{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:41:19Z","timestamp":1782909679890,"version":"3.54.5"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"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":[[2008,3]]},"abstract":"<jats:p> We analysed the outcome of the Coonrad-Morrey total elbow replacement used for fracture of the distal humerus in elderly patients with no evidence of inflammatory arthritis and compared the results for early versus delayed treatment. We studied a total of 32 patients with 15 in the early treatment group and 17 in the delayed treatment group. The mean follow-up was 56.1 months (18 to 88). The percentage of excellent to good results based on the Mayo elbow performance score was not significantly different, 84% in the early group and 79% in the delayed group. Subjective satisfaction was 92% in both the groups. <\/jats:p><jats:p> One patient in the early group developed chronic regional pain syndrome and another type 4 aseptic loosening. Two elbows in the early group also showed type 1 radiological loosening. <\/jats:p><jats:p> Two patients in the delayed group had an infection, two an ulnar nerve palsy, one developed heterotopic ossification and one type 4 aseptic loosening. Two elbows in this group also showed type 1 radiological loosening. The Kaplan-Meier survivorship analysis for the early and delayed treatment groups was 93% at 88 months and 76% at 84 months, respectively. <\/jats:p><jats:p> No significant difference was found between the two groups. <\/jats:p>","DOI":"10.1302\/0301-620x.90b3.18971","type":"journal-article","created":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T22:24:34Z","timestamp":1204410274000},"page":"343-348","source":"Crossref","is-referenced-by-count":139,"title":["Outcome of total elbow replacement for distal humeral fractures in the elderly"],"prefix":"10.1302","volume":"90-B","author":[{"given":"N.","family":"Prasad","sequence":"first","affiliation":[{"name":"Morriston Hospital, Heol Maes Eglwys, Morriston, Swansea SA6 6NL, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Dent","sequence":"additional","affiliation":[{"name":"Llandough Hospital, Llandough, Cardiff CF64 2XX, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Cobb TK, Morrey BF. Total elbow arthroplasty as primary treatment for distal humeral fractures in elderly patients. J Bone Joint Surg [Am] 1997;79-A:826\u201332.","DOI":"10.2106\/00004623-199706000-00004"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B7.0830974"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B6.0840812"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Kamineni S, Morrey BF. Distal humeral fractures treated with noncustom total elbow replacement. J Bone Joint Surg [Am] 2004;96-A:940\u20137.","DOI":"10.2106\/00004623-200405000-00009"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00076-0"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Figgie MP, Inglis AE, Mow CS, Figgie HE 3rd. Salvage of non-union of supra-condylar fracture of the humerus by total elbow arthroplasty. 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