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
2020 ◽  
Vol 11 ◽  
pp. 215145932093644
Author(s):  
Tomohiro Matsumura ◽  
Tsuneari Takahashi ◽  
Mitsuharu Nakashima ◽  
Yoshiya Nibe ◽  
Katsushi Takeshita

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.


2015 ◽  
Vol 69 (6) ◽  
pp. 352 ◽  
Author(s):  
Sahmir Sadic ◽  
Svemir Custovic ◽  
Mahir Jasarevuc ◽  
Mirsad Fazlic ◽  
Ferid Krupic

2016 ◽  
Vol 7 (2) ◽  
pp. 75-78
Author(s):  
N V Zagorodny ◽  
A A Volna ◽  
I I Panfilov

We analyzed the results of one-stage correction of the asymmetry of mammary glands in 51 patients with a diagnosis of hypomastia. On the basis of obtained results the algorithm of one-stage restoration of symmetry at the given category of patients, based on the type and severity of the asymmetry was developed, which contributes to the achievement of good aesthetic results in 94.1% of cases.


Author(s):  
C. Joney Mandice ◽  
Raship Khan ◽  
Heber Anandan

<p class="abstract"><strong>Background:</strong> Hip fractures are a growing concern for the orthopedic surgeons all over the world because the incidence of hip fractures is increasing dramatically and these fractures impose a significant challenge in their efficient management. The aim of the study was to prospectively analyze the functional outcome of unstable intertrochanteric fractures managed with ‘proximal femoral nail’.</p><p class="abstract"><strong>Methods:</strong> In our institution, we have selected 24 cases of unstable intertrochanteric fractures for this prospective study. All cases enrolled were managed with the proximal femoral nail. These cases were studied from the mechanism of injury, classification, and treatment with the proximal femoral nail and their surgical and functional outcome with or without residual comp.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients were followed up for an average period of 8.58 months. The mean Harris hip score was 88.75 at 6th month. The score was excellent in 12 patients, good in 10 patients, fair in 1 patient and poor in 1 patient. In our study of 24 patients with unstable intertrochanteric fracture, the average age incidence was 54.64 years. In the present study male: female was 5:3.</p><p class="abstract"><strong>Conclusions:</strong> In unstable proximal femur fractures, PFN is a significant advancement in the treatment of unstable trochanteric fractures which has the unique advantages of closed reduction, preservation of fracture hematoma, less tissue damage, early rehabilitation and early return to work.</p>


2011 ◽  
Vol 39 (3) ◽  
pp. 857-865 ◽  
Author(s):  
K Akan ◽  
H Cift ◽  
K Ozkan ◽  
E Eceviz ◽  
L Tasyikan ◽  
...  

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