However the tfn system also offers a lag screw fixation using an 11. Trochanteric fractures treated with a proximal femoral nail. Pdf proximal femoral nail in reverse trochanteric femoral. Affixus hip fracture nail surgical technique zimmer biomet. The synthes titanium trochanteric fixation nail tfn system permits an intramedullary.
Technique guide instruments and implants approved by the ao foundation. Pdf to report outcomes of 87 consecutive patients treated with a proximal femoral nail pfn for trochanteric femoral fractures. Trochanteric nail insertion for the treatment of femoral. Short proximal femoral nail fixation for trochanteric fractures article pdf available in journal of orthopaedic surgery hong kong 181. This publication is not intended for distribution in the usa. Trochanteric femoral nail trochanteric fixation nail. Proximal femur nail in intertrochanteric fractures.
Our study showed that proximal femoral nail is a reliable fixation with good fracture union, and it is not associated with major complications in any. Ream the canal with flexible reamers beginning with 7. The tfn system consists of a series of cannulated nails, cannulated helical blades, cannulated end caps, and locking bolts and screws. Subtrochanteric femoral fracture during trochanteric. Pdf proximal femoral nail for treatment of trochanteric femoral. Short proximal femoral nail fixation for trochanteric. Intertrochanteric fracture treated with tfn trochanteric femoral nail. Advanced versions of both nails offer spiral blade instead of head screws, lesser. The following surgical procedures should be considered for the trochanteric nailing of femoral shaft fractures to prevent implantderived complications. The nail should be oriented on the femoral insertion handle such that the anterior bow of the nail is in line with the anterior bow of the femur and the jig is lateral to the nail. We followed prospectively 295 patients with trochanteric fractures treated with the proximal femoral nail. If using the trochanteric nail, the entry point is at the tip of the greater trochanter, in line with the femur on the lateral radiograph. First, the proper starting point for trochanteric nailing is just lateral to the long axis of the femur.
Comparative study between intertan and trochanteric femoral nailing tfn in. Combined fractures of the trochanteric area and the femoral shaft. The titanium trochanteric fixation nail tfn system permits an intramedullary approach for the fixation of fractures of the femur. With an aging population more active than ever, the rate of hip fractures and surgical fixation has and will continue to increase substantially over the next several years. Biomechanical comparison of dynamic hip screw and gamma nail. The aos galileo trochanteric nail system combines the mechanical advantage of a long nail with the ease of use of a short nail. Femoral universal femoral universal nailing system options. The average age of the patients was 80 years and three out of four were female. 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. For intramedullary fixation of proximal femur fractures.
Pdf comparative study between intertan and trochanteric. The trochanteric femoral nail tfn is a recently introduced intramedullary system, designed to improve treatment of intertrochanteric fractures of. Our results indicate an excellent rate of union, with no angular malunions and no iatrogenic fracture comminution. The trochanteric im nail is a useful implant for treating femoral shaft fractures. Pdf treatment of reverse oblique trochanteric femoral fractures poses a lot of challenges. Intramedullary nailing of femoral and tibial shaft. The gamma3 trochanteric nail is intended for use in stabilizing various types of stable and unstable intertrochanteric fractures including peritrochanteric. To report outcomes of 87 consecutive patients treated with a proximal femoral nail pfn for trochanteric femoral fractures. All surgical techniques are available as pdf files at. In conclusion, the use of a femoral nail specifically designed for trochanteric insertion successfully eliminated complications seen with this starting point used with nails straight in the coronal plane. The affixus hip fracture nail system is intended to treat stable and unstable proximal fractures of the femur including pertrochanteric fractures, intertrochanteric. Pdf proximal femoral nail for treatment of trochanteric.
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