Operative Treatment of Isolated Split Greater Tuberosity Fracture (mutch type II) of Proximal Humerus with Modified PHILOS
Bibliographic record
Abstract
Abstract Background: The greater tuberosity (GT) of the proximal humerus is the attachment point of the rotator cuff, which plays a role in the movement of the shoulder joint and is the core of the entire shoulder joint. Material and Methods: In our current study, 40 patients with isolated split GT fracture (mutch type II) from july 2017 to January 2019, which was typed by J.Mutch professor, Canada in 2014, were employed in the study. They were divided into two groups: the Modified PHILOS plate group (group A, n=20) and the Hollow Screw group (group B, n=20). The functional scores Constant‑Murley Score (CMS), American Shoulder and Elbow Surgeons (ASES), The University of California at Los Angeles shoulder rating scale (UCLA) and Visual Analogue Score (VAS) were recorded in both pre-op and post-op last follow. Results: Compared with last-follow, all shoulder scores (CMS, ASES, and UCLA) of group A was significantly better than group B (P<0.05), but VAS (P>0.05). Moreover, in post-op complications, there were one GT malunion and one shoulder pain in group A, but in group B, there were seven GT disappear (35%), three GT malunion and two patients with repeated shoulder pain. Conclusion: The Modified PHILOS plate in treating isolated split GT fracture (mutch type II) was found to be effective than hollow screw in the short term follow. However, there are still some post-op complications in both groups. Keywords : Isolated Split GT Fracture; Modified PHILOS Plate; Hollow Screw
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".