 days) than in open surgery (79.27<!--> <!-->±<!--> <!-->5.88 days).</p></div><div><h3>Conclusions</h3><p>In patients with lateral epicondylitis, pain and functionality improved with both techniques. Relief of pain was greater with arthroscopic surgery than with open surgery, with no significant differences in functionality scores at the time of discharge between the two groups. Post-operative time to discharge was significantly lower with arthroscopic surgery than with open surgery.</p></div><div><h3>Level of evidence</h3><p>II.</p></div><div><h3>Clinical relevance</h3><p>Arthroscopic surgery of lateral epicondylitis achieves as good functional results, but with less pain, and also an earlier return to work activity than open surgery.</p></div>","PeriodicalId":101107,"journal":{"name":"Revista Espa?ola de Artroscopia y Cirugía Articular","volume":"23 2","pages":"Pages 96-102"},"PeriodicalIF":0.0000,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.reaca.2016.11.001","citationCount":"2","resultStr":"{\"title\":\"Tratamiento artroscópico versus tratamiento mediante cirugía abierta de la epicondilitis lateral. Estudio de cohortes prospectivo\",\"authors\":\"Vicente Carratalá , Francisco Javier Lucas , Ignacio Miranda , Javier Ignacio Ortego , Eduardo Sánchez-Alepuz\",\"doi\":\"10.1016/j.reaca.2016.11.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To compare the results between arthroscopic and open surgery in the treatment of lateral epicondylitis.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted on 30 patients treated with lateral epicondylitis, in which rehabilitation treatment during 3 months had failed. They were distributed into 2 groups: open surgery and arthroscopic surgery.</p></div><div><h3>Results</h3><p>The mean age of the patients was 47.63<!--> <!-->±<!--> <!-->1.19, 17 women and 13 men, with a mean follow-up time of 69.07<!--> <!-->±<!--> <!-->4.01 days. Preoperative pain (visual analogue scale (VAS) 9.27<!--> <!-->±<!--> <!-->0.12) decreased (<em>p</em> <!--><<!--> <!-->.001) with both techniques a week after surgery (7,33<!--> <!-->±<!--> <!-->0,25 in open surgery and 3.40<!--> <!-->±<!--> <!-->0.21 in arthroscopic) and at the time of discharge (2.00<!--> <!-->±<!--> <!-->0.20 in open surgery and 1.33<!--> <!-->±<!--> <!-->0.16 in arthroscopic), this decline being significantly higher one week after surgery (<em>p</em> <!--><<!--> <!-->.001), and at the time of discharge (<em>p</em> <!-->=<!--> <!-->.03) in arthroscopic surgery than in open surgery. Pre-operative functionality (Mayo Elbow Performance Score (MEPS) 45.00<!--> <!-->±<!--> <!-->0.98 in open surgery and 44.00<!--> <!-->±<!--> <!-->0.87 in arthroscopic surgery) significantly improved (<em>p</em> <!--><<!--> <!-->.001) in both groups after surgery (87.67<!--> <!-->±<!--> <!-->1.45 in open surgery and 90.33<!--> <!-->±<!--> <!-->1.98 in arthroscopic surgery), with no significant differences between the two groups. The time to discharge for the return to work activity was significantly lower (<em>p</em> <!-->=<!--> <!-->.004) in arthroscopic surgery (58.87<!--> <!-->±<!--> <!-->4.15 days) than in open surgery (79.27<!--> <!-->±<!--> <!-->5.88 days).</p></div><div><h3>Conclusions</h3><p>In patients with lateral epicondylitis, pain and functionality improved with both techniques. Relief of pain was greater with arthroscopic surgery than with open surgery, with no significant differences in functionality scores at the time of discharge between the two groups. Post-operative time to discharge was significantly lower with arthroscopic surgery than with open surgery.</p></div><div><h3>Level of evidence</h3><p>II.</p></div><div><h3>Clinical relevance</h3><p>Arthroscopic surgery of lateral epicondylitis achieves as good functional results, but with less pain, and also an earlier return to work activity than open surgery.</p></div>\",\"PeriodicalId\":101107,\"journal\":{\"name\":\"Revista Espa?ola de Artroscopia y Cirugía Articular\",\"volume\":\"23 2\",\"pages\":\"Pages 96-102\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.reaca.2016.11.001\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Espa?ola de Artroscopia y Cirugía Articular\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2386312916300287\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espa?ola de Artroscopia y Cirugía Articular","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2386312916300287","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Tratamiento artroscópico versus tratamiento mediante cirugía abierta de la epicondilitis lateral. Estudio de cohortes prospectivo
Purpose
To compare the results between arthroscopic and open surgery in the treatment of lateral epicondylitis.
Methods
A prospective cohort study was conducted on 30 patients treated with lateral epicondylitis, in which rehabilitation treatment during 3 months had failed. They were distributed into 2 groups: open surgery and arthroscopic surgery.
Results
The mean age of the patients was 47.63 ± 1.19, 17 women and 13 men, with a mean follow-up time of 69.07 ± 4.01 days. Preoperative pain (visual analogue scale (VAS) 9.27 ± 0.12) decreased (p < .001) with both techniques a week after surgery (7,33 ± 0,25 in open surgery and 3.40 ± 0.21 in arthroscopic) and at the time of discharge (2.00 ± 0.20 in open surgery and 1.33 ± 0.16 in arthroscopic), this decline being significantly higher one week after surgery (p < .001), and at the time of discharge (p = .03) in arthroscopic surgery than in open surgery. Pre-operative functionality (Mayo Elbow Performance Score (MEPS) 45.00 ± 0.98 in open surgery and 44.00 ± 0.87 in arthroscopic surgery) significantly improved (p < .001) in both groups after surgery (87.67 ± 1.45 in open surgery and 90.33 ± 1.98 in arthroscopic surgery), with no significant differences between the two groups. The time to discharge for the return to work activity was significantly lower (p = .004) in arthroscopic surgery (58.87 ± 4.15 days) than in open surgery (79.27 ± 5.88 days).
Conclusions
In patients with lateral epicondylitis, pain and functionality improved with both techniques. Relief of pain was greater with arthroscopic surgery than with open surgery, with no significant differences in functionality scores at the time of discharge between the two groups. Post-operative time to discharge was significantly lower with arthroscopic surgery than with open surgery.
Level of evidence
II.
Clinical relevance
Arthroscopic surgery of lateral epicondylitis achieves as good functional results, but with less pain, and also an earlier return to work activity than open surgery.
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