Ultra-High Molecular Weight Polyethylene Tape Applied for Distal Humeral Condyle Fracture around Total Elbow Arthroplasty in Patients with Rheumatoid Arthritis: Report of Two Cases

• 作者: Koichi Sairyo Mitsuhiko Takahashi Naohito Hibino Norio Yamamoto
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: Total Elbow ARTHROPLASTY DISTAL HUMERUS Ultra-High Molecular Weight Polyethylene RHEUMATOID Arthritis
• 年，卷（期）: 2015,（9）
• 页码范围: 283-287
• 页数: 5页
• 分类号: R6

摘要

Managing fractures of distal humerus in patients with rheumatoid arthritis (RA) is technically challenging. Total elbow arthroplasty (TEA) is one of the treatment options for these fractures. While elbow motion is largely regained by TEA, comminuted condyle fragments are often ignored. Although numerous approaches for repair of condylar fragments around TEA are described, any universal fixation strategy for these fractures has not been established. This report describes, for the first time, application of an ultra-high molecular weight polyethylene (UHMWPE) tape for the treatment of distal humerus fracture in 2 patients with rheumatic elbow arthropathy. The post-operative clinical courses were good. Radiographs showed bony union of the condylar fragments without loosening in two cases. Because of its flat configuration, softness, and flexibility, UHMWPE tape is a promising material for stabilizing fracture of the distal humerus associated with TEA.