{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T03:04:26Z","timestamp":1767236666635,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The purpose of this study was to evaluate the functional and radiological results of semiconstrained Coonrad-Morrey total elbow arthroplasty for distal humeral nonunions in the mid-term period.\nMethods: Seven patients were treated with Coonrad-Morrey total elbow arthroplasty for distal humeral nonunion. All patients were female, and the mean age was 65.6 years (range: 64\u201368 years). Patients were followed for at least 5 years, and the mean follow-up time was 73 months (range: 63\u201384 months). Anteroposterior and lateral radiographs at preoperative and early postoperative period of the joint replacement and latest follow-up were used to detect postoperative radiological changes in terms of loosening. The Mayo Elbow Performance Index (MEPI) and Q-DASH Score were used for functional evaluation.\nResults: At the latest follow-up, joint stability had been achieved in all 7 patients. Six patients (85.7%) were pain free. The mean range of motion was 30\u00b0 (range: 0\u201360\u00b0) preoperatively, and this improved to 90.7\u00b0 (range: 60\u2013110\u00b0) at the latest follow-up (p&lt;0.05). Five patients (71.4%) had excellent or good outcomes on the MEPI. The mean Q-DASH Score was improved from 93.2 to 34.5 (p&lt;0.01). Two humeral components had aseptic loosening, and 1 of them was revised.\nConclusion: Semiconstrained total elbow arthroplasty can be a reliable choice of treatment if other internal fixation methods fail. Significant pain relief and improvements in elbow function and stability can be achieved with semiconstrained elbow arthroplasty in patients with distal humeral nonunion.\n\n \n\nDOI: 10.3944\/AOTT.2015.14.0309\n\n \n\n \n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada, distal humerus kaynamamalar\u0131n\u0131n tedavisinde Coonrad-Morrey total dirsek protezinin orta d\u00f6nem fonksiyonel ve radyolojik sonu\u00e7lar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7land\u0131.\u00c7al\u0131\u015fma plan\u0131: Distal humerus kaynamama nedeniyle 7 hastaya Coonrad-Morrey total dirsek artroplastisi uygulanm\u0131\u015ft\u0131r. Tamam\u0131 kad\u0131n olan n hastalar\u0131n ortalama ya\u015f\u0131 65.6 idi. Ortalama takip s\u00fcresi 73 ay iken minimum takip s\u00fcresi 5 y\u0131l olarak tespit edilmi\u015ftir. Ameliyat \u00f6ncesi, hemen sonras\u0131 ve son kontrolde elde edilen dirsek anteriorposterior ve lateral grafileri ile radyolojik de\u011fi\u015fiklikler ve gev\u015feme de\u011ferlendirilirken, Mayo Elbow Performance Index (MEPI) ve Q-Dash skorlar\u0131 fonksiyonel de\u011ferlendirmede kullan\u0131lm\u0131\u015ft\u0131r.Bulgular: Son kontrolde, 7 hastada da dirsek stabilitesinin sa\u011fland\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. 6 hastan\u0131n(%87.5) a\u011fr\u0131s\u0131 yoktu. Ameliyat \u00f6ncesi 30\u00b0 olan ortalama hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n , son kontrolde ortalama 90.7\u00b0 ye artt\u0131\u011f\u0131 tespit edildi (p&lt;0.05). MEPI (Mayo Elbow Performance Index) de\u011ferlendirmesinde 5 hastada (%71.4) m\u00fckemmel ve iyi sonu\u00e7 elde edild\u011fi g\u00f6r\u00fcld\u00fc. Ortalama Q-Dash skoru 93.2 den 34.5 e geriledi\u011fi belirlendi (p&lt;0.01). \u0130ki humeral komponent gev\u015femesi tespit edilirken biri revize edildi. \u00c7\u0131kar\u0131mlar: Distal humerus kaynamamalar\u0131nda, semiconstrained (yar\u0131 k\u0131s\u0131tl\u0131) total dirsek artroplastisi internal fiksasyon teknikleri ba\u015far\u0131s\u0131z oldu\u011funda g\u00fcvenilir bir redavi y\u00f6ntemi olabilir. Distal humerus kaynamama nedeniyle tedavi edilen hastalarda, semiconstrained (yar\u0131 k\u0131s\u0131tl\u0131) total dirsek artroplastisi ile stabil, a\u011fr\u0131s\u0131z ve fonksiyonel bir dirsek elde edilebilmektedir<\/jats:p>","DOI":"10.3944\/aott.2015.14.0309","type":"journal-article","created":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T10:36:20Z","timestamp":1438684580000},"page":"354-360","source":"Crossref","is-referenced-by-count":4,"title":["Is CoonradMorrey total elbow arthroplasty  a viable option for treatment of distal humeral nonunions in the elderly"],"prefix":"10.5152","volume":"49","author":[{"given":"Ali","family":"Ersen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ata","family":"Lar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teoman","family":"At\u0131c\u0131","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Kap\u0131c\u0131o\u011flu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2995\/2948","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:07Z","timestamp":1763464147000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2015,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0309","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}