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

Naohito  Hibino; Norio  Yamamoto; Mitsuhiko  Takahashi; Koichi  Sairyo

doi:10.4236/ojo.2015.59038

Norio Yamamoto¹^*, Mitsuhiko Takahashi², Naohito Hibino¹, Koichi Sairyo³

Abstract: 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.

Keywords: Total Elbow Arthroplasty, Distal Humerus, Ultra-High Molecular Weight Polyethylene, Rheumatoid Arthritis

Cite this paper: Yamamoto, N. , Takahashi, M. , Hibino, N. and Sairyo, K. (2015) 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. Open Journal of Orthopedics, 5, 283-287. doi: 10.4236/ojo.2015.59038.

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