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Lateral Epicondylitis (Tennis Elbow) Surgery


The majority of patients get better with non-surgical treatment. When symptoms are not improved with non-surgical measures after 6-12 months, then surgery is recommended.

The aim of surgery is to cut out the degenerated / abnormal portion of the tendon, and to repair it back onto healthy bleeding bone to promote healing.

Surgery may be Open or Arthroscopic. Both types are effective and long-term outcomes are similar.


This is a day surgery procedure. It is performed under general anaesthesia.

It may be performed using open incisions (approx. 3-4cm) or arthroscopically using tiny keyhole incision.

The operation involves a number of steps:

  • Identification and excision of degenerative / abnormal tendon.
  • Preparation of bleeding bone bed on lateral epicondyle.<
  • Reattachment of tendon.


  • Day surgery procedure.
  • Drive within 2 weeks.
  • Return to office work within 2 weeks.
  • Return to Manual work 4-6 weeks.
  • Return to Sport approximately 3 months.


Satisfaction rates after surgery are around 80-90%.

Risks and Complications

These include:

  • Elbow Instability – this may be caused by inadvertent damage to the ligament.
  • Stiffness.
  • Nerve injury.
  • Infection.