Système PHP Contours

The Contours Proximal Humeral Plate™ (PHP) is an anatomically shaped plate, one for the right and one for the left humerus. It has to be used in combination with at least two diaphyseal screws, a main locking screw and at least two fine threaded screws. The main stabilization of the humeral head is achieved with a cannulated main locking screw (slightly conical Ø 5.6 – 6 mm with 130° angle) to be inserted in the calcar area. This larger bore screw works as a cantilever, blocking the humeral head in the frontal plane. It transfers the main load to the diaphysis of the humerus. To complete the stabilization and fix fracture fragments, minimum two crossing Ø 2.2 mm polyaxial fine threaded screws are inserted and locked in the appropriate threaded holes. These thinner-bore screws work through traction and stabilize the humeral head in the sagittal and transversal planes. Distal locking is made in the three distal holes by inserting either the Ø 4.5 mm diaphyseal screws or the Ø 6.5 mm revision screws (when the bone quality is poor). Four suture holes with large grooves have been designed to allow a needle insertion thus facilitating sutures and cerclage procedures.

Features & Benefits

  • The innovative triangular configuration of the Ø 6 mm main locking Screw and the crossing Ø 2.2 mm fine threaded screws has been designed to obtain great stability
  • Engineered to reduce the invasiveness of the system in terms of metallic content in the humeral head
  • Low head profile and low plate positioning designed to reduce the risk of subacromial impingement
  • Made of titanium to exploit the osteointegration capability of this material
  • Suture holes with large grooves to allow a needle insertion and facilitate suturing and cerclage procedures
  • Simple instrumentation and straightforward operative technique intended to reduce time in the operating room

Indications

The Orthofix Contours Proximal Humeral Plate (PHP) is intended for fractures, osteotomies and non-unions of the proximal humerus, particularly in osteopenic bone.

Contre-indications

  • Active infection at the site of surgery
  • General medical conditions including: impaired blood supply, pulmonary insufficiency (i.e. ARDS, fat embolism) or latent infection
  • Patients who are unwilling or incapable of following post-operative care instructions.
  • Obese patients
  • Suspected or documented metal allergy or intolerance
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