The Boyd–McLeod procedure for tennis elbow: mid- to long-term results

Abstract

Background: Tennis elbow is a common condition that usually responds to conservative measures. In refractory cases, surgical intervention is indicated. A plethora of surgical techniques have been described. We report the mid-to longterm outcomes of the Boyd-McLeod procedure for refractory tennis elbow. Methods: A retrospective analysis and current review of patients that had undergone the Boyd-McLeod procedure over a 12-year period was undertaken. Demographics, time to discharge, length of follow-up and outcome scores were collected. Results: Seventy patients underwent surgery. Mean time to discharge was 15.35 weeks, with 88% successful outcomes. Fifty-four patients were available for current follow-up at mean of 5.52 years (range 1.17 years to 11.49 years). Range of motion in all patients was unchanged. There were no revision procedures. Mean (SD) Mayo Elbow Performance Score was 90.85 (13.11), with 75.5% returning a good or excellent score and 24.5% a fair outcome. The mean (SD) Oxford Elbow Score was 44.04 (6.92); mean (SD) pain score was 89.5 (17.58); mean (SD) function score was 95.34 (9.59) and mean (SD) socio-psychological score was 91.50 (17.01). Overall, 83% of patients had an Oxford Elbow Score of 43 or greater, suggesting excellent outcome. Conclusions: We show that the Boyd-McLeod procedure is an excellent option over both the short-and long-term for refractory tennis elbow.

Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

“…According to the literature, recurrence after minimally invasive procedures can be as low as 0% (0/36) 34 for a short-term follow-up of 1 year and can be as high as 26% (8/31) 7 for longer follow-up of 5.2 years. Open surgery has been shown to have lower recurrence rates, ranging from 0% (0/70 at 5 years) 16 to 5% (2/40 at 2 years). 30 Recurrence after spontaneous recovery without definitive intervention has been reported as 8.5% at 2 years.…”

“…14 Long-term outcomes of treatment for tendinopathy remain scarce in the literature and have largely been reported only for open procedures. 16 The majority of studies have reported follow-up of only 52 weeks or fewer. 3,10,20,33,34,36 Good results at 14 years' follow-up of the Nirschl surgical technique have been reported, emphasizing the need to remove the diseased tissue to effectively treat elbow tendinopathy.…”

“…Long-term outcomes of treatment for tendinopathy remain scarce in the literature and have largely been reported only for open procedures. 16 The majority of studies have reported follow-up of only 52 weeks or fewer. 3,10,20,33,34,36…”

Diagnosis and Management Pattern of Lateral Epicondylitis in a Tertiary Care Center

“…Various studies also found higher incidence of tennis elbow over 40 years and this is related to age. 7,[9][10][11] For the management of tennis elbow, there was use of NSAIDS, Steroids and surgery. It was practiced individually or in combined form according to need and severity of patients.…”

A retrospective comparative study on arthroscopic suture anchors repair and tendon debridementversusarthroscopic tendon debridement for treatment of recalcitrant lateral epicondylitis

“…10 Release and debridement of the ECRB tendons have been documented with satisfactory short-to long-term clinical outcomes. [11][12][13][14][15][16][17] However, a failure rate of 15% was reported due to persistent pain and loss of function. Monto contributed the failure to no reattachment of the ECRB tendon back to the lateral epicondyle.…”