A retrospective analysis of the intertan nail and proximal. Proximal femoral nail antirotation in treatment of. The aim of this study is to compare the effects of proximal femoral nail antirotation pfna and dynamic hip screw dhs in the treatment of intertrochanteric fractures in order to investigate the significance of internal fixation in the treatment of intertrochanteric fractures in the elderly. Proximal femoral nail antirotation pfna versus gamma nail 3 gamma3 for intramedullary nailing of unstable trochanteric fractures progaintes the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The pfna nail group consisted of 8 men and 5 women mean age, 53 years. The pfna nail for pertrochanteric fracture of the femur without fracture table article pdf available january 2011 with 81 reads how we measure reads. Pdf the pfna nail for pertrochanteric fracture of the.
Pfnaii protrusion over the greater trochanter in the asian. In the commercial product surflon s111 cas 72968388 it is the primary compound present by weight. Review of proximal nail antirotation pfna and pfna2our. If the nail does not pass easily, it may be adequate to enlarge the medullary canal with the hand reamer 351. Pdf proximal femoral nail antirotation in treatment of fractures. Comparison of efficacy, complications and tgf2 expression. Apolymer pink this is a transparent pink powder and used to apply on the pink part of the nail plate.
Proximal femoral nail antirotation devices pfnas are considered biomechanically superior to dynamic hip screws for treating unstable peritrochanteric fractures and reportedly have a lower complication rate. Also, no collation material is left on the job site. Contents 1 nail anatomy and basic science 1 2 examination of the nail and workup of nail conditions 6 3 nail signs and their definitions. We compared nail positioning, major and minor complication rates, operative and fluoroscopy time, blood transfused, time to. A new design for the treatment of unstable proximal femoral fractures pfna design compacts the cancellous bone to provide. Synthes, oberdorf, switzerland is an intramedullary device with a helical blade that was developed by aoasif davos, switzerland in 2004. It is inserted into the middle of the thigh bone for support. There are three different versions of the pfna nail 170, 200 and 240 mm. Pfnaii nail product range the pfnaii is available in 4 sizes pfnaii long, length 260 340 mm with 20 mm increments, length 340 420 mm with 40 mm increments, only 10 mm nails, bending radius 1500 mm pfnaii, length 240 mm pfnaii small, length 200 mm pfnaii xs, length 170 mm pfnaii. If youre interested in finding the best electric nail file, you should know that were going to highlight the benefits and features of five bestselling and highlyrated electric nail files. Take a preoperative ap radiography of the unaffected leg. Previous studies comparing proximal femoral nail antirotation pfna with dynamic hip screw dhs for peritrochanteric fractures reported conflicting findings.
Proximal femoral nail antirotation technique guide synthes 3. The purpose of this study was to compare the clinical outcomes of elderly patients undergoing surgery for treatment of unstable trochanteric fractures receiving either proximal femoral nails antirotationasia pfnaiis or intertan nails its. Pfna blade bone structure after pfna blade insertion cancellous bone is compacted providing additional anchoring to the pfna blade. A long nail catches easily and could cause more damage to the skin underneath. Proximal femoral nail antirotation pfna versus gamma. Proximal femoral nail antirotation technique guide use the preoperative planner template for the pfna to estimate the ccd angle, nail diameter and length. Listing a study does not mean it has been evaluated by the u. Working safely in nail salons california department of. Poinformatie en complicaties werden geregistreerd, en beoordelingen van het functioneel resultaat werden gemaakt. The mean surgical time for patients treated with pfna was 57 min range 3296 min and was significantly lower than in those treated with dcs, in which the mean time was 87 range 64178 min p pdf the aoasif proximal femoral nail antirotation pfna.
Original article is proximal femoral nail antirotation. Working safely in nail salons all employers in california, including nail salons, are responsible for providing a safe and healthy work environment for their employees. Solid humeral nail uhn and proximal humeral nail phn. The proximal femoral nail antirotation pfna, designed by ao, is an intramedullary device with a helical blade rather than a screw for better purchase in the femoral head and was tested in a. Intraoperative failures of the pfna ii spiral blade oatext. Acrylic nail course level 1 dca design international ltd. Sixteen fresh specimens of the proximal femur were used as intertrochanteric fracture models and were fixed using two fixation devices. Comparison of proximal femoral nail antirotation pfna.
In the light of these issues, the pfna device was designed. 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. Helical blade compression failure occurred during pfna implantation. Between january 1, 2012, and june 31, 2015, 168 elderly patients with unstable intertrochanteric femur fractures enrolled in this study. The nail design has been well proven in over 200 000 cases performed with the pfn.
Insert the nail until the nail tip protrudes only slightly into the humeral head. Proximal femoral nail antirotation pfna is an intramedullary device designed with a helical blade rather than a screw, and is expected to provide better angular and rotational stability, and reduce the implantrelated complications 6, 7. Pfna nail product range the pfna is available in 4 sizes pfna long, length 300 420 mm, with 20 mm increments, bending radius 1500 mm pfna, length 240 mm pfna small, length 200 mm pfna xs, length 170 mm pfna. Methods commonly used for clinical fixation include proximal femoral nail antirotation pfna, pfn and dynamic hip screw dhs 4. Pfn nails ask price proximal femoral nail pfn are used to fix pertrochanteric, intertrochanteric, high subtrochanteric and transcervical fractures of the femur. Pfna is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. Pfna, designed by ao in 2004, is an intramedullary device with a helical blade rather than a screw for better purchase in the femoral head 2, 3. The purpose of this study was to compare the biomechanical strength of the cephalomedullary nail intertan in cases of intertrochanteric fractures with the commonly used pfna. The pfnaii long additionally allows for secondary dynamization. Looking for online definition of pfna or what pfna stands for. Does pfna ii avoid lateral cortex impingement for unstable. However, it is unclear whether the new design in fact avoids lateral cortex impingement.
Pdf comparison of the curative effects of pfna and dhs. The proximal femoral nail antirotation pfna ii is commonly used for treating. Should the tipapex distance tad rule be modified for the proximal femoral nail antirotation pfna. Pfna is used as surfactant for the production of the fluoropolymer polyvinylidene fluoride. In acidic form it is a highly reactive strong acid. Pfnaii nail several distal locking options static or dynamic locking can be performed via the aiming arm with pfnaii standard, small and xs. In its conjugate base form as a salt it is stable and commonly ion paired with ammonium. Pfnaii nail product range the pfnaii is available in 4 sizes pfnaii long, length 260 340 mm with 20 mm increments, length 340 420 mm with 40 mm increments, only b 10 mm nails, bending radius 1500 mm pfnaii, length 240 mm pfnaii small, length 200 mm pfnaii xs, length 170 mm. Loo wee lim, department of orthopaedic surgery, changi general hospital, 2 simei street 3, singapore 529889. Large surface and increasing core diameter guarantee maximum compaction and optimal hold in bone increased stability caused by bone compaction around the. Manufacturers and their suppliers rigorously test nail polish products and ingredients for quality, performance, and safety, as well as monitoring data and reports from nail technicians and consumers. Dynamic distal locking done will lead to axial nail subsidence and works as medoff plate 4.
Determine the ccd angle using a goniometer or the preoperative planning template. In our experience, proximal femoral nail antirotation pfna is an excellent device for osteosynthesis as it can be easily inserted, it provides angular and rotational stability and allows early weight bearing on the affected limb. Between february 2007 and august 2009, 76 patients underwent the pfna fixation for proximal femoral fractures 15. A comparative biomechanical study of proximal femoral nail. Nail strip will not break when dropped and will not deteriorate in wet weather. One hundred and eight patients admitted with intertrochanteric fractures and treated with pfna and. Pfna nail surgical technique animation created by kems studio. Proximal femoral nail antirotation pfna this is a device used to align and stabilise the fracture to aid healing. In the synthes pfna technique guide, it underlines removing and. Proximal femoral nail antirotation surgical technique depuy synthes 3 pfna nail product range the pfna is available in 4 sizes pfna long, length 300 420 mm, with 20 mm increments, bending radius 1500 mm pfna, length 240 mm pfna small, length 200 mm pfna xs, length 170 mm. Ufn unreamed femoral nail cfn cannulated femoral nail. Protect the proximal nail thread against tissue ingrowth extensions of 10 and 20 mm. The angle of both the distal and the proximal parts is 6.
Paper collation is driven into the wood, reducing flagging. Apolymer clear this is a 100% transparent powder and very suitable to create a natural effect on a beautiful nail plate. Nail polish companies compete to make the safest, bestlooking, longestwearing product. Proximal femoral nail antirotation surgical technique depuy synthes. Complete traumatic backout of the blade of proximal. The objective of this metaanalysis was to compare the efficacy and safety of pfna and dhs for pertrochanteric fractures. Some people choose to use varnish or artificial nails to hide any distortions until the nail stickon artificial nails, applied gently, are often fine, but any artificial techniques that may damage the cuticle or nail bed should be avoided. Review of proximal nail antirotation pfna and pfna2 our local experience wl loo, m med orth, syj loh, frcs edin, hc lee, frcs edin department of orthopaedic surgery, changi general hospital, singapore corresponding author. Standard pfnaii length 240 mm may be too long for small stature people. An electric nail file is a handy tool which makes effective nail care easy and fun. The proximal femoral nail antirotation, known as the pfna, is an intramedullary implant for the treatment of unstable trochanteric femoral. Nail the diagnosis, a critical images slideshow, to help identify conditions associated with various nail abnormalities performing successful nail surgery requires a comprehensive understanding of nail anatomy and physiology. The proximal femoral nail antirotation pfna in the. Antirotation proximal femoral nail versus dynamic hip.
1386 727 1350 704 591 915 278 257 1095 1371 1469 1233 1389 1148 9 259 1461 39 118 854 200 20 1278 425 1070 226 1219 1422 809 1305 593 1517 1365 1295 1159 1219 415 587 984 139 710 123 1019 805 1007 1011