Evaluation of the use of structure screw in PHILOS plate for treatment of proximal humerus fracture in Chinese
10.3969/j.issn.1671-167X.2015.02.015
- VernacularTitle:PHILOS 接骨板治疗肱骨近端骨折时结构螺钉的使用分析
- Author:
Long JIA
;
Tianbing WANG
;
Jing ZHOU
;
Wei HUANG
;
Hao LU
;
Baoguo JIANG
- Publication Type:Journal Article
- Keywords:
Bone plates;
Humeral fracture;
Structure screw
- From:
Journal of Peking University(Health Sciences)
2015;(2):269-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To measure vertical axis length of humerus head in patients with proximal hu-meral fractures and to evaluate the use of structure screws in proximal humerus internal locking osteosyn-thesis system ( PHILOS) .Methods:From January 2007 to February 2014,117 patients with proximal hu-merus fracture were treated by PHILOS plate.Preoperatively, all the patients tookanteroposterior X-ray of shoulder, and the vertical axis length of humerus head were measured, and the use of structure screws in PHILOS plate was observed.Results: There were 40 male and 77 female patients; The vertical axis length of humerus head in male patients was (47.64 ±3.44) mm, and the rate of structure screw use was 52.5%;The vertical axis length of humerus head in female patients was (42.46 ±3.21) mm, and the rate of structure screw use was 32 .5%.The vertical axis length of humerus head and the rate of structure screw use had significant difference in the male and female groups (P<0.05).Conclusion:The rate of structure screw use was low in the treatment of proximal humerus fracture by PHILOS plate, especially for women.We should improve the design of plate according to the anatomical characteristics of Chinese.