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Proximal femoral nail – an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year

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Abstract

Numerous variations of intramedullary nails have been devised to achieve a stable fixation and early mobilisation of pertrochanteric fracture, among which is the proximal femoral nail (PFN). We report here the results of a prospective study carried out at our institute on 100 consecutive patients who had suffered a pertrochanteric, intertrochanteric or high subtrochanteric fracture, or a combination of fractures, between December 2002 and December 2005 and were subsequently treated with a PFN. Close to anatomical reduction of the fracture fragments was achieved in 12 patients, while limited open reduction was required in 14 patients. During the follow-up period of 1 year complications occurred in 12 patients. Our results indicate the necessity of a careful surgical technique and modifications that are specific to the individual fracture pattern in order to reduce complications. Osteosynthesis with the PFN offers the advantages of high rotational stability of the head-neck fragment, an unreamed implantation technique and the possibility of static or dynamic distal locking.

Résumé

Pour obtenir une fixation stable permettant une mobilisation précoce de nombreux clou intra-médullaires ont été conçus. Le clou proposé par le groupe AO/ASIF en 1996 permet la fixation des fractures per, inter ou sous trochantériennes. Nous avons fait une étude prospective de 100 patients consécutifs ayant une fracture d’un de ces types ou une combinaison d’un de ces types entre decembre 2002 et decembre 2005 et traité par un clou fémoral proximal. La réduction était anatomique chez 86 patients et chez 14 patients un abord limité était nécessaire pour la réduction. Pendant la période de suivi de 1 an, 12 patients avaient des complications.. Nous recommandons une technique chirurgicale précise et adaptée à la fracture.L’ostéosynthèse avec ce clou donne l’avantage de la stabilité rotatoire, n’oblige pas à un alésage et permet un verrouillage distal statique ou dynamique.

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Authors and Affiliations

  1. Department of Orthopaedic & Traumatology, Chandrapur Multispeciality Hospital, Mul Road, Chandrapur, 442401, India

    W. M. Gadegone & Y. S. Salphale

  2. “Shushrusha”, Opp.Z.P, Chandrapur, 442401, India

    Y. S. Salphale

Authors
  1. W. M. Gadegone
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  2. Y. S. Salphale
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Correspondence to Y. S. Salphale.

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Gadegone, W.M., Salphale, Y.S. Proximal femoral nail – an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year. International Orthopaedics (SICOT) 31, 403–408 (2007). https://doi.org/10.1007/s00264-006-0170-3

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  • DOI: https://doi.org/10.1007/s00264-006-0170-3

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