Intramedullary fixation with the pfna system synthes oberdorf. The blade and nail were eventually removed and replaced with an alternative product. Pdf rewriting the tip apex distance for the proximal. The pfna augmented in revision surgery of proximal femur fractures. Nov 17, 2011 proximal femoral nail antirotation pfna versus pfna augmentation the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The concept of helicalshaped femoral neck blades is also applied in nailing systems, among which the proximal femur nailing antirotation pfna, synthes inc. Comparison of proximal femoral nail antirotation pfna with ao. Proximal femoral nail antirotation surgical technique. Trigen intertan technique utilizing the gold instrument set. Should the tipapex distance tad rule be modified for.
Synthes mini fragment instrument and titanium implant. Rotational and angular stability achieved with one sin gle element. Pfna nail optimal fit the anatomical design guarantees an optimal fit in the femur. Proximal femoral nail antirotation in treatment of fractures. The mediallateral angle of 6 allows insertion at the tip of the greater trochanter. Review of proximal nail antirotation pfna malaysian. The pfna synthes, hertfordshire, uk is available in four sizes standard, small, xs and long and has right and left options for the long nail. Pdf introduction the proximal femur nail antirotation pfna ii synthes gmbh, oberdorf, switzerland is the most commonly used implant for. K2241 12 idepuysynthes food and drug administration. To report outcomes of 36 consecutive patients treated with a proximal femoral nail pfna for osteoporotic trochanteric femoral fractures. Should the tipapex distance tad rule be modified for the. The aoasif proximal femoral nail antirotation pfna. Synthes tfn implant 211 synthes tfn implant 211 click to enlarge.
Unstable trochanteric fractures have been an enigma for the orthopedic surgeon in the community because of unpredictable results. Comparing weight bearing after intramedullary fixation. In this study, six patients in the pfnaii group underwent conversion to total. The pfna augmented proximal femoral nail antirotation, synthes inc. The synthes pfnlong is based on the pfn and partly also ufn implants. Gleichseitige ausgepragte coxarthrose, frakturen im wachstumsalter mit.
Modern implants for proximal femur fracture treatment have clearly. The pfna proximal femur nail in treatment of unstable proximal femur fractures3 cases of postoperative perforation of the helical blade into the hip joint. The details concerning the classification of fractures are based on the ao fracture classification. Mechanical failures after fixation with proximal femoral nail. Biomechanical effect of bone cement augmentation on rotational stability and pullout strength of the proximal femur nail. In votings conducted during the past months, ao trauma members elected new chairpersons for the ao trauma education committee ao tec, ao trauma research commission ao trc, and the ao trauma asia pacific board ao tapb. Pdf the pfna proximal femur nail in treatment of unstable. Pfna depuy synthes pdf catalogs technical documentation. Age 75 years and older closed unstable trochanteric fracture. Osteosynteza zlomenin horniho konce diafyzy femuru pomoci pfn. Posterior lumbar interbody fusion plif instruments. The nail is cannulated, is 10 mm thick and is available in three lengths with a. Mechanical failures after fixation with proximal femoral nail and risk factors semmi koyuncu,1 task.
Proximal femoral nail antirotation pfnatm fixation of. The pfna augmented in revision surgery of proximal femur. The treatment of iffs with an it or pfnaii is associated with various complications. Each of these nails allow compression over the nail\blade with the intramedullary stability. The proximal femoral nail antirotation pfna device was recently introduced as an. Hip fracture fixation femur, proximal biomet holland nail implant 285.
Proximal femoral nail antirotation pfna versus pfna. Ufn unreamed femoral nail cfn cannulated femoral nail. Aug 17, 2017 depuy synthes impactor for pfna proximal femoral nail antirotation blade. Drew university online resources for writers synthesis.
We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. Group b n 37 underwent extramedullary fixation with the dcs system synthes oberdorf, switzerland. The surgery was prolonged due to the jamming of the implants. This group was composed of 42 patients with peritrochanteric fractures ao classification. Depuy synthes impactor for pfna proximal femoral nail anti.
May 31, 2014 examples include the gamma nail strykerhowmedica, the intramedullary hip screw smith and nephew richards, the proximal femoral nail synthes and the ace trochanteric nail depuy orthopaedics. The pfna synthes, solothurn, switzerland with a length of 200 mm and angle. The nail is matched to femoral shaft antecurvation, and femoral neck screws have a 10 anteversion. About synthes tfn implant 211 trochanteric fixation nail tfn ap view. Orthopedic implants, orthopaedic implants manufacturer. Conversion to total hip arthroplasty after failed proximal femoral nail. Proximal femoral nail pfna nail the anatomical design guarantees an optimal fit in the femur. This site is published by the depuy synthes companies, which are solely responsible for its content. Howmedica gamma nail implant 282 original gamma nail. Comparison of proximal femoral nail antirotation pfna. The most common mode of failure of any device to treat these fractures is cutout. To report outcomes of 36 consecutive patients treated with a proximal femoral nail pfna for osteoporotic trochanteric. Ace osteomedica offering lcp proximal humeral plate, locking plates in mie b, bahadurgarh, haryana. Synthesis of ionic liquids bmimbf4 and bmimpf6 under.
We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports. Pfna nail optimal fit the anatomical design guarantees an optimal. Synthes usa 2 wrights lane east west chester, pa 19380 telephone. Surgical treatment of proximal femoral fractures predominantly occurs in geriatric and therefore common in multimorbid patients. Depuy synthes is recalling the adaptor and light adaptor for their sbd and sbd ii due to a potential for the adaptors to produce extreme internal pressure, which may cause the device to explode. Several distal locking options static or dynamic locking can. New advanced nailing system from depuy synthes companies. Treatment results of pertrochanteric and subtrochanteric. Intramedullary fixation with the pfna system synthes oberdorf, switzerland was implemented in group a n 42.
The orthopedic implants factory is perhaps the biggest skilled production staff of about 250 people and most well equipped in india. Does bone compaction around the helical blade of a proximal. Proximal femoral nail pfn are used to fix pertrochanteric, intertrochanteric, high subtrochanteric and transcervical fractures of the femur. The jaws of all the larger forceps are long enough to accommodate the innominate bone, from the iliac crest to. Proximal femoral nail antirotation surgical technique pfna. The nail design has been well proven in over 450 000 cases performed with the pfn and pfna. Often, these are treated with intramedullary nails. Drew university online resources for writers synthesis writing although at its most basic level a synthesis involves combining two or more summaries, synthesis writing is more difficult than it might at first appear because this combining must be done in a meaningful way and the final essay must generally be thesisdriven. Intertan nail versus proximal femoral nail antirotationasia for. Depuy synthes recalls power tool system battery adaptors due. Listing a study does not mean it has been evaluated by the u. Proximal femoral nail antirotation pfna versus pfna augmentation the safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
In the american society of anesthesiologists classification system, 99 97% patients were class 2 or 3. Depuy synthes recalls power tool system battery adaptors. Oct 17, 20 unstable proximal femoral fractures are common and challenging for the orthopaedic surgeon. Comparison of proximal femoral nail antirotation pfna with. Mechanical failures after fixation with proximal femoral. Babstthe pfna proximal femur nail in treatment of unstable proximal femur fractures 3 cases of postoperative perforation of the helical blade into the hip joint j orthop trauma, 22 2008, pp. Clavofemoralproximaldeantirrotacion tecnicaquirurgica pfna. Examples include the gamma nail strykerhowmedica, the intramedullary hip screw smith and nephew richards, the proximal femoral nail synthes and the ace trochanteric nail depuy orthopaedics. Oct 06, 2005 depuy synthes is recalling the adaptor and light adaptor for their sbd and sbd ii due to a potential for the adaptors to produce extreme internal pressure, which may cause the device to explode. Carefully insert the pfna manually as far as possible into the femoral opening. Instabile pertrochantare frakturen aoklassifikation 31a2, 31a3, subtrochantare femurfrakturen aoklassifikation 32a1, schaftfrakturen im proximalen femurdrittel.
Proximal femoral nail antirotation technique guide pfna. Total hip arthroplasty after failed osteosynthesis of. Pdf introduction the proximal femur nail antirotation pfnaii synthes gmbh, oberdorf, switzerland is the most commonly used implant for. If the pfna cannot be inserted, select a smaller size pfna diameter or ream the medullary cavity to a. Cephalic intramedullary nails with proximal antirotation device are the treatment of choice for such patients. Implants all intramedullary implants for the femur cfn cannulated femoral nail standard locking tan titaniumaluminiumniobium alloy, cannulated, for procedures with or without reaming. Pdf the pfna augmented in revision surgery of proximal. Proximal femoral nail antirotation in treatment of. We, as a leading orthopaedic implants manufacturer and orthopaedic implant suppliers, have become a top orthopedic company. The nail is cannulated, is 10 mm thick and is available in three lengths with a distal dynamic opening. Ao trauma elects education, research and asia pacific chairs. Unstable proximal femoral fractures are common and challenging for the orthopaedic surgeon. Our findings indicate benefits of using a pfna over an intramedullary nail with a.
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