The measurement of anatomic data of the humerus body and relevant study of the new internal fixator of humerus
DI Wen-Liang, BAI Da-Jiang, CANG Zhen-Feng, HU Zhong-Wei
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (4) : 373-375.
The measurement of anatomic data of the humerus body and relevant study of the new internal fixator of humerus
Objective To provide anatomical basis for the design of a new internal humerus fixator and its application. Methods 40 sides of adult upper limb specimens with were dissected, the course of the axillary nerve, radial nerve was observed and the distance from them to the related osseous landmarks were measured. Meanwhile, 30 adult dry humerus specimens were selected, the related diameter and circumference of the upper humerus were measured and the optimal radian was calculated. Results The maximum length of the humerus was (30.21±0.22) cm; The greater tubercle to the axillary nerve length was (5.48±0.09) cm; The greater tubercle to deltoid tuberosity length was (12.80±0.13) cm; The nearest end of humerus to the entry and exit of humerus muscle tube were (16.10±0.27) cm and (21.04±0.26) cm, respectively; The best radian of upper humerus was (3.90±0.03) rad. Conclusion When the radian of arched segment reach 3.9 rad, the new humerus internal fixation can achieve very good adherence as well as reducing the incidence of the radial nerve injury effectively.
[1] Larsen LB, Barfred T. Radial palsy after simple fracture of the humerus
[J]. Scand J Plast Reconstr Surg Hand Surg, 2000, 34(3):363-366.
[2] Ahmad M, Nanda R, Baiwa AS, et a1. Biomechanical testing of the Locking compression plate:When does the distance between bone and implant significantly reduce construct stability
[J].Injury ,2007,38(3):358-364.
[3] Tsourvakas S, Alexandropoulos C, Papachristos I, et al. Treatment of humeral shaft fractures with antegrade intramedullary locking nail
[J].Musculoskelet Surg,2011,5(3):70-76.
[4] Helmy N, Hintermann B. New trends in the treatment of proximal humerus fractures
[J]. Clin Orthop Relat Res, 2006, (442):100-108.
[5] 蔡俊丰,李旭,刘林,等.肱骨近端骨折内固定相关应用解剖学研究
[J].中国临床解剖学杂志, 2011,29 (3):268-271.
[6] 李颖,吴继明, 邹昌旭,等.肱骨髓腔的形态学参数测量及临床意义
[J].中国临床解剖学杂志, 2004,2 (22):199-202.
/
〈 |
|
〉 |