This Article
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Morrey, B. F.
Right arrow Articles by Adams, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Morrey, B. F.
Right arrow Articles by Adams, R. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?

The Journal of Bone and Joint Surgery, Vol 74, Issue 4 479-490, Copyright © 1992 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Semiconstrained arthroplasty for the treatment of rheumatoid arthritis of the elbow

BF Morrey and RA Adams
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.

Fifty-four patients in whom a total of fifty-eight semiconstrained modified Coonrad elbow implants had been inserted for rheumatoid arthritis were followed for a mean of 3.8 years (range, two to eight years). At the latest follow-up, there was little or no pain in fifty-three elbows (91 per cent). The arc of motion was from an average point in flexion of 20 degrees to an average point in flexion of 129 degrees, representing an average increase of 12 degrees of extension and 11 degrees of flexion. The average arc of pronation was 78 degrees, an increase of 14 degrees, and the average arc of supination was 77 degrees, an increase of 18 degrees. An additional ten patients who had had insertion of ten modified Coonrad implants during the same period were followed for less than two years but were included in the assessment of complications. Fifteen (22 per cent) of the sixty-eight elbows had a complication: four, infection; eight, acute or delayed condylar or ulnar fracture; and one each, ulnar neuritis, avulsion of the triceps, and fracture of the implant. Radiographic evaluation was performed for fifty-four of the fifty-eight elbows; the other four were excluded from this evaluation because of infection. A satisfactory radiographic appearance of the cement--its extent and the absence of skip areas--was noted for all of the ulnar components and for fifty-one (94 per cent) of the humeral components. No patient had radiographic evidence of a loose implant. A reoperation was performed in six elbows (10 per cent of the fifty-eight; 9 per cent of the sixty-eight): four were done for infection; one, for insufficiency of the triceps; and one, for a fractured ulnar component. Of the fifty-eight elbows, forty (69 per cent) had an excellent result; thirteen (22 per cent), a good result; four (7 per cent), a fair result; and one, a poor result.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 RadiologyHome page
D. B. Husarik, N. Saupe, C. W. A. Pfirrmann, B. Jost, J. Hodler, and M. Zanetti
Elbow Nerves: MR Findings in 60 Asymptomatic Subjects--Normal Anatomy, Variants, and Pitfalls
Radiology, July 1, 2009; 252(1): 148 - 156.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. Celli and B. F. Morrey
Total Elbow Arthroplasty in Patients Forty Years of Age or Less
J. Bone Joint Surg. Am., June 1, 2009; 91(6): 1414 - 1418.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. N. Larson and B. F. Morrey
Interposition Arthroplasty with an Achilles Tendon Allograft as a Salvage Procedure for the Elbow
J. Bone Joint Surg. Am., December 1, 2008; 90(12): 2714 - 2723.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
B. Jost, R. A. Adams, and B. F. Morrey
Management of Acute Distal Humeral Fractures in Patients with Rheumatoid Arthritis. A Case Series
J. Bone Joint Surg. Am., October 1, 2008; 90(10): 2197 - 2205.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. Cil, C. J.H. Veillette, J. Sanchez-Sotelo, and B. F. Morrey
Linked Elbow Replacement: A Salvage Procedure for Distal Humeral Nonunion
J. Bone Joint Surg. Am., September 1, 2008; 90(9): 1939 - 1950.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. H. Goldberg, R. M. Urban, J. J. Jacobs, G. J.W. King, S. W. O'Driscoll, and M. S. Cohen
Modes of Wear After Semiconstrained Total Elbow Arthroplasty
J. Bone Joint Surg. Am., March 1, 2008; 90(3): 609 - 619.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
B. J. Shore, J. B. Mozzon, J. C. MacDermid, K. J. Faber, and G. J.W. King
Chronic Posttraumatic Elbow Disorders Treated with Metallic Radial Head Arthroplasty
J. Bone Joint Surg. Am., February 1, 2008; 90(2): 271 - 280.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. Silva and J. V. Luck Jr.
Radial Head Excision and Synovectomy in Patients with Hemophilia
J. Bone Joint Surg. Am., October 1, 2007; 89(10): 2156 - 2162.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
L. L. Shi, D. Zurakowski, D. G. Jones, M. J. Koris, and T. S. Thornhill
Semiconstrained Primary and Revision Total Elbow Arthroplasty with Use of the Coonrad-Morrey Prosthesis
J. Bone Joint Surg. Am., July 1, 2007; 89(7): 1467 - 1475.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
R. Grewal, J. C. MacDermid, K. J. Faber, D. S. Drosdowech, and G. J.W. King
Comminuted Radial Head Fractures Treated with a Modular Metallic Radial Head Arthroplasty. Study of Outcomes
J. Bone Joint Surg. Am., October 1, 2006; 88(10): 2192 - 2200.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
G. S. Athwal and B. F. Morrey
Revision Total Elbow Arthroplasty for Prosthetic Fractures
J. Bone Joint Surg. Am., September 1, 2006; 88(9): 2017 - 2026.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. Hierholzer, D. Sama, J. B. Toro, M. Peterson, and D. L. Helfet
Plate Fixation of Ununited Humeral Shaft Fractures: Effect of Type of Bone Graft on Healing
J. Bone Joint Surg. Am., July 1, 2006; 88(7): 1442 - 1447.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
J. M. Aldridge III, N. R. Lightdale, W. J. Mallon, and R. W. Coonrad
Total elbow arthroplasty with the Coonrad/Coonrad-Morrey prosthesis: A 10- TO 31-YEAR SURVIVAL ANALYSIS
J Bone Joint Surg Br, April 1, 2006; 88-B(4): 509 - 514.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
N. Tanaka, H. Sakahashi, S. Ishii, and H. Kudo
Comparison of two types of ulnar component in type-5 Kudo total elbow arthroplasty in patients with rheumatoid arthritis: A LONG-TERM FOLLOW-UP
J Bone Joint Surg Br, March 1, 2006; 88-B(3): 341 - 344.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
S. B. Sneftrup, S. L. Jensen, H. V. Johannsen, and J. O. Sojbjerg
Revision of failed total elbow arthroplasty with use of a linked implant
J Bone Joint Surg Br, January 1, 2006; 88-B(1): 78 - 83.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. P. Little, A. J. Graham, G. Karatzas, D. A. Woods, and A. J. Carr
Outcomes of Total Elbow Arthroplasty for Rheumatoid Arthritis: Comparative Study of Three Implants
J. Bone Joint Surg. Am., November 1, 2005; 87(11): 2439 - 2448.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
G. S. Athwal, P. Y. Chin, R. A. Adams, and B. F. Morrey
Coonrad-Morrey total elbow arthroplasty for tumours of the distal humerus and elbow
J Bone Joint Surg Br, October 1, 2005; 87-B(10): 1369 - 1374.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. Celli, A. Arash, R. A. Adams, and B. F. Morrey
Triceps Insufficiency Following Total Elbow Arthroplasty
J. Bone Joint Surg. Am., September 1, 2005; 87(9): 1957 - 1964.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
B. P. Lee, R. A. Adams, and B. F. Morrey
Polyethylene Wear After Total Elbow Arthroplasty
J. Bone Joint Surg. Am., May 1, 2005; 87(5): 1080 - 1087.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
C. P. Little, A. J. Graham, and A. J. Carr
Total elbow arthroplasty: A SYSTEMATIC REVIEW OF THE LITERATURE IN THE ENGLISH LANGUAGE UNTIL THE END OF 2003
J Bone Joint Surg Br, April 1, 2005; 87-B(4): 437 - 444.
[Full Text] [PDF]

Home page
 JBJSHome page
T. A. Blaine, R. Adams, and B. F. Morrey
Total Elbow Arthroplasty After Interposition Arthroplasty for Elbow Arthritis
J. Bone Joint Surg. Am., February 1, 2005; 87(2): 286 - 292.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
M. A. Mighell, R. C. Dunham, E. A. Rommel, and M. A. Frankle
Primary semi-constrained arthroplasty for chronic fracture-dislocations of the elbow
J Bone Joint Surg Br, February 1, 2005; 87-B(2): 191 - 195.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
A. Whaley, B. F. Morrey, and R. Adams
Total elbow arthroplasty after previous resection of the radial head and synovectomy
J Bone Joint Surg Br, January 1, 2005; 87-B(1): 47 - 53.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. Kamineni and B.F. Morrey
Proximal Ulnar Reconstruction with Strut Allograft in Revision Total Elbow Arthroplasty
J. Bone Joint Surg. Am., June 1, 2004; 86(6): 1223 - 1229.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. Kamineni and B. F. Morrey
Distal Humeral Fractures Treated with Noncustom Total Elbow Replacement
J. Bone Joint Surg. Am., May 1, 2004; 86(5): 940 - 947.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
J. I. Kauffman, A. L. Chen, S. Stuchin, and P. E. Di Cesare
Surgical Management of the Rheumatoid Elbow
J. Am. Acad. Ortho. Surg., March 1, 2003; 11(2): 100 - 108.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. B. Jupiter and D. Ring
Treatment of Unreduced Elbow Dislocations with Hinged External Fixation
J. Bone Joint Surg. Am., September 3, 2002; 84(9): 1630 - 1635.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. Horiuchi, S. Momohara, T. Tomatsu, K. Inoue, and Y. Toyama
Arthroscopic Synovectomy of the Elbow in Rheumatoid Arthritis
J. Bone Joint Surg. Am., March 1, 2002; 84(3): 342 - 347.
[Abstract] [Full Text]

Home page
 JBJSHome page
N. Tanaka, H. Kudo, K. Iwano, H. Sakahashi, E. Sato, and S. Ishii
Kudo Total Elbow Arthroplasty in Patients with Rheumatoid Arthritis : A Long-Term Follow-up Study
J. Bone Joint Surg. Am., October 1, 2001; 83(10): 1506 - 1513.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
P. Mansat and B. F. Morrey
Semiconstrained Total Elbow Arthroplasty for Ankylosed and Stiff Elbows
J. Bone Joint Surg. Am., September 1, 2000; 82(9): 1260 - 1260.
[Abstract] [Full Text]

Home page
 JBJSHome page
H. KUDO, K. IWANO, and J. NISHINO
Total Elbow Arthroplasty with Use of a Nonconstrained Humeral Component Inserted without Cement in Patients Who Have Rheumatoid Arthritis
J. Bone Joint Surg. Am., September 1, 1999; 81(9): 1268 - 80.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. R. J. GILL, R. H. COFIELD, and B. F. MORREY
Ipsilateral Total Shoulder and Elbow Arthroplasties in Patients Who Have Rheumatoid Arthritis
J. Bone Joint Surg. Am., August 1, 1999; 81(8): 1128 - 37.
[Abstract] [Full Text]

Home page
 JBJSHome page
M. L. RAMSEY, R. A. ADAMS, and B. F. MORREY
Instability of the Elbow Treated with Semiconstrained Total Elbow Arthroplasty
J. Bone Joint Surg. Am., January 1, 1999; 81(1): 38 - 47.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. R. J. GILL and B. F. MORREY
The Coonrad-Morrey Total Elbow Arthroplasty in Patients Who Have Rheumatoid Arthritis. A Ten to Fifteen-Year Follow-up Study
J. Bone Joint Surg. Am., September 1, 1998; 80(9): 1327 - 1335.
[Abstract] [Full Text]

Home page
 JBJSHome page
P. M. CONNOR and B. F. MORREY
Total Elbow Arthroplasty in Patients Who Have Juvenile Rheumatoid Arthritis
J. Bone Joint Surg. Am., May 1, 1998; 80(5): 678 - 88.
[Abstract] [Full Text]

Home page
 JBJSHome page
K. YAMAGUCHI, R. A. ADAMS, and B. F. MORREY
Infection after Total Elbow Arthroplasty
J. Bone Joint Surg. Am., April 1, 1998; 80(4): 481 - 91.
[Abstract] [Full Text]

Home page
 JBJSHome page
A. G. SCHNEEBERGER, R. ADAMS, and B. F. MORREY
Semiconstrained Total Elbow Replacement for the Treatment of Post-Traumatic Osteoarthrosis
J. Bone Joint Surg. Am., August 1, 1997; 79(8): 1211 - 22.
[Abstract] [Full Text]

Home page
 JBJSHome page
T. K. COBB and B. F. MORREY
Total Elbow Arthroplasty as Primary Treatment for Distal Humeral Fractures in Elderly Patients
J. Bone Joint Surg. Am., June 1, 1997; 79(6): 826 - 32.
[Abstract] [Full Text]

Home page
 JBJSHome page
G. J. W. KING, R. A. ADAMS, and B. F. MORREY
Total Elbow Arthroplasty: Revision with Use of a Non-Custom Semiconstrained Prosthesis
J. Bone Joint Surg. Am., March 1, 1997; 79(3): 394 - 400.
[Abstract] [Full Text] [PDF]