Long-term results of surgical therapy of epicondylitis humeri radialis using the technique described by Mittelmeier

Introduction: Tennis elbow is one of the most common stress induced pathological findings in patients consulting an orthopaedic surgeon. In refractory cases operation is indicated after conservative treatment. Several operative techniques have been published. We prefer the technique described by Mittelmeier. Aim of this study is to show long-term results of operative therapy of the tennis elbow using this technique. Patients and method: Between 1.1.1980 and 31.12.1992 we performed 115 outpatient operations for epicondylitis humeri radialis using the technique described by Mittelmeier. After a mean follow-up of 15,3 years we could examine 98 patients according to the score of Roles and Maudsley. Results: We found excellent results in 47%, good results in 43% and fair results in 10% of the evaluated cases. All patients had a benefit concerning the operation. There was one infection as a serious complication which led to revision. Conclusion: In epicondylitis humeri radialis surgical therapy according to Mittelmeier leads to good long-term results and can be recommended for persistent radial epicondylitis.