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Treatment of chronic tennis elbow with radiofrequency coblation and localized arthroscopic synovectomy

Seitz, William H. Jra; Lall, Ajayb

doi: 10.1097/BCO.0b013e31827072e9
Departments: Innovations in Practice

Background This study analyzed outcomes of radiofrequency microtenotomy coblation using the TOPAZ coblation wand (ArthroCare, Sunnyvale, CA) paired with arthroscopic synovectomy of the radiocapitellar joint for lateral epicondylitis. The goal of this study was to evaluate the rates of patients’ early recovery and decrease in pain.

Methods The authors followed 40 patients who underwent surgery at one institution since January, 2004. Patients were asked to fill out questionnaires regarding their preoperative and postoperative pain at set intervals and were asked to rate their function and satisfaction with the treatment.

Results Results indicated a rapid decrease in pain postoperatively with a persistent average drop of 7.7 points (on a visual analog scale of 0–10) at 6 months after the operation. Mayo Elbow Performance Score results improved from an average of 55 to 95.

Conclusions These results represent significant early improvement over other existing surgical techniques. The results have been maintained for a minimum of 1 year, and up to 4 years, postoperatively.

aCleveland Orthopaedic and Spine Hospital at Lutheran Medical Center, Cleveland Clinic Foundation, and Case Western Reserve University, Cleveland, OH

bMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY

Financial Disclosure: Dr. Seitz is a consultant for Stryker, Tornier, and Kapp Surgical. The authors report no conflicts of interest with regard to this article.

Correspondence to William H. Seitz, Jr, MD, Cleveland Orthopaedic and Spine Hospital at Lutheran Medical Center, 1730 West 25th Street, Cleveland, OH 44113 Tel: +216 363 2331; fax: +216 696 2992; e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.