Use of femoral nail with spiral blade in subtrochanteric. Nov, 2014 the preferred treatment of intertrochanteric fractures in aged patients is controversial. 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. The purpose of the present study was to evaluate the outcomes of the asian proximal femur intramedullary nail antirotation system pfnaii for stabilization of such fractures. Dynamic hip screw dhs and gamma nail were commonly used but often associated with some complications, such as fixation failure and implantrelated fractures. Original article is proximal femoral nail antirotation. Jan 28, 2016 complications after hip nailing for fractures. Affixus hip fracture nail 1 insert guide pin 2 open femoral canal short nail technique 3.
Meanwhile, proximal femoral nail antirotation pfna fixation has recently been developed for minimally invasive surgery to reduce the complications rate. Report by journal of evolution of medical and dental sciences. Proximal femur nail in intertrochanteric fractures indications and tipstricks. Treatment of middleup part longsegment femoral fracture with long proximal femoral nail antirotation. A 21yearold female patient was admitted to our hospital because of right subtrochanteric femoral fracture. Subtrochanteric femoral fracture during trochanteric nailing. Another tool that avoids the use of a fracture table is the femoral distractor 6,7,19,25,26 where 5. Zeffect and reverse zeffect are complications that arise from the surgical treatment of pertrochanteric fractures of the femur with proximal femoral nails pfn comprising two interlocking head screws. Es nail allows you to place the lag screw and the ar screw if desired in the femoral head. Galileo trochanteric nail system trauma vs joints mirror download pdf. The treatment of intertrochanteric fractures of the femur with endovis nail. With expert tibia nail, greater trochanter can be used as an entry point and locking screw can be inserted into the femoral head.
Proximal femur nail in intertrochanteric fractures indications and. Antegrade femoral nail afn surgical technique depuy synthes 9 determine nail diameter determine the distal nail diameter by placing the aoasif planning template on an ap image over the isthmus. Dynamic hip screw in treatment of intertrochanteric fractures. Debrided and covered by skin, muscle or free flap, with no drainage, may. Color figure can be viewed in the online issue, which is available at tr foot end head end umer et al. 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.
Mechanical failures after fixation with proximal femoral nail and risk factors semmi koyuncu,1 task. Open and closed femoral shaft fractures, ipsilateral neckshaft fractures, segmental fractures, comminuted fractures with or without bone loss, fractures proximal to a total knee arthroplasty, pathologic and impending pathologic fractures, tumor resections, nonunions, pseudoarthrosis, malunions, and corrective osteotomies. The paper describes three cases of pertrochanteric fractures. Aim of the study to evaluate the surgical management of intertrochanteric fractures of the femur with the proximal femoral nail and. Expert tibia nail for subtrochanteric femoral fracture to. Femoral shaft fracture intramedullary nailing femur fracture. Trigen intertan intertrochanteric antegrade nail, or. Phoenix antegrade femoral nail system featuring corelock. 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. Unstable proximal femoral fractures and pathological lesions involving the trochanteric region in the elderly comprise an increasing workload for the trauma surgeon as the ageing population increases. Amarathunga jp, schuetz ma, yarlagadda pk, schmutz b. Study selection after applying the search strings, we identified.
Failure of fixation of trochanteric femur fractures. Sign fin nail is indicated for internal fixation of stable fractures in the femur and. This study aims to evaluate use of the russelltaylor reconstruction nail rtrn in this group with regard to mortality risk, complication rates and final outcome. This material is intended for the sole use and benefit of the biomet sales force and health care. A complication rate between 418% for the conventional osteosynthesis of the proximal femur fracture continues to be unacceptable even if increasing age and comorbidity of patients are taken into account. There were no abnormal bowing of the contralateral femurs in the preoperative radiographs. The aos galileo trochanteric nail system combines the mechanical. Solid and cannulated nails technique guide synthes synthes on. Magellan femoral nail system retrograde surgical technique download pdf. The staca nail plate in the treatment of trochanteric fractures. Minimally invasive approach for the insertion of the nail and spiral blade. The trigen intertan device was superior to the other devices and had no incidence of cut out. Shortterm results of the pfna relative to complications, outcome, and advantages and disadvantages are. Biomet peritrochanteric nail ptn system biomet peritrochanteric nail ptn system is indicated for the treatment of fractures of the femur including.
Galileo trochanteric nail system advanced orthopaedic solutions. Case report iatrogenic vascular injury of intertrochanteric. Design and technology of the trigen intertan intertrochanteric antegrade nail for use in femur hip fractures. Treatment of trochanteric fractures with the pfna proximal. Techniques of obtaining and maintaining reduction during. Health, general femur analysis fractures care and treatment risk factors fractures injuries internal fixation usage internal fixation in fractures. Quantification of cephalomedullary nail fit in the femur using 3d. Each antegrade femoral nail is composed of titanium alloy and incorporates a. Despite the superiority of the sliding hip screw compared to intramedullary nails for the treatment of extracapsular femur fractures, there is a permanent confusion regarding the best treatment for fractures of the trochanteric region, 20 with an increasing body of evidence suggesting that pertrochanteric fractures with subtrochanteric. Active linear compression compression of the femur fracture with rotational control. Complicated multiple trauma injuries, associated pelvic and acetabular frac tures.
To achieve rotational and angular stability, in 2004, the proximal femoral nail antirotation pfna device, one of the thirdgeneration intramedullary implants pfna. This is a minimally invasive way of fixing this surgical problem and allows for immediate range of motion and full weightbearing. Trigen intertan cycle testing the trigen intertan nail was compared to single lag screw and helical blade devices in a sommers cut out test protocol of 100,000 cycles. Management of subtrochanteric fractures of femur with. A study population was selected and was carried out with a total of 25 patients male. Comparative study of proximal femoral nailing and dynamic hip screw for intertrochanteric fractures in adults. Pdf short proximal femoral nail fixation for trochanteric. Since its introduction as a treatment for femoral and tibial shaft fractures, indications for use of intramedullary.
The narrowest diameter of medullary canal of her femur was about 7 mm but she refused open reduction and internal fixation with plate due to large scar formation. Postoperative anteroposterior and lateral radiographs of the hip. Eliminates excessive sliding reducing the incidence of femoral neck shortening. The pfnaii was used to treat intertrochanteric fractures in 163 elderly patients from march 2010 to march 20. Magellan femoral nail system advanced orthopaedic solutions. Salvage for nail breakage in femoral intramedullary. Phoenix antegrade femoral nail system featuring corelock technology 20 biomet orthopedics form no. Proximal femur nail in intertrochanteric fractures. Distal locking is accomplished by using a freehand technique. Pfna blades have been biomechanically proven to compact cancellous bone and achieve increased stability and.
Proximal femoral nail versus dynamic hip screw fixation for. Therefore, new intramedullary techniques are under development, and we here report our results with the novel trochanteric fixation nail tfn. Trochanteric femoral nail trochanteric fixation nail. Short proximal femoral nail fixation for trochanteric.
Up to 3 proximal screws in the proximal femur to form a klike screw. First results with the trochanter fixation nail tfn. Mechanical failures after fixation with proximal femoral nail. Quick reference guide affixus hip fracture nail trauma. Expert tibia nail can be one of the treatment options for subtrochanteric femoral fracture with narrow medullary can.
We reported an iatrogenic vascular injury of intertrochanteric fracture, and advise that angi ography is an effective way to diagnose and treat the disease. Intertrochanteric fractures of femur by proximal femoral. The short proximal femoral nail is a superior implant for stable and unstable intertrochanteric. Proximal femoral nails antirotation, gamma nails, and dynamic. Aug 20, 20 the authors oversaw three cases of iatrogenic subtrochanteric femoral fracture during trochanteric femoral nailing for femoral shaft fractures, between april 1, 2009 and may 31, 2009. All the patients were selected based on inclusion criteria such as selected patients were assessed.
Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. Use of femoral nail with spiral blade in subtrochanteric fractures 33. Complex proximal femoral fractures in the elderly managed by. Automated fit quantification of tibial nail designs. Failure of intramedullary femoral nail with segmental. Synthes oberdorf, switzerland, was developed by the aoasif group.
Short proximal femoral nail fixation for trochanteric fractures. Comparative study of proximal femoral nailing and dynamic hip. The aos magellan femoral nail is targeted for use in intramedullary fixation of fractures. This is an example of a surgery to fix a femur thigh bone fracture utilizing an intramedullary nail. Retrograde femoral nailing has expanded the use of intramedullary nails 1, 2. A metaanalysis ac 1 kairui zhang ac 1 sheng zhang b 1,2 jun yang b 1,3 weiqiang dong b 1 shengnan wang f 1 yirong cheng d 1 mohammed alqwbani a 4 qiang wang a 1 bin yu kairui zhang and sheng zhang are cofirst authors who contributed equally to this work. Femoral intramedullary nailing is an option to achieve a stable osteosynthesis but the breakage is a rare complication. Such complications are induced by the migration of screws in opposite directions, which may lead to failure of the osteosynthesis. Functional and radiological outcome of subtrochanteric. The pfna proximal femur nail in treatment of unstable proximal femur fractures3 cases of postoperative perforation of the helical blade into the hip joint. This new implant design was intended to improve the treatment of trochanteric fractures, especially in elderly patients. Pdf the treatment of intertrochanteric fractures of the.
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