培训私人教练majoyPHILOS + PHILOS Long. The anatomic
fixation system for the proximal humerus
with angular stability
Surgical technique
Table of Contents
Indications/contraindications2
Implants/instruments3
Surgical technique5
Surgical technique for Philos Long14
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Postoperative treatment15
Implant removal16
Image intensifier control
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Warning
This description is not sufficient for immediate application of
the instrumentation. Instruction by a surgeon experienced in
handling this instrumentation is highly recommended.
Synthes PHILOS+PHILOS Long Surgical technique
capitals1
Indications/contraindications
Indications for Philos
–Dislocated two-, three-, and four-fragment fractures of the proximal humerus, including fractures involving osteopenic bone
– Pudarthros in the proximal humerus
–Osteotomies in the proximal humerus
Contraindicationsdtt
–Acute infections
–Children during the growth pha
Indications for Philos long
–As for Philos, but for fractures extending into the shaft or without medial support
Contraindications
–Acute infections
–Children during the growth pha
–Isolated shaft fractures
2Synthes PHILOS+PHILOS Long Surgical technique
3
Philos Proximal Humeral Internal Locking System –Plate length 90 mm, short, 3 shaft holes (X41.901)–Plate length 114 mm, long, 5 shaft holes (X41.903)–9 proximal screw holes in ction A–E for LCP locking screws л3.5 mm –10 proximal suture holes
–3 or 5 distal LCP Combi-holes in the shaft ction F–H (or F–J)for cortex screws л3.5 mm and cancellous bone screws л4.0 mm, as well as LCP locking screws л3.5 mm –Available in pure titanium (CPTI) and implant steel (SSt)
Philos long
–Proximal part identical to Philos –Shaft reinforced
–Plate length 140 to 270 mm
–5, 6, 8, 10, and 12 elongated holes in the shaft
LCP locking screws л3.5 mm (413.020–413.060)–Self-tapping locking screw lengths:20 mm 30 mm 40 mm 50 mm 60 mm
22 mm 32 mm 42 mm 52 mm 24 mm 35 mm 45 mm 55 mm
26 mm 38 mm
48 mm
28 mm
The LCP locking screws 3.5 mm are also available with Stardrive (412.101–412.124)
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Implants/Instruments
Philos Aiming Device (323.050 hexagonal,
323.051 Stardrive)
A
B C
D E F
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4Synthes PHILOS +PHILOS Long Surgical technique
4级作文万能模板Drill Sleeve System for Philos Aiming Device
Philos direct measuring device (323.060)
323.053
Centering Sleeve for Philos Aiming Device
323.054 Drill Sleeve for Philos Aiming Device
323.055Centering Sleeve for Kirschner Wire л
1.6 mm
