{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:52:14Z","timestamp":1787021534242,"version":"build-2736575974"},"reference-count":28,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T00:00:00Z","timestamp":1412121600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:p>Medium-term results of the Discovery elbow replacement are presented. We reviewed 51 consecutive primary Discovery total elbow replacements (TERs) implanted in 48 patients. The mean age of the patients was 69.2 years (49 to 92), there were 19 males and 32 females (37%:63%) The mean follow-up was 40.6 months (24 to 69). A total of six patients were lost to follow-up. Statistically significant improvements in range movement and Oxford Elbow Score were found (p &lt; 0.001). Radiolucent lines were much more common in, and aseptic loosening was exclusive to, the humeral component. Kaplan\u2013Meier survivorship at five years was 92.2% (95% CI 74.5% to 96.4%) for aseptic loosening. In four TERs, periprosthetic infection occurred resulting in failure. A statistically significant association between infection and increased BMI was found (p = 0.0268). Triceps failure was more frequent after the Mayo surgical approach and TER performed after previous trauma surgery. No failures of the implant were noted.<\/jats:p>\n                  <jats:p>Our comparison shows that the Discovery has early clinical results that are similar to other semi-constrained TERs. We found continued radiological surveillance with particular focus on humeral lucency is warranted and has not previously been reported. Despite advances in the design of total elbow replacement prostheses, rates of complication remain high.<\/jats:p>\n                  <jats:p>Cite this article: Bone Joint J 2014;96-B:1359\u201365<\/jats:p>","DOI":"10.1302\/0301-620x.96b10.33815","type":"journal-article","created":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T10:02:58Z","timestamp":1412157778000},"page":"1359-1365","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":22,"title":["Medium-term clinical results of a linked total elbow replacement system"],"prefix":"10.1302","volume":"96-B","author":[{"given":"R.","family":"Large","sequence":"first","affiliation":[{"name":"Mornington Orthopaedics, Beleura Private Hospital, 925 Nepean Highway, Mornington, Victoria, 3931, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Tambe","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Department of Orthopaedics, Uttoxeter New Road, Derby DE22 3NE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Cresswell","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Department of Orthopaedics, Uttoxeter New Road, Derby DE22 3NE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Espag","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Department of Orthopaedics, Uttoxeter New Road, Derby DE22 3NE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. I.","family":"Clark","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Department of Orthopaedics, Uttoxeter New Road, Derby DE22 3NE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","first-page":"653","volume":"63","author":"Dee R","year":"1970","journal-title":"Proc R Soc Med"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.12.033"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-008-9409-3"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199802000-00002"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B4.2071644"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.3109\/17453677208991270"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1007\/BF00460803"},{"key":"r8","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1097\/00003086-198206000-00033","volume":"166","author":"Bryan RS","year":"1982","journal-title":"Clin Orthop Relat Res"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.07.042"},{"key":"r10","first-page":"1","volume":"10","year":"1996","journal-title":"J Orthop Trauma."},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B4.15692"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.08.025"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.08.062"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.026"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2008.04554.x"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0551-6"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0016-3"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.3109\/17453670903110642"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2013.784658"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01128"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.02.020"},{"key":"r22","unstructured":"No authors listed.\n                      Australian Orthopaedic Association National Joint Replacement Registry Report: Demographics and Outcomes of Elbow and Wrist Arthroplasty, Supplementary Report, 2012. https:\/\/aoanjrr.dmac.adelaide.edu.au\/annual-reports-2013 (date last accessed 15 July 2014)."},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.03.004"},{"key":"r24","unstructured":"Frich LTotal elbow arthroplasty in patients with rheumatoid arthritis. Mid-term follow up of 39 cases [abstract]. Paper presented at: S.E.C.E.C. Congress, 2012."},{"key":"r25","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2106\/JBJS.L.00046","volume":"95","author":"Alizadehkhaiyat O","year":"2013","journal-title":"Bone Joint J"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02163"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B4.17095"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.09.019"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B10.33815","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B10.33815","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B10.33815","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T12:13:05Z","timestamp":1650283985000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B10.33815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1302\/0301-620X.96B10.33815"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b10.33815","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10]]},"assertion":[{"value":"2014-01-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}