68 Participants Needed

Arthroscopic Surgery vs Non-Operative Treatment for Tennis Elbow

KM
JW
Overseen ByJ W Pollock, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Ottawa Hospital Research Institute

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the treatment Arthroscopic tennis elbow release for tennis elbow?

Research shows that arthroscopic surgery for tennis elbow, compared to open surgery, allows patients to return to work earlier and requires less postoperative therapy, with similar good or excellent outcomes in most cases.12345

Is arthroscopic surgery for tennis elbow safe?

Arthroscopic surgery for tennis elbow generally has a low complication rate of about 1.1%, making it a relatively safe option for treating this condition.12678

How does arthroscopic surgery differ from other treatments for tennis elbow?

Arthroscopic surgery for tennis elbow is unique because it allows doctors to see inside the joint and address any additional issues while specifically targeting the affected tendon. This minimally invasive approach typically results in less pain and a quicker return to normal activities compared to traditional open surgery.12459

What is the purpose of this trial?

We propose a randomized, double-blind controlled trial comparing arthroscopic release with arthroscopic debridement for the management of chronic tennis elbow in an effort to definitively determine whether arthroscopic tennis elbow release is an effective treatment of tennis elbow, and to further provide better recommendations for the use of this procedure, in an effort to improve patient care.

Research Team

JW

J W Pollock, MD

Principal Investigator

The Ottawa Hospital

Eligibility Criteria

This trial is for individuals who have been experiencing tennis elbow symptoms for at least 9 months and haven't improved with standard treatments. It's not suitable for those with workers' compensation claims, previous severe elbow injuries or surgeries, or other conditions that better explain their symptoms.

Inclusion Criteria

I have had tennis elbow symptoms for over 6 months and treatments haven't worked.
I am over 18 years old and my bones have stopped growing.
Provision of informed consent

Exclusion Criteria

I have tennis elbow on both arms.
I am able to understand and provide consent, and can reliably complete questionnaires.
Alternative diagnosis that better explain their symptoms
See 3 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo either arthroscopic tennis elbow release or non-operative management

Immediate post-operative period

Follow-up

Participants are monitored for safety and effectiveness after treatment

24 months

Treatment Details

Interventions

  • Arthroscopic tennis elbow release
  • Non operative
Trial Overview The study is comparing two surgical methods to treat chronic tennis elbow: arthroscopic release versus arthroscopic debridement. Participants will be randomly assigned to one of the procedures in a double-blind setting to determine which is more effective.
Participant Groups
2Treatment groups
Active Control
Placebo Group
Group I: Arthroscopic tennis elbow releaseActive Control1 Intervention
This group will have arthroscopic tennis elbow release through a standard, two-portal technique,
Group II: Non OperativePlacebo Group1 Intervention
control group will not undergo a second portal or muscle release.

Arthroscopic tennis elbow release is already approved in European Union, United States, Canada for the following indications:

🇪🇺
Approved in European Union as Arthroscopic tennis elbow release for:
  • Chronic lateral epicondylitis
  • Tennis elbow
🇺🇸
Approved in United States as Arthroscopic tennis elbow release for:
  • Chronic lateral epicondylitis
  • Tennis elbow
🇨🇦
Approved in Canada as Arthroscopic tennis elbow release for:
  • Chronic lateral epicondylitis
  • Tennis elbow

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ottawa Hospital Research Institute

Lead Sponsor

Trials
585
Recruited
3,283,000+

Findings from Research

A systematic review of 34 studies involving 1508 patients with lateral epicondylitis found no significant difference in pain relief and functional outcomes between open and arthroscopic surgery techniques.
However, the arthroscopic procedure was associated with significantly fewer postoperative complications compared to the open surgery method (33.4% vs 57.3%), suggesting it may be a safer option for patients.
Clinical Outcomes of Open versus Arthroscopic Surgery for Lateral Epicondylitis, Evidence from a Systematic Review.Moradi, A., Pasdar, P., Mehrad-Majd, H., et al.[2022]
In a study of 61 patients who underwent open surgical release for tennis elbow, 96.7% reported symptom improvement post-surgery, indicating the procedure is highly effective.
Patients with diabetes mellitus experienced worse outcomes, including higher pain scores, reduced grip strength, and increased recurrence rates, highlighting the need for careful preoperative counseling for diabetic patients.
Functional outcome assessment after open tennis elbow release: what are the predictor parameters?Siddiqui, MA., Koh, J., Kua, J., et al.[2011]
In a study of 87 patients with resistant lateral epicondylitis, both open and arthroscopic release procedures showed similar outcomes, with 69% of open cases and 72% of arthroscopic cases achieving good or excellent results.
Patients who underwent arthroscopic release returned to work sooner and needed less postoperative therapy compared to those who had open release, suggesting a potential advantage in recovery time with the arthroscopic approach.
Lateral epicondylitis: a comparative study of open and arthroscopic lateral release.Peart, RE., Strickler, SS., Schweitzer, KM.[2022]

References

Clinical Outcomes of Open versus Arthroscopic Surgery for Lateral Epicondylitis, Evidence from a Systematic Review. [2022]
Functional outcome assessment after open tennis elbow release: what are the predictor parameters? [2011]
Lateral epicondylitis: a comparative study of open and arthroscopic lateral release. [2022]
Surgical Treatment of Tennis Elbow; Minimal Incision Technique. [2020]
The Three-Portal Technique in Arthroscopic Lateral Epicondylitis Release. [2020]
Complications of Lateral Epicondylar Release. [2022]
Arthroscopic tennis elbow release. [2022]
LATERAL EPICONDYLITIS OF THE ELBOW. [2022]
Midterm Results of Arthroscopic Treatment for Recalcitrant Lateral Epicondylitis of the Elbow. [2022]
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