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

Jin Ho Hwang; Jong Keon Oh; Sang Hwan Han; Won Yong Shon; Chang Wug Oh

doi:10.1007/s00402-008-0736-1

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

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

Department of Medicine

Korea University

Research output: Contribution to journal › Article › peer-review

45 Scopus citations

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.

Original language	English
Pages (from-to)	1443-1446
Number of pages	4
Journal	Archives of Orthopaedic and Trauma Surgery
Volume	128
Issue number	12
DOIs	https://doi.org/10.1007/s00402-008-0736-1
State	Published - 2008

Keywords

Complication
Mismatch
Pertrochanteric fracture
PFN
PFNA

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10.1007/s00402-008-0736-1

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title = "Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures",

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.",

keywords = "Complication, Mismatch, Pertrochanteric fracture, PFN, PFNA",

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T1 - Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures

AU - Hwang, Jin Ho

AU - Oh, Jong Keon

AU - Han, Sang Hwan

AU - Shon, Won Yong

AU - Oh, Chang Wug

PY - 2008

Y1 - 2008

N2 - 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.

AB - 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.

KW - Complication

KW - Mismatch

KW - Pertrochanteric fracture

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JO - Archives of Orthopaedic and Trauma Surgery

JF - Archives of Orthopaedic and Trauma Surgery

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

Abstract

Keywords

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