Treatment of trochanteric fractures with proximal femoral nail. Comparison between proximal femur nail pfn and trochanteric femoral nail trochanteric fixation nail tfn. Intramedullary nailing for pertrochanteric fractures of. Short proximal femoral nail fixation for trochanteric fractures article pdf available in journal of orthopaedic surgery hong kong 181. Also with limited access approach, one can reduce the blood loss, soft tissue trauma and infection. Proximal femoral nails antirotation, gamma nails, and. This consists of a one reconstruction, one antegrade and one transverse screw.
To compare the efficacy of threepoint locating versus routine locating techniques for implanting helical blades for proximal femoral nail antirotationii in the treatment of trochanteric fractures. Comparison of two methods of locating proximal femoral. Methods between december 2010 and august 2014, 332 elderly osteoporosis patients with ifs ota 3. Technical difficulties and results in trochanteric fractures 235.
Implant fracture analysis of the tfna proximal femoral nail. Volume 43, supplement 2, december 2012, pages s47s54. The femoral neck screw and hip screw guide needle were inserted under xray fluoroscopy, and the guide needle was located approximately 5 mm below the femoral head. The talon distalfix proximal femoral nail talonpfn is a new proximal femoral intramedullary nail designed for the treatment of intertrochanteric femoral fractures. Short proximal nail end designed to reduce the risk of nail prominence compared with nails with a longer nail end. Proximal femoral nail antirotation versus cementless. Proximal femoral nailing in communited intertrochanteric fractures is increasingly becoming popular in. It is essential to determine the optimal treatment of intertrochanteric fractures due to their high incidence and related public health burden. Proximal femoral nail versus dynamic hip screw fixation. Injury to the deep femoral artery during proximal locking. A biomechanical study comparing proximal femur nail and. Intertrochanteric femur fractures in the elderly treated with either proximal femur nailing or hemiarthroplasty. Ipsilateral fractures of the femoral neck and shaft. Distal locking of the nail was done with a spiral blade and one locking screw.
The present study was undertaken to assess outcome of 50 patients. In this prospective randomized controlled trial, we have compared functional and radiological results and complications of patients affected by pfs treated with two intramedullary proximal femoral nails. Proximal targeting assembling of the nail and the targeting device on the basis of the preoperative measurements, the femoral nail of the right length and thickness is chosen. Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures. Mechanical failures after fixation with proximal femoral. Proximal femoral nail antirotation versus gamma3 nail for.
Side specific to right and left anatomy for all three nail options. Pdf treatment of the proximal femoral fractures with. Reamer to be pushed medially at entry point to break cortex so that reamer and nail is not displacing the fracture, as it leads to malposition of screws in head figure 18. Mechanical failure of intramedullary nails is rare. The purpose of this metaanalysis was to find out whether the proximal femoral nail was better than the dynamic hip screw in the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation, and mortality rate. Augmentation, cutout, cutthrough, osteoporosis, pfna, proximal femur fracture view abstract download pdf. The tfna system is designed to solve a wide range of unmet needs for surgeons, or staff, and administrators. Ipsilateral femoral neck and shaft fractures fixation with. The aoasif proximal femoral nail antirotation pfna. Short term analysis retrospective and prospective study of the functional outcome in complex total primary hip replacement. The invention relates to a proximal femur nail 1 comprising a femur neck supporting element fixed in a bore. Said support screw comprises a through slot 9 extending along a longitudinal section and to the support screw end opposite to a selfcutting screw and into the threaded bore which extends in the. Comparison of proximal femoral nail antirotation pfna with ao dynamic condylar screws dcs for the treatment for unstable peritrochanteric femoral fractures. This study is to evaluate the results of trochanteric buttress plate tbp combined with pfn in an unstable it fractures for buttressing lateral wall and.
Pdf management of intertrochanteric fractures with short. Reaming on guide wire up to the length and breadth of proximal part of nail up to lesser trochanter. Predictors of failure for cephalomedullary nailing of proximal femoral fractures. Pdf comparison of proximal femoral nail antirotation. Mechanical failures after fixation with proximal femoral nail and risk factors semmi koyuncu,1 task.
The purpose of this study was to compare the biomechanical parameters of the construct using proximal femoral nail pfn and proximal femoral locking compression plates pflcp in these fractures using cadaveric specimens. Proximal femoral nail antirotation technique guide depuysynthes 9. Dynamic hip screws versus proximal femoral nails for. Pertrochanteric fractures pfs frequently affect the lower limb of osteoporotic patients and represent an important cause of morbidity and mortality in the elderly. Proximal femoral nails antirotation, gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur.
Retrograde femoral nailing has expanded the use of intramedullary nails 1, 2. For intramedullary fixation of proximal femoral fractures. Proximal femoral nail antirotation versus gamma3 nail for intramedullary nailing of unstable trochanteric fractures. Aos antegrade femoral nails, aos humeral nails, aos modular femoral nails, aos retrograde femoral nails, aos tibial nails, aos trochanteric nails, aos small bone nails, aos clavicle intramedullary devices download pdf.
Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with porotic bones, usually due to lowenergy trauma like simple falls. This study aimed to report the clinical and radiological outcomes of patients treated using a proximal femoral intramedullary nail with a. The nail end was placed parallel to the tip of the greater trochanter. Proximal femur nail in intertrochanteric fractures. Single stage global stabilization for subaxial cervical spine injuries. The asia proximal femoral nail antirotation versus the. Treatment of proximal femoral fragility fractures in. Trochanteric femoral nail trochanteric fixation nail.
Reversed distal femoral locking plate for failed proximal femoral nail with nonunion of proximal femoral fractures. However, technical difficulties and implant related complications have been described with this technique, thus we need more studies to address these issues. Preparation 1 reduce fracture perform closed reduction of the fracture under image. Up to 3 proximal screws in the proximal femur to form a klike screw formation for increased stability. Functional and radiological results of proximal femoral. Download full thesis topics for ms dnb orthopaedics degree. The pfna augmented in revision surgery of proximal femur. We believe that in elderly patients with covid19 who have proximal femoral fractures, surgery may contribute to the overall stability of the patient, seated mobilization, improvement in physiological ventilation, and general patient comfort in bed. More than five years in the making, this system offers advancement in hip. Significantly fewer wound complications with nails. Trochanteric buttress plate combined with proximal femoral. All nails can be used in conjunction with the fibonacci lower extremity plates. Proximal reaming must to accommodate broad proximal part of nail.
Asia proximal femoral nail antirotation versus the standard proximal femoral antirotation nail for unstable intertrochanteric fractures in elderly chinese patients j. Tfnadvanced proximal femoral nailing system tfna the tfna system is designed to advance the treatment of trochanteric fractures by providing surgical options that help to preserve bone in insertion area due to reduced critical width, improve anatomical fit 1 and increase implant strength. Closed reduction and proximal femoral nailing in the management. Proximal femoral nailing in communited intertrochanteric fractures is increasingly becoming popular in view of superior biomechanics and prevention of varus collapse associated with dynamic hip screw. For full information on indications, contraindications, warnings and precautions please see the product specific ifu and surgical technique. Complicated multiple trauma injuries, associated pelvic and acetabular fractures, ipsilateral femoral shaft fractures, supracondylar and intercondylar fractures, may be better. Treatment of the proximal femoral fractures with proximal femoral nail antirotation pfna. Pdf treatment of basicervical femoral neck fractures. Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation article pdf available in the journal of international medical research 479. Debate remains as to whether dynamic hip screws dhs or proximal femoral nails pfns are best practice, and this pilot study seeks to collect information relevant to this query. Department of orthopaedics, the second hospital of anhui medical university, 678, furong avenue, hefei, anhui 230601, pr china a r t i c l e i n f o article. Clinical and radiological outcomes of patients treated.
Pdf the proximal femoral nail pfn a minimal invasive. The inventive supporting element is embodied in the form of support screw 5. Article information, pdf download for treatment of trochanteric. Failed surgical management of acute proximal fifth metatarsal jones fractures. Following difficulties with dynamic hip screw fixation, especially in unstable trochanteric fractures, the authors have started using proximal femoral nail in. Titanium cannulated adolescent lateral entry femoral nail.
The proximal femoral nail, which was matched with the femoral bone marrow cavity, was inserted. The femoral recon nail frn system is an integrated nailing system designed to adapt to multiple surgical approaches. A comparison of the clinicoradiological outcomes with proximal femoral nail pfn and proximal femoral nail antirotation pfna in fixation of unstable intertrochanteric fractures. Proximal femoral nail antirotation 2 ao principles 5 indications and contraindications 6 clinical cases 7 preoperative planning 8 patient positioning 9 preparation 10 open femur 14 insert nail 17 proximal locking 20 distal locking 38 for pfna short 40 for pfna long 45 insert end cap 48. Treatment of trochanteric fractures with proximal femoral nail antirotation. In the recent years proximal femoral nails are most. This investigation was prompted by a series of cases of observed breakage of the recently introduced tfna proximal femoral nailing system tfn trochanteric fixation nail advanced. Proximal femoral nail antirotation versus hemiarthroplasty.
137 84 376 667 1413 1518 1231 941 581 1525 696 464 1013 701 637 1541 1138 1585 327 618 851 970 1236 672 1041 338 1016 1529 875 875 744 1572 1020 472 1410 463 257 1140 1058 882 820 959 1051