The Proximal Femoral Nail Antirotation PFNA in the Treatment of Proximal Femoral FracturesReportar como inadecuado

The Proximal Femoral Nail Antirotation PFNA in the Treatment of Proximal Femoral Fractures - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Collegium antropologicum, Vol.34 No.3 October 2010. -

Proximal femoral fractures, especially in elderly persons with osteoporosis, present a challenge for the traumatologist. While the dynamic hip screw DHS became the implant of choice for the treatment of stable fractures, the ideal implant for the treatment of unstable fractures remains an issue. In our experience, Proximal Femoral Nail Antirotation PFNA is an excellent device for osteosynthesis as it can be easily inserted, it provides angular and rotational stability and allows early weight bearing on the affected limb. Between February 2007 and August 2009, 76 patents underwent the PFNA fixation for proximal femoral fractures 15 men and 61 women. Forty seven fractures were pertrochanteric, 14 subtrochanteric, 2 pathological and 5 ipsilateral trochanteric and diaphyseal fractures whereas in 8 cases the PFNA was used in reosteosynthesis. The mean age of patients was 73.4 years range 22–91 years. The fractures were reduced on a traction table and the implant was inserted using minimally invasive technique. Four patients developed superficial postoperative wound infection. No cases of implant breakage have been recorded; there was one cut-out; delayed union was noted in three patients. The majority of patients regained their pre-injury mobility status. The PFNA is an excellent implant for stabilisation of both trochanteric and complex combination fractures as well as an exceptional device for reosteosynthesis. It is easily inserted with few intra- and postoperative complications and allows early weight bearing on the affected limb as well as quicker rehabilitation of patients.

PFNA; trochanteric fractures; intramedullary nailing; reosteosynthesis

Autor: Dalibor Kristek - Ivan Lovrić - Jozo Kristek - Marta Biljan - Gordana Kristek - Kata Šakić -



Documentos relacionados