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Figure 5a.  Anteroposterior (a) and lateral (b) radiographs of the right elbow show a failed cemented semiconstrained total elbow arthroplasty (Coonrad Morey; Zimmer, Warsaw, Ind). There is loosening of both components (note extensive osteolysis about the cemented humeral stem), bone remodeling along the anterior distal humeral shaft, and a periprosthetic ulnar shaft fracture about the distal component.