{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T10:18:59Z","timestamp":1781691539181,"version":"3.54.5"},"reference-count":59,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Complications related to triceps after total elbow arthroplasty (TEA) have become a major surgical concern. The triceps\u2010preserving approach has the advantage of not disturbing the insertion of triceps but is disadvantaged by the reduced exposure of the elbow joint. The aim of this study was to investigate the clinical and radiological outcomes of TEA with a triceps\u2010preserving approach and to compare the outcomes of TEA to treat arthropathy with that of TEA to treat acute distal humerus fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2010 to December 2018, 23 patients undergoing primary TEAs were retrospectively reviewed with a mean follow\u2010up time of 92.6\u2009months (range, 52\u2013136\u00a0months). Each TEA was performed using the triceps\u2010preserving approach with a semi\u2010constrained Coonrad\u2013Morrey prosthesis. Patient demographics, range of motion (ROM), pain visual analogue scale (VAS), and triceps strength (Medical Research Council [MRC] scale) were compared before and after surgery. The Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiographic outcome, and complications were evaluated at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, seven males and 16 females were included in this study, with a mean age of 66.1\u2009years (range:46\u201385\u2009years). By the last follow\u2010up, pain had been significantly relieved in all patients. The average MEPS in the arthropathy group and fracture group were 90.8\u2009\u00b1\u200910.3 points (range: 68\u201398 points) and 91.7\u2009\u00b1\u20090.4 (range: 76\u2013100 points), respectively. The average DASH of the arthropathy group and fracture group was 37.3\u2009\u00b1\u200918.8 points (range: 18\u201352 points) and 38.4\u2009\u00b1\u200920.1 (range: 16\u201360 points). At the last follow\u2010up after surgery, the mean flexion arcs in the arthropathy group and fracture group were 100.4\u00b0\u2009\u00b1\u200924.1\u00b0 and 97.8\u00b0\u2009\u00b1\u200928.1\u00b0, respectively. The mean pro\u2010supination arcs in the arthropathy group and fracture group were 142.4\u00b0\u2009\u00b1\u200915.2\u00b0 and 139.2\u00b0\u2009\u00b1\u200917.5\u00b0, respectively. There were no significant differences in clinical outcomes between the two groups (<jats:italic>P<\/jats:italic>\u00a0\u2265\u20090.05). Triceps strength was normal (MRC grade V) in 15 elbows and good in eight elbows. None of the cases experienced weakness of the triceps strength, infection, periprosthetic fractures, or prosthesis breakage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The clinical and radiographical outcomes of TEA with the triceps\u2010preserving approach were satisfactory in patients with distal humerus fracture, osteoarthritis and rheumatoid arthritis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13698","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T02:09:39Z","timestamp":1681956579000},"page":"2091-2101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical and Radiographic Outcomes of Total Elbow Arthroplasty Using a Semi\u2010constrained Prosthesis with a Triceps\u2010preserving Approach over a Minimum Follow\u2010up Period of 4\u2009Years"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-3511","authenticated-orcid":false,"given":"Qing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Upper Limb Sichuan Provincial Orthpaedics Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Upper Limb Sichuan Provincial Orthpaedics Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6254-2444","authenticated-orcid":false,"given":"Jin\u2010song","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Upper Limb Sichuan Provincial Orthpaedics Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4261-7861","authenticated-orcid":false,"given":"Fei","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Upper Limb Sichuan Provincial Orthpaedics Hospital  Chengdu 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