To study the bio mechanical behaviour of the intact femur. We use a trochanteric entry approach and nail for adolescents between the ages of twelve and seventeen years to avoid damage to the femoral head blood. Helps restore natural anatomic shape to fractured long bones. Fides trochanteric nail system trochanteric nail 120 125 5 universal anatomical shape distal dynamization is possible greater strength and stability compared with the side plate lag screw to transfer the load of the femoral head into the nail shaft by bridging the fracture line. Asad k g, syed k a s, muhammad a k, muhammad a g, muhammad k r n.
Tfna proximal femoral nailing system surgical technique depuy synthes 11 5 determine nail diameter instrument 03. In our series of 30 cases of subtrochanteric fractures treated with proximal femoral nail, 24 patients had excellent to good outcome at their final followup. Nail or plate fixation for a3 trochanteric hip fractures. Approximately 300,000 hip fractures occur in the usa each year 1, 2 with 4045% being in the trochanteric region 3, 4. Technical difficulties and results in trochanteric fractures 235.
Antegrade intramedullary nailing of pediatric femoral fractures using an interlocking pediatric femoral nail and a lateral trocanteric entry point. Gamma nail in both types of fractures shared the smaller displacement. Antegrade femoral nail afn surgical technique 11 p a determine nail insertion point and insert guide wire in the ap view, the nail insertion point is normally found on the tip or slightly lateral to the tip of the greater trochanter in the curved extension of the medullary cavity. Despite the fact that more intraoperative and postoperative fractures are reported with short femoral. Outcomes of proximal femoral nail in subtrochanteric femur. Femur shaft fracture intramedullary nailing with the. A biomechanical study comparing proximal femur nail and. Intramedullary nails with different varieties of design offer good options in treatment. All the patients attending opd and emergency with inter trochanteric fracture without any sub. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. The aim of the present study was to analyze the results of treatment with pfna in 50 patients with trochanteric fractures. 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. Pdf comparision of pfn and intertan nail for unstable. Trochanteric buttress plate, lateral wall comminution of greater trochanter, unstable trochanteric fracture, screw migration, cut out of screw 1.
The proximal femoral nail pfn is a recently introduced intramedullary system, designed to improve treatment of unstable trochanteric fractures of the hip. The screw diameter directly under the screw head has been reduced to. This implant was created by descamp and kerner from nice in 1964. In conclusion lateral trochanteric entry rigid nailing is safe and effective for adolescent femoral shaft fractures with open physes keeler et al. Intertan nail versus proximal femoral nail antirotationasia for intertrochanteric femur fractures in elderly patients with primary osteoporosis. 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. The low rates of femoral shaft fractures and failure of fixation suggest the proximal femoral nail is useful for treatment of unstable trochanteric and subtrochanteric fractures. This study evaluates the experience with the snp in two orthopaedic departments from. In a multicentre prospective clinical study, the intraoperative use, complications and outcome of treatment using the pfn n 211 were compared with those using the gamma nail gn n 2. The displacement of femurs fixed by gamma nail showed smaller displacement. However, technical difficulties and implant related complications have been described with this technique, thus we need more studies to address these issues. Trochanteric locking nail versus arthroplasty in unstable. Lengthening of femur with remotecontrolled magnetic intramedullary nail. Phoenix antegrade femoral nail system featuring corelock technology 20 biomet orthopedics form no.
This material is intended for the sole use and benefit of the biomet sales force and health care. To investigate the bio mechanical behaviour of the fractured femur with the pfn implant. Gamma3 s trochanteric nail 170 hip fracture operative technique. Trochanteric fractures of the femur treated by the vitallium mclaughlin nail and plate. The trochanteric femoral nail tfn is a recently introduced intramedullary system, designed to improve treatment of intertrochanteric fractures of the hip. The tfna system is designed to solve a wide range of unmet needs for surgeons, or staff, and administrators. Role of proximal femoral nail in the treatment of unstable intertrochanteric fractures. 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. In a clinical study, the intraoperative use, complications and outcome of treatment using the tfn. A nonrandomised prospective multicenter study compared osteosynthesis by trochanteric nailing n 1 to hip arthroplasty n 4 in unstable trochanteric fracture ao types 31 a2.
Treatment for trochanteric fracture of the femur with. The prevention of deformity in intertrochanteric fractures. Pdf comparative study between intertan and trochanteric. The biomet peritrochanteric nail ptn consists of an intramedullary nail and lag screw indicated for a variety of hip. The reverse oblique trochanteric fractures are common fractures and its treatment poses a challenge. This study was conducted to analyze the results of subtrochanteric fractures treated with this proximal femoral nail through medial entry both radiological and functionally. The series was recruited during 2007 in seven centres, four of which included only arthroplasties, two only osteosyntheses and one. Original article biomechanical comparison of dynamic hip. The es trochanteric nail is intended for the treatment of basilar neck, inter and high subtrochanteric femoral fractures. Regardless of the preference of using a short nail or a long nail, a large percentage of the hip fractures encompass basilar neck, intertrochanteric or subtrochanteric with minimal shaft extension.
Is the proximal femoral nail a suitable implant for. Comparing the intramedullary nail and extramedullary. 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. A report from the norwegian hip fracture register of 2716. The unique anatomy and the occurrence of high varying forces in the trochanteric region of the femur are challenging and. Download full thesis topics for ms dnb orthopaedics degree. Trochanteric nail insertion for the treatment of femoral. Unsp trochanteric fracture of right femur, init for clos fx the 2020 edition of icd10cm s72.
With the trigen sureshot distal targeting system, the leg does not need to be maneuvered for fluoroscopy. Trigen intramedullary nails im nails used to treat femur. The aim of this study was to compare two intramedullary nails in different design and reveal the differences by evaluating radiological parameters of patients with unstable. A comparison of the long gamma nail with the sliding hip screw for the treatment of aoota 31a2 fractures of the proximal part of the femur. Role of proximal femoral nail in the treatment of unstable. Regardless of the preference of using a short nail or a long nail, a large percentage of the hip fractures encompass basilar neck, intertrochanteric or. In this presentation, fixation of a 32b2 femoral shaft fracture is demonstrated using the expert lateral femoral nail, or lfn.
Finite element analysis of proximal femur nail for. Some of the randomised trials that have comparing an intramedullary nail with the shs have suggested a tendency to slightly better regain of mobility for the nail 17,36,48,49,56. Hold the radiographic ruler perpendicular to the femur. Trochanteric fixation nail how is trochanteric fixation. The ideal implant for the treatment of an unstable intertrochanteric femoral fracture is still a matter of discussion.
This antegrade intramedullary nail system is available in a variety of diameters and lengths with varying anterior bows to accommodate varying patient anatomy. A new device designed by aoasif, the pfna proximal femoral nail antirotation, represents a unique intramedullary nail system for improved management, particularly in the elderly. Lengthening of the femur with a remotecontrolled magnetic. In an effort to decrease the morbidity and the cost of treatment of these fractures, surgical techniques need to be optimized 5, 6. Barton tm, gleeson r, topliss c, greenwood r, harries wj, chesser tj. More than five years in the making, this system offers advancement in hip. Get a printable copy pdf file of the complete article 9. Phoenix antegrade femoral nail system featuring corelock.