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Between 1956 and 1972, 871 patients were treated for tennis elbow; all but thirty-seven were treated conservatively. The thirty-seven patients who did not respond to non-surgical treatment had good results after surgery. Twenty-eight of the patients had a modified Bosworth III procedure—excision of the proximal portion of the annular ligament, release of the origin of the extensor muscles, excision of the bursa if present, and excision of the synovial fringe. The results from the procedure were good.