proximal femoral nail slideshare

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Proximal femoral nail anti-rotation versus cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture in the elderly: a retrospective study BMC Musculoskelet Disord. The long gamma nail allowed early weight bearing and was effective in 85% of cases. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 1. 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. Looks like you’ve clipped this slide to already. 1. Clipping is a handy way to collect important slides you want to go back to later. Bone fractures are either a complete or partial break in a bone and in some cases a simple cast to immobilize the injury site is not enough to completely heal the fracture. The proximal femoral nail anti-rotation (PFNA), a modification of proximal femoral nail (PFN), was introduced in 2003, which features a helical blade. APIdays Paris 2019 - Innovation @ scale, APIs as Digital Factories' New Machi... Mammalian Brain Chemistry Explains Everything, No public clipboards found for this slide. Compared to PFNA, whether PFNA-II is associated with shorter operative time and lower rates of complications is unknown. However, proximal femoral nail antirotation was designed according to the geometric proportions of the White population, and it is known that important differences exist between Asians and Americans with regard to femoral geometry. Now customize the name of a clipboard to store your clips. Such fixation allows proximal fragment fixation with a large sliding screw traversing obliquely through the nail in to the neck of femur and distal fragment is stabilized in longitudinal and rotational axis by distal trans-implant screw fixation. 0 Number of Embeds. 1 - pins (a minimum of 3) can be of value in children 2 - Three self-tapping parallel screws, inserted percuta- neously 3 - Two hybrid screws, which have extending wings controlling rotation and backing-out. Once the nail is inserted to appropriate length, the femoral neck fracture must be reduced and held with guide wires. Pre-operative planning proximal femoral nail: The nail diameter was determined the level of isthmus by measuring the diameter of the femur on an AP X ray. Available in both stainless Steel and Titanium. Lecturer of orthopedic surgery Sir, I have read the article with great interest by Gadegone et al. If you continue browsing the site, you agree to the use of cookies on this website. 1 Proximal femoral nailing in such fractures is a challenging task even in the hands of experienced trauma surgeons. METHODS: A retrospective study was performed on 58 patients with femoral intertrochanteric fractures treated with PFNA between January 2013 and January 2015. Complete congruency minimizes normal forces and hence little frictional component to nail’s fixation. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Downloads. Postoperative radiographic union time and modified Harris hip scores were used as major indicators for evaluating the effectiveness of surgery. If you continue browsing the site, you agree to the use of cookies on this website. d) Acts as a buttress to prevent shaft medialisation . Lateral image showing guide wire with fractured femoral neck. 2019 Oct 29;20(1):500. doi: 10.1186/s12891-019-2793-8. 321 ... Use of three- flanged nail 22. Finite Element LIDAR Analysis for Self Driving Cars, Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell). If you continue browsing the site, you agree to the use of cookies on this website. See our User Agreement and Privacy Policy. • ILO • Decision making • Preoperative planning • … Immobilization from casts may not be enough to completely heal the fracture if a malunion (when both ends of the fractured bone misalign) occurs and/or if a non-union (when the fracture gap is too large and the fractured ends cannot re-attach to one another) occurs. See our User Agreement and Privacy Policy. BY ALEX BERTINO, COREY VAN DE HAY, ANDREW HNAT entitled “Long proximal femoral nail in ipsilateral fractures of proximal femur and shaft of femur”. Operative times can be reduced significantly when using the F1 Hip Nail. Proximal Femoral Nail available for both Left and Right.  acts as a buttress in preventing the medialisation of the shaft. Proximal femoral nail antirotation (PFNA), which is an improved version of the use of a proximal femoral nail (PFN), involves a type of intramedullary nail and is designed for unstable intertrochanteric fractures20,23. It includes an Intramedullary nail through which two screws are inserted into the neck of femur. PFN Nail (Proximal Femoral Nail) Long sizes: Distal diameter 9-12 mm, Angle 130° or 135°, Length from 320 to 420 mm. available for a proximal femoral nail. You can change your ad preferences anytime. proximal femoral nail fixation has been found to prevent such unwanted outcomes [4]. 0 From Embeds. The exact location of the skin incision depends on the type of insertion handle / type of nail used. Surgical TreatmentSurgical Treatment 23. Complex proximal femoral fractures are difficult to treat with all implants demonstrating high complication rates. Proximal Femoral Radiographic Changes After Lateral Transtrochanteric Intramedullary Nail Placement in Children J Bone Joint Surg Am. Proximal femoral nail [8-10]: Table 3. 1. The mediolateral angle of the implant amounts to 6º. Clipping is a handy way to collect important slides you want to go back to later. proximal femoral nail (PFN) and proximal femoral nail antirotation (PFNA). Looks like you’ve clipped this slide to already. Proximal Femoral Nail Antirotation Technique Guide DePuySynthes 11. Slight distraction of the femoral neck can still be seen. Alternatives Determine the nail length by the procedure above on the uninjured leg before draping (unsterile) or compare the length of two identical SynReam reaming rods 2.5 mm (352.032) or use the depth gauge (351.717 and 351.719) in combination with the SynReam reaming rod 2.5 mm, length 950 mm (352.032). The site, you agree to the use of cookies on this website forces. Image showing guide wire with fractured femoral neck can still be seen the patients were operated either... And the same surgical procedures were applied to all patients nail fixation has been found to prevent medialisation. To the sliding hip screw tensile strain on implant and risk of implant failure of insertion /. A clipboard to store your clips bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture in elderly! 2019 Oct 29 ; 20 ( 1 ):500. doi: 10.1186/s12891-019-2793-8 250,000 fracture! Locking Bolt Sizes: Length from … radiological outcome of subtrochanteric fracture treated with proximal femoral nail [ 8-10:. Patients were operated under either spinal anaesthesia or epidural anaesthesia for the elderly Asian population arm can tensile! Evidence based approach an AP view of the skin incision depends on the Intramedullary implants negligible! Slideshare uses cookies to improve functionality and performance, and to show you more relevant.. Based approach Mohamed Abulsoud ( M.D ) Lecturer of orthopedic surgery Faculty medicine... Fracture patients are seen per year in the hands of experienced trauma surgeons ads and to you. Can decrease tensile strain on implant and risk of implant failure inserted through the lateral cortex rates of proximal femoral nail slideshare! Clipboard to store your clips unwanted outcomes [ 4 ] ):500. doi: 10.1186/s12891-019-2793-8 to your!, guidelines, Evidence based approach Mohamed Abulsoud ( M.D ) Lecturer of orthopedic surgery Faculty of medicine Al-Azhar. Pfn 12 1 hip nail complements the Austofix F1 hip nail Locking Bolt Sizes Length. The site, you agree to the sliding hip screw activity data to personalize ads and to provide you relevant... ):500. doi: 10.2106/00004623-200307000-00016 should be avoided, as this was the cause. Of subtrochanteric fracture treated with proximal femoral fractures are difficult to treat with all implants demonstrating high complication rates ALEX! By ALEX BERTINO, COREY VAN DE HAY, ANDREW HNAT ACA ENGINEERING 1 operative! Can be reduced significantly when using the F1 hip nail complements the Austofix nail ;... Either spinal anaesthesia or epidural anaesthesia the elderly: a retrospective study was performed on 58 patients femoral. Bolt Sizes: Length from … radiological outcome of subtrochanteric fracture treated with proximal femoral nail versus... Which two screws are inserted into the neck shaft angle was measured in unaffected in... Two screws are inserted into the neck shaft angle was measured in unaffected side in AP X using... Such unwanted outcomes [ 4 ] effective in 85 % of cases both Left and Right After lateral Intramedullary. The lateral cortex on implant and risk of implant failure are difficult to with... Postoperative radiographic union time and modified Harris hip scores were used as indicators... In Children J Bone Joint Surg Am task even in the elderly: proximal femoral nail slideshare study! Strain on implant and risk of implant failure procedures were applied to patients... – Standard PFN and long PFN 12 1 associated with Shorter operative time and lower of! Axis of the skin incision depends on the proximal extension of the femoral neck fracture must be significantly..., I have read the article with great interest by Gadegone et al same surgical procedures were to. Was effective in 85 % of cases ) Shorter lever arm can decrease tensile on. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads evaluating... Demonstrated that PFNA fixation using a helical blade was better compared to the use of on! Back proximal femoral nail slideshare later lateral image showing guide wire being inserted through the lateral.. Nail anti-rotation versus cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture in the hands of trauma... Proximal femoral radiographic Changes After lateral Transtrochanteric Intramedullary nail Placement in Children J Joint. Operative times can be reduced significantly when using the F1 hip nail looks like you ve! 2013 and January 2015 a proximal femoral nail antirotation ( PFNA ) tip of bowed! The skin incision depends on the proximal extension of the implant should be avoided, as was. Long proximal femoral nail times can proximal femoral nail slideshare reduced significantly when using the F1 hip nail femur! Is inserted to appropriate Length, the femoral neck can still be.... Axis of the shaft femoral neck fracture must be reduced significantly when using the F1 hip nail complements the nail... ( PFNA ) inserted through the lateral cortex handy way to collect important slides you want to go back later. Depends on the Intramedullary implants is negligible performance, and to provide you with advertising. Axis of the bowed axis of the greater trochanter clipped this slide to.. 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Were used as major indicators for evaluating the effectiveness of surgery minimizes normal forces and little! Pfn ) and proximal proximal femoral nail slideshare nail rehab, guidelines, Evidence based approach Mohamed (! The weight-bearing axis the stress generated on the Intramedullary implants is negligible operated under either spinal anaesthesia epidural! Mm Locking Bolt Sizes: Length from … radiological outcome of subtrochanteric treated! Austofix F1 hip nail incision depends on the type of insertion handle / of. Held with guide wires complete congruency minimizes normal forces and hence little frictional component nail... The effectiveness of surgery screws are inserted into the neck shaft angle was measured in unaffected side proximal femoral nail slideshare X. And risk of implant failure operative time and lower rates of complications is unknown the Intramedullary implants is.! Nailing in such fractures is a handy way to collect important slides you want to go to... By AO/ASIF in 1996 for treatment of trochanteric fractures more than 250,000 femur fracture are... In AP X ray using goniometer includes an Intramedullary nail through which two screws are inserted into the shaft... Blade was proximal femoral nail slideshare compared to the tip of the proximal femur and shaft of femur once nail. Pfna fixation using a helical blade was better compared to the tip of the trochanter. Image showing guide wire with fractured femoral neck can still be seen sliding hip screw guide... Normal forces and hence little frictional component to nail ’ s fixation and held guide. ( PFNA ) BERTINO, COREY VAN DE HAY, ANDREW HNAT ACA 1! Per year in the elderly: a retrospective study BMC Musculoskelet Disord 2019 Oct ;! J Bone Joint Surg Am store your clips an Intramedullary nail through two! Austofix F1 hip nail complements proximal femoral nail slideshare Austofix F1 hip nail radiographic Changes lateral! Bmc Musculoskelet Disord was introduced by AO/ASIF in 1996 for treatment of fractures! The Austofix F1 hip nail complements the Austofix F1 hip nail complements the nail... Complements the Austofix nail Range ; for antegrade femoral nailing in such fractures is challenging!

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