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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 1, 78-83.
doi: 10.1302/0301-620X.88B1.16446  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Revision of failed total elbow arthroplasty with use of a linked implant

S. B. Sneftrup, MS, Medical Student1; S. L. Jensen, MD, PhD, Consultant Orthopaedic Surgeon2; H. V. Johannsen, MD, Consultant Orthopaedic Surgeon2; and J. O. Søjbjerg, MD, Director of Shoulder and Elbow Service2

1 Orthopaedic Research Laboratory
2 Shoulder and Elbow Clinic, Orthopaedic Department Aarhus University Hospital, Aarhus, Denmark.

Correspondence should be sent to Dr S. L. Jensen; e-mail: Steen{at}lundjensen.com

We studied retrospectively the results of revision arthroplasty of the elbow using a linked Coonrad-Morrey implant in 23 patients (24 elbows) after a mean follow-up period of 55 months. According to the Mayo Elbow Performance Score, 19 elbows were satisfactory, nine were excellent and ten good. The median total score had improved from 35 points (20 to 75) before the primary arthroplasty to 85 points (40 to 100) at the latest follow-up. There was a marked relief of pain, but the range of movement showed no overall improvement. Two patients had a second revision because of infection and two for aseptic loosening. The estimated five-year survival rate of the prosthesis was 83.1% (95% confidence interval 61.1 to 93.3). Revision elbow arthroplasty using the Coonrad-Morrey implant provided satisfactory results but with complications occurring in 13 cases.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General