Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 12/2008

01-12-2008 | Osteoporotic Fracture Management

Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures

Authors: Jin Ho Hwang, Jong Keon Oh, Sang Hwan Han, Won Yong Shon, Chang Wug Oh

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2008

Login to get access

Abstract

The proximal femoral nail (PFN) and the proximal femoral nail anti-rotation (PFNA) have been successfully used in the management of osteoporotic pertrochanteric fractures. Although many studies have described the geometrical mismatch between the antecurvation of the femur and the contemporary intramedullay nails, technical difficulties related to the mismatch between the femoral bowing and the PFN/PFNA at the time of nailing have rarely been discussed in the literature. We have experienced a technical difficulty related to the mismatch between the medullary canal and the PFN/PFNA. We describe the complications related with the mismatch and the technical pitfalls and some technical tips to avoid this problem are also described.
Literature
1.
Leung KS, Chen CM, So WS, et al (1996) Multicenter trial of modified Gamma nail in East Asia. Clin Orthop Relat Res 146–154
2.
Leung KS, Procter P, Robioneck B, Behrens K (1996) Geometric mismatch of the Gamma nail to the Chinese femur. Clin Orthop Relat Res 42–48
3.
Banan H, Al-Sabti A, Jimulia T, Hart AJ (2002) The treatment of unstable, extracapsular hip fractures with the AO/ASIF proximal femoral nail (PFN)—our first 60 cases. Injury 33:401–405PubMedCrossRef
4.
Gadegone WM, Salphale YS (2007) Proximal femoral nail—an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year. Int Orthop 31:403–408PubMedCrossRef
5.
Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P (2002) Pertrochanteric fractures: is there an advantage to an intramedullary nail?: a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. J Orthop Trauma 16:386–393PubMedCrossRef
6.
Schipper IB, Steyerberg EW, Castelein RM et al (2004) Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. J Bone Joint Surg Br 86:86–94PubMed
7.
Hesse B, Gachter A (2004) Complications following the treatment of trochanteric fractures with the gamma nail. Arch Orthop Trauma Surg 124:692–698PubMedCrossRef
8.
Windolf J, Hollander DA, Hakimi M, Linhart W (2005) Pitfalls and complications in the use of the proximal femoral nail. Langenbecks Arch Surg 390:59–65PubMedCrossRef
9.
Choi BY, Chae YM, Chung IH, Kang HC (1997) Correlation between the postmortem stature and the dried limb-bone lengths of Korean adult males. Yonsei Med J 38(2):79–85PubMed
10.
Tang WM, Chiu KY, Kwan MFY, Ng TP, Yau WP (2005) Sagittal bowing of the distal femur in Chinese patients who require total knee arthroplasty. J Orthop Res 23:4145
Metadata
Title
Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures
Authors
Jin Ho Hwang
Jong Keon Oh
Sang Hwan Han
Won Yong Shon
Chang Wug Oh
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 12/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0736-1

Other articles of this Issue 12/2008

Archives of Orthopaedic and Trauma Surgery 12/2008 Go to the issue

Orthopaedic Surgery

Mirror-image solitary bone cyst of the humerus in a pair of mirror-image monozygotic twins

Orthopaedic Surgery

Financing in knee arthroplasty: a benchmarking analysis

Orthopaedic Surgery

Long term results of the Corin C-Fit uncemented total hip arthroplasty in young patients

Basic Science

Collagen IX in weight-bearing areas of human articular cartilage in late stages of osteoarthritis

Trauma Surgery

Axillary nerve palsy after retrograde humeral nailing: clinical confirmation of an anatomical fear

Trauma Surgery

Bio-resorbable versus metal implants in wrist fractures: a randomised trial