{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:03:34Z","timestamp":1789995814226,"version":"4.0.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Total elbow arthroplasty (TEA) is a common treatment for elbow stiffness due to rheumatoid arthritis (RA). Although linked prostheses are often preferred, unlinked implants may reduce prosthetic stress and loosening risk. This study evaluated the clinical outcomes of unlinked TEA in patients with RA presenting with stiff elbows.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 9 women with 10 stiff elbows due to RA who underwent primary TEA using an unlinked implant. Stiffness was defined as a range of motion of less than 60\u00b0. The mean age was 58\u00a0years, and the mean follow-up was 59\u00a0months. Outcomes included range of motion, Mayo Elbow Performance Score, pain during movement assessed with a visual analogue scale, complications, and implant loosening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Extension improved from \u221259 to \u221238\u00b0, flexion from 101 to 123\u00b0, and arc of motion from 42 to 85\u00b0. The Mayo Elbow Performance Score improved from 53 to 93, and the pain score from 36 to 1. Two cases of transient ulnar neuropathy resolved without treatment. No implant loosening, dislocation, or revision surgery occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Unlinked TEA improved clinical outcomes without major complications and may be a viable option for stiff elbows in patients with RA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roag077","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T17:38:20Z","timestamp":1788025100000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical results of unlinked-type total elbow arthroplasty for stiff elbows in patients with rheumatoid arthritis"],"prefix":"10.1093","author":[{"given":"Yasuhiro","family":"Kiyota","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Tokyo 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