The Targon FN System for the Management of Intracapsular Neck of Femur Fractures: Minimum 2-Year Experience and Outcome in an Independent Hospital

Abstract

BackgroundThe Targon FN implant was developed in 2007 to treat intracapsular neck of femur fractures. Early results from the design centre have shown good results in terms of fracture complications. We wished to see if these results can be reproduced in an independent institution.MethodsThe records of consecutive patients, treated with this implant between 2008 and 2011 at Queen Elizabeth Hospital, were identified and collected for this study. Operations were performed by all grades of surgeons under supervision as appropriate. These patients went on to have both clinical and radiological assessment for fracture healing and function.ResultsFifty-one patients were identified with 43 patients available for final follow-up. The average age was 66 years with a minimum follow-up of 24 months. A non-union rate of 0% in the undisplaced fracture group and 1 in 12 (8%) in the displaced fracture group was observed. An avascular necrosis rate of 6% and 8% was observed for undisplaced and displaced fracture types, respectively. No significant change in premorbid to postoperative ambulation was observed and there was no wound complication.ConclusionsOur study shows similar results with those of the design centre and which are superior to those currently found in the literature for the more traditional fixation methods. It also shows that the promising results with this new implant as seen from the design institutions can be reproduced by all cadres of surgeons in non-specialist practice.

Analysis of complications resulting from femoral neck fracture treatment using Targon FN system

“…Operative procedure adjusted to the local and general condition of the patient is the only option that allows for the restoration of mobility after treatment of the femoral neck [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Our material proves that the most serious complications occurred in the patients who had a postponed surgery, i.e.…”

“…Anatomical reposition of the fracture and its stabilization using the Targon FN (manufactured by BBraun/Aesculap, Germany) is an effective mode of management of the intracapsular femoral neck fracture [1][2][3][4][5]. Similar outcomes of the femoral neck fracture treatment were obtained after stabilizing fracture with the cannulated compression screws [6,7], SHS system [8] supplemented with the cortical bone graft obtained from fibula [9] and the Targon PF nail (BBraun/ Aesculap, Germany) [10].…”

Peri-implant femoral shaft fracture in patient with healed femoral neck fracture treated operatively using Targon FN system

“…Operative treatment tailored for the patient's general and local condition is the only treatment that enables patient to restore physical fitness after management of the femoral neck fracture [1][2][3][4][5][6][7][8].…”

“…A perfect mode of management of the intra-capsular fracture of femoral neck is anatomical reposition and stabilization of fracture using Targon FN plate (BBraun/Aesculap, Germany) [1][2][3][4]. Similar outcome of treatment of such type of fracture was achieved after stabilization of fracture with connulated compression screws [5], Targon PF nail (BBraun/Aesculap, Germany) [6], SHS system [7], along with additional cortical bone graft obtained from fibula [8].…”

Frakturendoprothetik bei Schenkelhalsfrakturen

“…Verschobene Frakturen mit schräg verlaufenden Brüchen in 2 Ebenen und kleinem Kopffragment lassen sich nicht gut reponieren und stabilisieren. Trümmerzonen haben eine höhere Pseudarthoserate und neigen zur Schenkelhalsverkürzung [14]. Garden-IV-Verletzungen sind grundsätzlich schwer zu reponieren und haben ein hohes Risiko für die Entstehung einer Femurkopfnekrose.…”