Femoral universal femoral universal nailing system options. The broken intramedullary part of the system could be removed in all cases. Please check the sterility of each device on the product label. We aimed to evaluate and compare the clinical and functional outcomes of dynamic hip screw dhs and proximal femoral nail antirotation pfna treatment of ao type 1 intertrochanteric fractures in elderly patients. The presence of the nail has minimized the time needed for the. Phoenix antegrade femoral nail system featuring corelock. Pdf the proximal femoral nail pfn a minimal invasive. Meanwhile, proximal femoral nail antirotation pfna fixation has recently been developed for minimally invasive surgery to reduce the complications rate. Proximal femoral nail versus dynamic hip screw fixation for. Femoral reconstruction with an osteotomy around an existing intramedullary nail was introduced to address axial deformity correction and limb lengthening without changing or removing a previously inserted imn. Canal preparation nail selection figure 10 figure 11 surgical technique proximal end color pink darkgolden nail type left right neogen femoral nail. Proximal femoral nail antirotation pfna is an intramedullary device designed with a helical blade rather than a screw, and is expected to provide better angular and rotational stability, and reduce the implantrelated complications 6, 7. Tfn titanium trochanteric fixation nail system surgical technique depuy synthes.
In two cases refixation was achieved with a dynamic hip screw dhs and a. Orthofix supplies the centronail titanium universal femoral nail, locking screws and end caps in a sterile package, while the instruments are supplied nonsterile. Standard pfn and long pfn simple, reliable, versatile. The proximal femoral nail of 250 mm used in this study was made of 316l stainless steel and the diameters used were 9 mm, 10 mm and 11 mm. Pfna nail surgical technique animation created by kems studio. The neck shaft angle of 5 degrees was used in the forty eight patients whereas the rest needed a degree nail. Position the carm for an ap view of the proximal femur.
Proximal femoral nail antirotation surgical technique depuy synthes 33. The objective of this study was to compare the clinical results and complications of proximal femoral nail antirotation pfna on treatment of intertrochanteric fractures in 120 elderly chinese patients using randomized controlled trials rcts. The tfnadvanced proximal femoral nailing system tfna solution. Original article is proximal femoral nail antirotation. The pedinail intramedullary nail is anatomically designed to meet the unique needs of pediatric and adolescent patients, and is available in diameters of 7, 8, 9, and 10mm with lengths ranging from 2038cm. Pdf in 1996, the aoasif developed the proximal femoral nail pfn as an intramedullary device for the treatment of unstable per, intra and. 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. Insert the pfna blade to the stop by applying gentle blows with the hammer. Apr 15, 2004 osteosynthesis with the proximal femoral nail pfn features the advantages of high rotational stability of the headneck fragment, an unreamed implantation technique and the possibility of static or dynamic distal locking.
Inserting the blade to the stop is important, as the impactor must click into the protection sleeve. In three subtrochanteric femoral fractures ao classification 31 a. Mechanical failures after fixation with proximal femoral nail and risk factors semmi koyuncu,1 task. Intramedullary nail system for proximal femoral fractures.
Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309. Common 5mm cortical screws simplify the surgical procedure and promote a minimally invasive approach. Lower limb clinical and functional outcomes of treatment. After confirming compression and rotation of the fragment and nail, proximal fixation screws can be inserted into the proximal screw holes to secure the humeral head fragment. However, the use of the nail is technically ambitious and is accompanied by some risks of error, which can lead to failure of the osteosynthesis. Getting the trajectory of the proximal femoral nail in the right direction is essential to achieve a good result in the technically demanding surgery of proximal femoral fracture. Jun 21, 2006 proximal femoral nail an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year w.
Short proximal nail end designed to reduce the risk of nail prominence compared with nails with a longer nail end. Implant breakage of the proximal femoral nail pfnreasons. The surgeon must check that the package has not been damaged and has not expired. Browse our femoral nails catalogue online and request a free quote now.
Patients in the pfna group were applied proximal femoral intramedul lary nail fixation, whereas those in the ha group received ha. Mar 03, 2015 prevention and treatment of these complications requires a sound understanding of the anatomy of the femur and the design specifications of femoral intramedullary nails. Tfnadvanced proximal femoral nail system tfna value. Browse our proximal femoral nail pfn catalogue online and request a free quote now.
Cai 1department of orthopedic surgery, shanghai tenth peoples hospital, tongji university, school of medicine, shanghai, china. Proximal femoral nail pfn manufacturing company from india. 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. Some of the factors found to be associated with a patient sustaining an intertrochanteric rather than a femoral neck fracture include advancing age, increased number of comorbidities. Lengthening of the femur with a remotecontrolled magnetic. In this study, 36 elderly patients with hip fracture were randomly assigned to receive. Trigen im nail system femoral tibial intertan short and long lengths metanail retrograde femoral fan femoral antegrade nail standard and recon locking options tan metanail tibial trochanteric antegrade nail standard and recon locking options. Original article efficacy of proximal femoral nail anti. Proximal femoral nail standard pfn and long pfn 12 1. Comparative prospective study of proximal femoral nail and dynamic. Mechanical failures after fixation with proximal femoral nail. Pdf proximal femoral nail failures in extracapsular. Complex proximal femoral fractures in the elderly managed by. For reconstructive nailing, overreaming the entire canal 1.
Ufn unreamed femoral nail cfn cannulated femoral nail. Apr 06, 2018 pfna nail surgical technique animation created by kems studio. Pfn proximal femoral nail royal childrens hospital. Gadegone1, bhaskaran shivashankar2, vijayanad lokhande3, and yogesh salphale3 1 department of orthopaedic and traumatology, associate professor of orthopaedics, gmc, 442402 chandrapur, maharashtra, india. P janardhana aithala, s rao open journal of orthopedics, 20 file. Totaly 120 cases enrolled were randomly assigned to a lateral decubitus position group and supine position group. Randomized controlled trials of proximal femoral nail. Dynamic hip screw dhs and gamma nail were commonly used but often associated with some complications, such as fixation failure and implantrelated fractures. We export and supply high quality proximal femoral nail pfn at best price. This case series underscores the necessity of followup distal femur radiographs in patients after long antegrade femoral nail placement. All surgical techniques are available as pdf files at.
Nov 19, 2016 the proximal femoral nail pfn ortho tube. The unreamed femoral nail ufn and the cannulated femoral nail cfn are used to stabilize diaphyseal and metaphyseal fractures of the femur. Proximal femoral nail antirotation versus hip arthroplasty for. Lavini f, renzi brivio l, aulisa r, cherubino f, di seglio pl, galante n, leonardi w, manca m. Fractures involving the intertrochanteric region and subtrochanteric fractures were excluded, as open reduction was required. Comparison of dynamic hip screw and proximal femoral nail antirotation. Proximal fixation first technique surgery is performed in the modified beach chair or lazylateral position on a beanbag and radiolucent. In 2004, the aoasif group developed the proximal femoral nail antirotation pfna to improve the rotational and angular stability with one single element. Augmentation of proximal femoral nail in unstable trochanteric fractures wasudeo m. Reason and treatment of failure of proximal femoral nail. Femoral shaft fractures proximal or midshaft femoral nonunions and malunions pathologic fractures in osteoporotic bone of the diaphyseal area revision procedures retrograde locking option antegrade locking options the universal femoral nail hole configurations provide. The pfna blade claims to compact the cancellous bone to provide increased stability and this has been biomechanically proven to retard rotation and varus collapse. This surgical technique is written from the trochanteric antegrade nail tan perspective.
The remotecontrolled magnetic intramedullary nail is a telescopic implant that contains a magnet that turns a gear box to induce controlled elongation of the nail. Sixteen patients had proximal femoral fractures and 23 patients had femoral metastases. The following surgical technique describe the surgical procedure which is recommended by the authors. Titanium alloy for improved mechanical and fatigue properties. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. The centronail titanium universal femoral nailing system. 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. The femoral antegrade nail fan technique changes with respect to nail entry point and insertion technique. The treatment of stable and unstable proximal femoral fractures with a new trochanteric nail. Early full weightbearing the construction of the pfn even in tan permits early full weightbearing. Phoenix antegrade femoral nail system featuring corelock technology 20 biomet orthopedics form no. Reason and treatment of failure of proximal femoral nail antirotation internal fixation for femoral intertrochanteric fractures of senile patients j. Lengthening of the femur over an existing intramedullary nail.
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. 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. Randomised comparison of the gamma nail and the pfn. Oct 01, 20 intertrochanteric fractures hip fracture 1.
The ufn is preferably used with the unreamed technique while, since it is cannulated, the cfn is primarily used with the reamed technique using a guide wire. Intramedullary nailing of femoral shaft fractures has been accepted as a standard technique. The incidence of intertrochanteric fractures is gender and racedependent and varies from country to country. The aoasif proximal femoral nail antirotation pfna. The success of proximal femoral nail depended on good surgical technique, proper instrumentation and good carm visualization. Additionally our perfect femoral nail is indicated for fractures in the subtrochanteric section with. Pitfalls and complications in the use of the proximal femoral. Proximal femoral nail an analysis of 100 cases of proximal. To estimate the nail diameter, place the template on the lateral xray of the uninjured femur and measure the dia. Disclaimer this document is intended exclusively for experts in the field, i. Proximal femoral nails antirotation, gamma nails, and dynamic. We export and supply high quality femoral nails at best price. This technique uses the principles of lengthening over an imn.