Mid- and long-term results of primary vs. secondary total elbow arthroplasty after index intra-articular fracture of the distal humerus in the elderly.

0.58 ± 0.27), but this difference narrowly missed statistical significance ( P = .050).

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However, several clinically relevant numerical differences, including range of motion, complication rate, and revision rate, did not reach statistical significance and should be interpreted cautiously in light of the limited sample size, retrospective design, and potential selection bias.

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