Outcome Comparison of Open Surgery and Arthroscopic Surgery In Treating Lateral Epicondylitis: A Systematic Review


  • Putu Surya Fajari Widhiarma General Practitioner
  • AA Ngurah Bagus Surya Darma Resident of Orthopaedic and Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
  • I Wayan Murjana Consultant of Orthopaedic and Traumatology, Sport Injury and Arthroscopy at Kasih Ibu Hospital, Denpasar, Bali, Indonesia




Open surgery, Arthroscopic, Lateral Epicondylitis, Tennis Elbow


Lateral epicondylitis or tennis elbow is an inflammatory disease that affects the extensor carpi radialis brevis (ECRB) origin at the lateral epicondyl. The surgical technique that can be performed for lateral epicondylitis is open surgery or
arthroscopic surgery. This study aims to compare functional outcomes between open surgery and arthroscopic surgery in the treatment of lateral epicondylitis.

Systematic review uses Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Multiple databases were searched for studies that compared functional outcomes of open surgery versus arthroscopic surgery for lateral epicondylitis with a minimum 1-year follow-up.

We analyzed six studies that were included in the systematic review. The total sample was around 558 patients and male patients were higher than female. There was no significant difference in the VAS scores of the two groups (P>0.05). QuickDASH score, there is only one study reported that there was a significant difference showing that arthroscopic surgery 11.6 (SD, 15.6) was better than open surgery 17.8 (SD, 19.4) with P=0.004. Return to work was found to be better in arthroscopic surgery (7 ± 1,254) from open surgery (13,933 ± 1,624) with P<0.01. Meanwhile, three studies reported that the time of surgery score was better in open surgery than in arthroscopic surgery (P<0.01).

This study concluded that arthroscopic surgery had a better QuickDASH score and return to work but had a longer time of surgery than open surgery for the treatment of lateral epicondylitis.


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