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Erschienen 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

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

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 12/2008

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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.
Literatur
1.
Zurück zum Zitat Leung KS, Chen CM, So WS, et al (1996) Multicenter trial of modified Gamma nail in East Asia. Clin Orthop Relat Res 146–154 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Hesse B, Gachter A (2004) Complications following the treatment of trochanteric fractures with the gamma nail. Arch Orthop Trauma Surg 124:692–698PubMedCrossRef Hesse B, Gachter A (2004) Complications following the treatment of trochanteric fractures with the gamma nail. Arch Orthop Trauma Surg 124:692–698PubMedCrossRef
8.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
Metadaten
Titel
Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures
verfasst von
Jin Ho Hwang
Jong Keon Oh
Sang Hwan Han
Won Yong Shon
Chang Wug Oh
Publikationsdatum
01.12.2008
Verlag
Springer-Verlag
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 12/2008
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0736-1

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