{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:29:37Z","timestamp":1784352577723,"version":"3.55.0"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2005,10,1]],"date-time":"2005-10-01T00:00:00Z","timestamp":1128124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:p> We reviewed 20 patients who had undergone a Coonrad-Morrey total elbow arthroplasty after resection of a primary or metastatic tumour from the elbow or distal humerus between 1980 and 2002. Eighteen patients underwent reconstruction for palliative treatment with restoration of function after intralesional surgery and two after excision of a primary bone tumour. The mean follow-up was 30 months (1 to 192). <\/jats:p><jats:p> Five patients (25%) were alive at the final follow-up; 14 (70%) had died of their disease and one of unrelated causes. Local control was achieved in 15 patients (75%). The mean Mayo Elbow Performance Score improved from 22 (5 to 45) to 75 points (55 to 95). Four reconstructions (20%) failed and required revision. Seven patients (35%) had early complications, the most frequent being nerve injury (25%). There were no infections or wound complications although 18 patients (90%) had radiotherapy, chemotherapy or both. <\/jats:p><jats:p> The Coonrad-Morrey total elbow arthroplasty provides good relief from pain and a good functional outcome after resection of tumours of the elbow. The rates of complications involving local recurrence of tumour (25%) and nerve injury (25%) are of concern. <\/jats:p>","DOI":"10.1302\/0301-620x.87b10.16569","type":"journal-article","created":{"date-parts":[[2005,9,27]],"date-time":"2005-09-27T19:27:59Z","timestamp":1127849279000},"page":"1369-1374","source":"Crossref","is-referenced-by-count":62,"title":["Coonrad-Morrey total elbow arthroplasty for tumours of the distal humerus and elbow"],"prefix":"10.1302","volume":"87-B","author":[{"given":"G. S.","family":"Athwal","sequence":"first","affiliation":[{"name":"Hand and Upper Limb Centre University of Western Ontario, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Y.","family":"Chin","sequence":"additional","affiliation":[{"name":"Harbour City Medical Centre, 102-1125 Dufferin Crescent, Nanaimo, British Columbia V9S 2B5, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. A.","family":"Adams","sequence":"additional","affiliation":[{"name":"The Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. F.","family":"Morrey","sequence":"additional","affiliation":[{"name":"The Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Pritchard DJ, Dahlin DC. Neoplasms of the elbow. In: Morrey BF, ed. The elbow and its disorders. Philadelphia: W.B. Saunders Co. 1985:713\u201335."},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Dean GS, Holliger EH 4th, Urbaniak JR. Elbow allograft for reconstruction of the elbow with massive bone loss: long term results. Clin Orthop 1997;341:12\u201322.","DOI":"10.1097\/00003086-199708000-00004"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Morrey BF, Adams RA. Semiconstrained arthroplasty for the treatment of rheumatoid arthritis of the elbow. J Bone Joint Surg [Am] 1992;74-A:479\u201390.","DOI":"10.2106\/00004623-199274040-00003"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Tanaka N, Kudo H, Iwano K, et al. Kudo total elbow arthroplasty in patients with rheumatoid arthritis: a long-term follow-up study. J Bone Joint Surg [Am] 2001;83-A: 1506\u201313.","DOI":"10.2106\/00004623-200110000-00008"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Hildebrand KA, Patterson SD, Regan WD, MacDermid JC, King GJ. Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint Surg [Am] 2000; 82-A:1379\u201386.","DOI":"10.2106\/00004623-200010000-00003"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90041-9"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611176"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Sperling JW, Pritchard DJ, Morrey BF. Total elbow arthroplasty after resection of tumours at the elbow. Clin Orthop 1999;367:256\u201361.","DOI":"10.1097\/00003086-199910000-00032"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B2.13524"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000093894.12372.53"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(96)80160-4"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199711000-00007"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Bryan RS, Morrey BF. Extensive posterior exposure of the elbow: a triceps-sparing approach. Clin Orthop 1982;166:188\u201392.","DOI":"10.1097\/00003086-198206000-00033"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Wolfe SW, Ranawat CS. The osteo-anconeus flap: an approach for total elbow arthroplasty. J Bone Joint Surg [Am] 1990;72-A:684\u20138.","DOI":"10.2106\/00004623-199072050-00007"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B10.16569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.87B10.16569","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B10.16569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:03:14Z","timestamp":1629144194000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.87B10.16569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,10]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2005,10]]}},"alternative-id":["10.1302\/0301-620X.87B10.16569"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.87b10.16569","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,10]]}}}