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All were women with a mean age of 65 years (51 to 76), the mean interval between dislocation and surgery was 17 weeks (5 to 52) and the mean follow-up 58 months (24 to 123). <\/jats:p><jats:p> The most dramatic improvement was in function. The mean American Shoulder and Elbow Surgeon score was 5.2 times better (p &lt; 0.001) and the mean total range of movement increased from 33\u00b0 to 121\u00b0 (p &lt; 0.001) after operation. Three patients developed wear of polyethylene. One required revision for a periprosthetic fracture, and another required a bushing exchange. <\/jats:p><jats:p> Primary semiconstrained elbow arthroplasty provides significant, predictable functional improvement. Potential solutions for wear of polyethylene include a different operative technique or design of implant. Despite the high incidence of such wear, total elbow arthroplasty should be considered as a viable treatment option for chronic dislocation of the elbow in elderly patients. <\/jats:p>","DOI":"10.1302\/0301-620x.87b2.15130","type":"journal-article","created":{"date-parts":[[2005,1,14]],"date-time":"2005-01-14T23:28:07Z","timestamp":1105745287000},"page":"191-195","source":"Crossref","is-referenced-by-count":42,"title":["Primary semi-constrained arthroplasty for chronic fracture-dislocations of the elbow"],"prefix":"10.1302","volume":"87-B","author":[{"given":"M. A.","family":"Mighell","sequence":"first","affiliation":[{"name":"Florida Orthopaedic Institute, 13020 Telecom Parkway N, Temple Terrace, Florida 33637, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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