Pfn surgery full form

At the time the article was last revised Pir Abdul Pfn surgery full form Aziz Qureshi had no financial relationships to ineligible companies to disclose. The proximal femoral nail PFN is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method. Similar to the gamma nail the proximal femoral nail consists of a funnel-shaped intramedullary nail with slight bending to reflect proximal femoral diaphyseal trochanteric morphology.

Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Received: January 09, Published: January 25, Modes of failure of proximal femoral nail PFN in unstable trochanteric fractures. MOJ Orthop Rheumatol. DOI: Download PDF. Background: Several fixation devices have been developed to overcome the difficulties encountered in the management of the unstable trochanteric fractures.

Pfn surgery full form

Federal government websites often end in. The site is secure. Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw DHS is still considered the gold standard for treating intertrochanteric fractures by many. Intraoperative complications were noted. Functional outcome was assessed using Harris Hip Score and radiological findings were compared at 3, 6, and 12 months postoperatively. The average age of the patients was 60 years. In our series we found that patients with DHS had increased intraoperative blood loss ml , longer duration of surgery min , and required longer time for mobilization while patients who underwent PFN had lower intraoperative blood loss 73ml , shorter duration of surgery 91min , and allowed early mobilization. The average limb shortening in DHS group was 9. The patients treated with PFN started early ambulation as they had better Harris Hip Score in the early post-op period. At the end of 12th month, there was not much difference in the functional outcome between the two groups.

One should also check the jig whether it is loosened or not. Patients with road traffic accidents were younger while patients with trivial trauma were older. Proper execution of the procedure will give superior results.

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Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw DHS is still considered the gold standard for treating intertrochanteric fractures by many. Intraoperative complications were noted. Functional outcome was assessed using Harris Hip Score and radiological findings were compared at 3, 6, and 12 months postoperatively. Results: The average age of the patients was 60 years. In our series we found that patients with DHS had increased intraoperative blood loss ml , longer duration of surgery min , and required longer time for mobilization while patients who underwent PFN had lower intraoperative blood loss 73ml , shorter duration of surgery 91min , and allowed early mobilization. The average limb shortening in DHS group was 9. The patients treated with PFN started early ambulation as they had better Harris Hip Score in the early post-op period. At the end of 12th month, there was not much difference in the functional outcome between the two groups. Conclusion: PFN is better than DHS in type II intertrochanteric fractures in terms of decreased blood loss, reduced duration of surgery, early weight bearing and mobilization, reduced hospital stay, decreased risk of infection and decreased complications.

Pfn surgery full form

At the time the article was last revised Pir Abdul Ahad Aziz Qureshi had no financial relationships to ineligible companies to disclose. The proximal femoral nail PFN is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method. Similar to the gamma nail the proximal femoral nail consists of a funnel-shaped intramedullary nail with slight bending to reflect proximal femoral diaphyseal trochanteric morphology. There are small holes at the distal end of the nail for locking screws 1. The proximal femoral nail comes also in different lengths with a version reaching caudally up to the distal femoral metaphysis. Longer nails are designed to treat low and extended subtrochanteric or combined trochanteric and femoral shaft fractures. There are different versions for different CCD angles available. It can be combined with a wire cerclage with an open reduction for additional stability in complicated subtrochanteric fractures 2. A proximal femoral nail antirotation PFNA is a similar implant except that it comes with a helical blade rather than a femoral neck screw and anti-rotation pin 3. The proximal femoral nail was introduced for the treatment of proximal femoral fractures in 1.

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Figure 7c Three months post-operative radiograph showing development of varus at fracture arrow and backing out of hip screws. She sustained a femoral shaft fracture at the level of the distal locking bolt Figure 9. One should also check the jig whether it is loosened or not. She was initially managed with a upper tibial pin traction for two weeks and then later fixed with condylar blade plate fixation with bone grafting and antibiotic beads insertion near the fracture site [ Figure 6 ]. However, unstable trochanteric fractures are usually associated with comminution of greater trochanter. References 1. One of them underwent partial hip arthroplasty, whereas the other one opted for implant removal only. One should also avoid using previously damaged guide wires. A 70 year old male with unstable fracture pattern was submitted to osteosynthesis with PFN. Standard pre-operative planning was done. Mean length of Hospital stay 7.

The Author ensures that the research has been conducted responsibly and ethically with adherence to all relevant regulations. Submission: February 18, ; Published: March 07, DOI:

While the published works designates the Z-effect and reverse Z-effect as the migration of proximal interlocking screws in opposite directions, in practice, sometimes only one screw actually migrates and the fracture undergoes an accommodation process that may lead to the perforation of the femoral head by the screw that remains in the normal position. She sustained a femoral shaft fracture at the level of the distal locking bolt Figure 9. DJ Hak, C Bilat. Similar to the gamma nail the proximal femoral nail consists of a funnel-shaped intramedullary nail with slight bending to reflect proximal femoral diaphyseal trochanteric morphology. Sometimes manipulation and hammering may result in loosening of jig and subsequent mismatch. Pervez H, Parker MJ. In the AP projection, varus at the fracture site is the main hitch to place the screw in centre or inferiorly, while in lateral projection posterior sagging or flexion of proximal fragment is the problem in putting the hip screw centrally. Post-DHS infection in a year-old female. Many studies compare the DHS with Gamma nail 6 - 8. Introduction Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls 1. Long-term radiographic complications following treatment of unstable intertrochanteric femoral fractures with the proximal femoral nail and effects on functional results. The site is secure.