Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail

Fogagnolo, Fabrício; Kfuri, Maurício; Paccola, Cleber Antônio Jansen

doi:10.1007/s00402-003-0586-9

Cited by 212 publications

(190 citation statements)

References 37 publications

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“…They also reported heterotopic ossification in two patients fixed with PFN. 19 Simmermacher et al in a clinical multicenter study, reported technical failures of the PFN after poor reduction, malrotation or wrong choice of screws in 5% of the cases. A cut-out of the neck screw occurred in 0.6%.…”

Section: Discussionmentioning

confidence: 98%

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Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures

et al. 2017

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Background: Fractures of the proximal femur are relatively common injuries in adults and common source of morbidity and mortality among the elderly. Fractures of the proximal femur include trochantric and subtrochantric fractures. The present study was designed to evaluate and analyze the role of proximal femoral nail (PFN) in the treatment of proximal femoral fractures.Methods: It was a prospective study on 125 cases of proximal femoral fractures. The fractures were classified according to AO classification. Salvati and Wilson Score were used for functional assessment.Results: In this study at 6 months follow up, union was achieved in 123 cases, open reduction was performed in 11% of cases (14 cases). Technical and mechanical complications were noted in 21% cases (27 cases). Reoperation rate was 4% (Five cases). According to Salvati and Wilson scoring system excellent results were seen in 36% of cases (45 cases), good results in 46% cases (58 cases), fair result in 13% cases (16 cases) and poor results in 5% cases (6 cases). Conclusions: It is concluded from our study that proximal femoral nailing is an attractive and suitable implant for Proximal Femoral Fractures and its use in unstable intertrochantric fractures is very encouraging.

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Section: Discussionmentioning

confidence: 98%

“…19 Kamboj et al studied 30 cases, in one case with trochanteric fracture extending to diaphysis encirclage wiring was done. One patient got intra operative fracture shaft of femur, three patients had poor placement of screw.…”

Section: Discussionmentioning

confidence: 99%

Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures

et al. 2017

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“…As principais complicações encontradas em nosso estudo estão em acordo com as publicações anteriores sobre este tipo de implante, as quais revelam taxa de cutout variando entre 0,7 e 10,6%, e de fratura da diá-fise abaixo da ponta da haste entre 0 a 2,1% (20)(21)(22)(23)(24)(25)(26)(27) . Em nossa casuística encontramos apenas um caso de cutout (2,2%) e nenhum caso de fratura do implante.…”

Section: Discussionunclassified

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Guimarães¹,

Guimarães²,

Franco³

2008

Rev. bras. ortop.

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“…Other studies have also reported femoral shaft fracture rates of 0-2.1 percent. 14,15 The only complications we encountered in this series were malunion, screw back out and wound infection.…”

Section: Resultsmentioning

confidence: 74%

Comparative Study of Proximal Femoral Nailing and Dynamic Hip Screw for Intertrochanteric Fractures in Adults

Koduru¹,

Potluri²,

C³

et al. 2016

jemds

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AIMSTo compare the clinical and radiological outcomes of Proximal femoral nail and Dynamic hip screw fixation. SETTINGS AND DESIGNProspective study of forty patients with Intertrochanteric fracture of femur presenting to our hospital from the year 2013 to 2015, who were treated with either proximal femoral nail or dynamic hip screw. METHODS AND MATERIALSThe study material includes data collection, clinical examination and investigations of 40 patients who underwent either Dynamic hip screw or Proximal femoral nail. Out of 40 patients, twenty patients had undergone Proximal femoral nailing and twenty patients had undergone Dynamic hip screw fixation. All surgeries done on traction table and are followed up at regular intervals of 4 weeks, 8 weeks, 12 weeks, 6 months and annually thereafter. The clinical and functional results were assessed at follow-up. RESULTSThe overall functional outcome of patient treated PFN was significantly better compared to DHS. However, when we compared the stable and unstable fractures separately, we found that there was no significant difference in the outcomes of the stable fractures in the two groups. Patients with proximal femoral nailing had significantly lower pain score at the 6th month follow-up. CONCLUSIONSWe conclude that in stable intertrochanteric fractures, both the PFN and DHS have similar outcomes. However, in unstable intertrochanteric fractures the PFN has significantly better outcomes in terms of earlier restoration of walking ability. In addition, as the PFN requires shorter operative time and a smaller incision, it has distinct advantages over DHS even in stable intertrochanteric fractures. Hence, in our opinion, PFN may be the better fixation device for most intertrochanteric fracture.

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Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail

Abstract: In view of only one loss of reduction with varus collapse clearly caused by a technical error, we concluded that the PFN is a suitable implant for unstable fractures, but the high re-operation rate precludes its routine use for every pertrochanteric fracture.

Cited by 212 publications

References 37 publications

Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures

Proximal femoral nail- outcome and complications: a prospective study of 125 cases of proximal femoral fractures

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Comparative Study of Proximal Femoral Nailing and Dynamic Hip Screw for Intertrochanteric Fractures in Adults

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