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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 10,
1369-1374.
doi: 10.1302/0301-620X.87B10.16569 Copyright © 2005 by British Editorial Society of Bone and Joint Surgery Coonrad-Morrey total elbow arthroplasty for tumours of the distal humerus and elbowG. S. Athwal, MD, FRCSC, Assistant Professor, Orthopaedic Surgeon1; P. Y. Chin, MD, FRCSC, Orthopaedic Surgeon2; R. A. Adams, MA, RPA, Physician Assistant3; and B. F. Morrey, MD, Professor, Orthopaedic Surgeon3
1 Hand and Upper Limb Centre University of Western Ontario, 268 Grosvenor Street, London, Ontario N6A 4L6, Canada. Correspondence should be sent to Professor B. F. Morrey; e-mail: morrey.bernard{at}mayo.edu
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). 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. 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. This article has been cited by other articles:
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