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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Recalcitrant lateral epicondylitis: Early results of a new technique combining ultrasonographic percutaneous tenotomy with Platelet-Rich Plasma injection
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Recalcitrant lateral epicondylitis: Early results of a new technique combining ultrasonographic percutaneous tenotomy with Platelet-Rich Plasma injection

机译：顽固性外侧上con炎：超声技术经皮经皮腱膜切开术与富血小板血浆注射结合的新技术的早期结果

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Aim: We hypothesized in this prospective study that the addition of an injection of PRP to a percutaneous epicondylar tenotomy under ultrasound control would optimize the results with an early gain on pain, strength, and with a rapid return to professional activities at three months postoperative. Backround: Surgical treatment of patients with recalcitrant epicondylitis remains difficult with suboptimals results. Recently, minimally invasive treatments such as percutaneous epicondylar tenotomy and PRP injections have been described. Few studies have examined the combination of the two techniques especially under ultrasound. Methods: 261 patients with recalcitrant lateral epicondylitis were treated by percutaneous epicondylar tenotomy under ultrasound control, coupled with an injection of PRP. We analyzed prospectively the evolution of pain on the visual analogue scale (VAS-P), the functional scores: Quick DASH, PRTEE and MEPS, patient satisfaction (Self Evaluation Elbow), the grip strength and return to work. Results: At 3 months follow up significants improvements were observed in all scores. VAS-P decreased by 3.4 points (SD 2.2; p &0.0001) QuickDash decreased by 32.9 points (SD 18.9, 56.1 to 23.1; p &0.0001) PRTEE droped by 14.8 points (SD 19.1, 49.8 to 26.4; p = 0.017) MEPS rose 19.4 points (SD 13.1, 67.4 to 86.9; p &0.0001) Grip strength gained 8.3 Kg (SD 10.7; p&0.0001) and increased by 26% (SD 0.60, 0,7 to 0.96; p &0.0001) compared to the opposite side. Improvement rate perceived by the patient (SEE) was 78.3% (SD 19.4). Conclusion: Treatment of recalcitrant epicondylitis by percutaneous tenotomy combined with PRP injection under ultrasound control provides rapid recovery on pain and force with a high satisfaction rate at 3 months postoperative.
机译：目的：我们在这项前瞻性研究中假设，在超声控制下向经皮epi上腱膜切开术中添加PRP注射可以优化结果，并在术后三个月内使患者尽早获得疼痛，力量并迅速恢复专业活动。背景：顽固性上con炎患者的手术治疗仍然困难，结果欠佳。最近，已经描述了微创治疗，例如经皮epi上腱膜切开术和PRP注射。很少有研究检查这两种技术的结合，尤其是在超声检查下。方法：对261例顽固性外侧lateral上炎患者在超声控制下经皮epi上腱膜切开术，并注射PRP。我们以视觉模拟量表（VAS-P），功能评分：Quick DASH，PRTEE和MEPS，患者满意度（自我评估肘部），握力和恢复工作来对疼痛的发展进行前瞻性分析。结果：随访3个月，所有评分均显着改善。 VAS-P下降3.4点（SD 2.2; p <0.0001）QuickDash下降32.9点（SD 18.9，56.1至23.1; p <0.0001）PRTEE下降14.8点（SD 19.1，49.8至26.4; p = 0.017） ）MEPS上升19.4点（SD 13.1，67.4至86.9; p <0.0001）握力增加8.3 Kg（SD 10.7; p <0.0001）并增加26％（SD 0.60，0.7至0.96; p <0.0001） ）相比。患者的感觉改善率（SEE）为78.3％（标准差19.4）。结论：超声控制下经皮穿刺切开术联合PRP注射治疗顽固性上con炎，术后3个月疼痛和受力迅速恢复，满意率高。

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