Outcomes of open debridement via Z-lengthening technique for medial epicondylitis in 14 elbows

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Abstract

Purpose: The purpose was to determine whether Z-lengthening approach for common flexor tendon debridement is a viable option for medial epicondylitis refractory to non-surgical treatment. Methods: A total of 12 patients (14 elbows) who underwent surgical debridement via Z-lengthening approach for management of medial epicondylitis between 1997 and 2009 met inclusion criteria. All patients failed conservative treatment. There were 4 men (4 elbows) and 8 women (10 elbows). Mean age: 55 ± 9. Two patients required ulnar nerve transposition for pre-operative symptoms