Comment on Shi et al.: Association of the lateral wall integrity with clinical outcomes in older patients with intertrochanteric hip fractures treated with the proximal femoral nail anti-rotation-Asia

2022 ◽  
Author(s):  
Xuefeng Zhou ◽  
Jiazhao Yang ◽  
Shiyuan Fang
Keyword(s):  
Clinical Outcomes ◽  
Hip Fractures ◽  
Older Patients ◽  
Lateral Wall ◽  
Proximal Femoral Nail ◽  
Femoral Nail

scholarly journals Clinical Outcome of Mid-Length Proximal Femoral Nail for Patients With Trochanteric Hip Fractures: Preliminary Investigation in a Japanese Cohort of Patients More Than 70 Years Old

2020 ◽  
Vol 11 ◽  
pp. 215145932093644
Author(s):  
Tomohiro Matsumura ◽  
Tsuneari Takahashi ◽  
Mitsuharu Nakashima ◽  
Yoshiya Nibe ◽  
Katsushi Takeshita
Keyword(s):  
Blood Loss ◽  
Internal Fixation ◽  
Clinical Outcomes ◽  
Hip Fractures ◽  
Preliminary Investigation ◽  
Japanese Patients ◽  
Proximal Femoral Nail ◽  
Surgical Time ◽  
Japanese Cohort ◽  
Femoral Nail

Introduction: The TFN-ADVANCED Proximal Femoral Nailing System (TFNA) 235 mm (DePuySynthes) and Proximal Femoral Nail Antirotation (PFNA)-II 240 mm (DePuySynthes) were developed to obtain better stability for patients with trochanteric hip fractures without increasing surgical time and amount of blood loss. However, there are currently no studies concerning clinical and radiological outcomes of patients treated using these proximal femoral nails (PFNs) that have been performed in the Japanese population. The aim of this study was to retrospectively evaluate the clinical outcomes associated with 235 to 240 mm PFNs for Japanese patients >70 years old with trochanteric hip fractures who could walk independently before the injury. Materials and Methods: This study involved a retrospective analysis of data on trochanteric hip fracture patients who had undergone internal fixation from March 2016 to June 2018. The inclusion criteria were patients >70 years old with trochanteric hip fractures who could walk independently before the injury and were followed up for ≥3 months after surgery. Initially, 124 patients were identified, but 33 of these were excluded because other implants were used for internal fixation. Of the remaining 91 patients in whom PFNs were used at the time of internal fixation who were included for the perioperative evaluation, 66 patients followed up for ≥3 months were included in the clinical evaluations. Results: The average surgical time was 56.8 ± 19.6 minutes (range, 23-123 minutes). The average blood loss was 89 ± 41 mL (range, 0-245 mL). The union rate was 98%. Discussion: There were no cases of nail jamming, and all nails were successfully inserted below the end of the distal isthmus without additional reaming to dilate the canal. Conclusions: Proximal femoral nails were a useful implant in Japanese elderly patients with trochanteric hip fractures and gave comparable clinical outcomes despite the femoral length being short and occurrence of intensive bowing.

Effect of Osteoporosis on Clinical Outcomes in Intertrochanteric Hip Fractures Treated with a Proximal Femoral Nail

2011 ◽  
Vol 39 (3) ◽  
pp. 857-865 ◽  
Author(s):  
K Akan ◽  
H Cift ◽  
K Ozkan ◽  
E Eceviz ◽  
L Tasyikan ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Hip Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail

Proximal Femoral Nail Antirotation versus Compression Hip Screw with Trochanter Stabilizing Plate for Unstable Intertrochanteric Hip Fractures

2010 ◽  
Vol 23 (2) ◽  
pp. 161 ◽  
Author(s):  
Jae-Young Rho ◽  
Sang-Bum Kim ◽  
Youn-Moo Heo ◽  
Seong-Jin Cho ◽  
Dong-Sik Chae ◽  
...  
Keyword(s):  
Hip Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Hip Screw ◽  
Proximal Femoral Nail Antirotation

The treatment of unstable, extracapsular hip fractures with the AO/ASIF proximal femoral nail (PFN)—our first 60 cases

Injury ◽  
2002 ◽  
Vol 33 (5) ◽  
pp. 401-405 ◽  
Author(s):  
H Banan ◽  
A Al-Sabti ◽  
T Jimulia ◽  
A.J Hart
Keyword(s):  
Hip Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail

scholarly journals Proximal Femoral Nail Antirotation in Treatment of Intertrochanteric Hip Fractures: a Retrospective Study in 113 Patients

2015 ◽  
Vol 69 (6) ◽  
pp. 352 ◽  
Author(s):  
Sahmir Sadic ◽  
Svemir Custovic ◽  
Mahir Jasarevuc ◽  
Mirsad Fazlic ◽  
Ferid Krupic
Keyword(s):  
Retrospective Study ◽  
Hip Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Proximal Femoral Nail Antirotation

SHORT VS LONG PROXIMAL FEMORAL NAIL IN UNSTABLE INTERTROCHANTERIC FRACTURES OF FEMUR

2021 ◽  
pp. 74-77
Author(s):  
Chandra Sekhar.S ◽  
Manikumar. C.J ◽  
Pardhasaradhi. B
Keyword(s):  
Lateral Wall ◽  
Medullary Canal ◽  
Proximal Femoral Nail ◽  
Trochanteric Fractures ◽  
Female Ratio ◽  
Medical College ◽  
Operative Duration ◽  
Distal Locking ◽  
Femoral Nail ◽  
Minimum Age

BACKGROUND; The current methods of treatment of Inter Trochanteric fractures of femur are either DHS plating for a stable Intertrochanteric fracture or a Proximal Femoral Nail for an unstable IT fracture. There are increased surgical demands and complications associated with Unstable IT fractures. Fracture patterns like –Posteromedial large separate fragment, Basi cervical pattern, Reverse obliquity pattern, Displaced and/or avulsed greater trochanter, Lateral wall fractures pose challenges before operating surgeon. Failure to reduce the fracture before internal xation and failure to hold the reduction till denitive xation are the most frequent causes of poor results irrespective of the implant used for xation. . Present surgeon's usual preference is towards long PFN. There is an added advantage of increased stability due to splinting of the whole length of femur with the use of long PFN. However there are times where short PFN is preferred over long one when there is a mismatch of curvature between the nail and the femur. However, there is no pre-established treatment choice protocol in choosing long nail or short nail for trochanteric fractures, but many surgeons are reluctant to use short proximal femoral nails biased by literature showing more fracture rates with short PFN usage and with a belief that long nails can avoid stress risers in the diaphysis and make peri- prosthetic fracture rates acceptable. Some of the drawbacks of long PFN include increased operative duration, reaming of the medullary canal distally, unavailability of distal locking jig, leading to prolongation of distal locking time and exposing the surgical team to more radiation. Stacking the above facts the study tried to verify these in the practical scenario. The study was conducted at the department of orthopaedics Andhra Medical College Visakhapatnam Andhra Pradesh. Salvage procedures like Dimon osteotomy and Sarmiento osteotomy were not entertained in the present study.This effectively limits the study to cephalomedullary xation of un stable per trochanteric fractures with short and long Proximal Femoral Nail. METHODS: Study design: Hospital Based Comparative study. Study period: October 2017 to September 2019. Sample size: 30 (N=30, Short PFN-15, Long PFN-15) The study population was randomly divided into 2 groups with 15 patients in each group. Group S (odd): The patients who were operated with Short Proximal Femoral Nail. Group L (even): The patients who were operated with Long Proximal Femoral Nail. RESULTS Thirty cases of unstable inter-trochanteric fractures treated with reduction and internal xation with long or short proximal femoral nail were studied. In the present study minimum age was 29 years and maximum age was 75 years. Majority of the patients were between 51 to 70 years of age. Mean age for long PFN was 52.83 +/- 10.33 SD years, (Range 29-70). Mean age for short PFN was 58.16 +/- 13.94 SD years, (Range 35-75). In the present study males predominate females with a male to female ratio of 3:2. CONCLUSION We conclude that both short and long nails appear acceptable for use in unstable inter-trochanteric fractures. A reduction in operative duration and reduction in blood loss, which translates into a reduced blood transfusion requirement more importantly signicant reduction in image intensier exposures seen with short PFN makes it a surgeon friendly implant. We prefer long PFN for xation of unstable trochanteric fractures with osteoporosis so as to splint the whole femur.

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