{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:28:35Z","timestamp":1783466915240,"version":"3.55.0"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Lateral epicondylitis afflicts a large percentage of the population with most recovering through conservative treatment. The 5% to 10% of patients who undergo operative intervention are met with mixed results. Those that fail to improve often demonstrate a complex presentation of inadequate debridement of the \u201cangiofibroblastic tissue,\u201d missed concomitant radial tunnel syndrome, and iatrogenic residual devascularized tissue resulting from the index procedure. To address all 3 of these causes of failure, the authors have developed a revision procedure that includes repeat debridement of residual tendinosis, decompression of the posterior interosseous nerve, and a vascularized anconeus muscle flap to help cushion soft tissue defects and promote a healthier environment for healing. Performed initially in part in 20 patients, this combined procedure has developed into our recommended treatment for these challenging patients.<\/jats:p>","DOI":"10.1097\/bth.0000000000000398","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T05:01:27Z","timestamp":1655182887000},"page":"271-275","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Combined Revision Surgical Technique for Failed Operative Lateral Epicondylitis With Concomitant Radial Tunnel Syndrome"],"prefix":"10.1097","volume":"26","author":[{"given":"William P.","family":"Stults","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, WellStar Atlanta Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary C.","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, WellStar Atlanta Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary M.","family":"Lourie","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, WellStar Atlanta Medical Center, The Hand and Upper Extremity Center of Georgia, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,12]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"19","DOI":"10.5435\/00124635-200801000-00004","article-title":"Management of lateral epicondylitis: current concepts","volume":"16","author":"Calfee","year":"2008","journal-title":"J Am Acad Orthop Surg"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0278-5919(20)30489-0","article-title":"Elbow tendinosis\/tennis elbow","volume":"11","author":"Nirschl","year":"1992","journal-title":"Clin Sports Med"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1177\/036354659202000618","article-title":"Microscopic histopathology of chronic refractory lateral epicondylitis","volume":"20","author":"Regan","year":"1992","journal-title":"Am J Sports Med"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.1302\/0301-620X.95B9.29285","article-title":"Lateral epicondylitis: a review of pathology and management","volume":"95-B","author":"Ahmad","year":"2013","journal-title":"Bone Joint J"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5435\/00124635-199401000-00001","article-title":"Lateral and medial epicondylitis of the elbow","volume":"2","author":"Jobe","year":"1994","journal-title":"J Am Acad Orthop Surg"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1177\/0363546515590220","article-title":"Factors associated with failure of nonoperative treatment in lateral epicondylitis","volume":"43","author":"Knutsen","year":"2015","journal-title":"Am J Sports Med"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3928\/01477447-20180621-04","article-title":"Comparison of the clinical outcomes of open surgery versus arthroscopic surgery for chronic refractory lateral epicondylitis of the elbow","volume":"41","author":"Kim","year":"2018","journal-title":"Orthopedics"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.arthro.2015.10.008","article-title":"Arthroscopic treatment of lateral epicondylitis: tenotomy versus debridement","volume":"32","author":"Solheim","year":"2016","journal-title":"Arthroscopy"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/j.jse.2006.01.017","article-title":"Tendinosis of the extensor carpi radialis brevis: an evaluation of three methods of operative treatment","volume":"15","author":"Szabo","year":"2006","journal-title":"J Shoulder Elbow Surg"},{"issue":"6A","key":"R10-20250512","doi-asserted-by":"crossref","first-page":"832","DOI":"10.2106\/00004623-197961060-00005","article-title":"Tennis elbow. 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