Journal of Musculoskeletal Trauma

Original Articles

The PFNA Nail for Pertrochanteric Fracture of the Femur without Fracture Table: Jeoung Ho Kim, Sang Hong Lee, Kwang Chul Lee, Sung Won Cho; J Korean Fract Soc 2011;24(3):217-222. Published online July 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.3.217

PURPOSE
The purpose of this study is to analyze the results of intertrochanteric fractures treatment with proximal femoral nail antirotation (PFNA) without using fracture tables and thereby prevent complications.
MATERIALS AND METHODS
Forty cases of intertrochanteric fracture of 39 patients that were treated with PFNA without using fracture tables between January 2008 to December 2009 were analyzed. There were 13 males and 27 females. The mean age was 76 years old. Using AO classification, 6 cases were A1, 25 cases were A2 and 9 cases were A3. The operation was done without using fracture tables at supine position. Operation time, intraoperative bleeding were checked. For the result, Cleveland index, tip apex distance, fracture site sliding rate, change of femur neck and shaft angle were evaluated. Bone union time and complications were also estimated from the follow up radiograph. Statistics were analyzed using Independent T-test.
RESULTS
The mean operation time was 40 minutes (25 to 70 minutes) and mean intraoperative bleeding was 113 cc (40 to 250 cc). The Cleveland index was shown 94% of 5, 6, 8 and 9 zone, the tip apex distance was 12.96 mm (6 to 22 mm), the fracture sliding distance was 1.9 mm (0 to 6 mm), the change of femur neck and shaft angle was 2.5 degree (0~10 degree) and the average bone union time was 15 weeks (8 to 24 weeks). The complication include 2 cases of delayed union and 2 cases of varus deformities.
CONCLUSION
We have shortened the operation time by closed reduction methods without using the fracture tables, and the complication were minimized with using simple tools like a reduction forcep or bone hook at PFNA blade insertion.

Citations

Citations to this article as recorded by

Clinical and Radiologic Outcome of Intertrochanteric Fracture Treatment Using TFNA (Trochanteric Fixation Nail-Advanced)
Hyeon Joon Lee, Hyun Bai Choi, Ba Rom Kim, Seung Hwan Jo, Sang Hong Lee
Journal of the Korean Fracture Society.2021; 34(3): 105. CrossRef
The Treatment of Subtrochanteric Fractures with Proximal Femoral Nail Antirotation
Chi Hyoung Pak, Sang Hong Lee, Sang Ho Ha, Gwang Chul Lee, Kyoung Chul Song
Journal of the Korean Fracture Society.2013; 26(4): 284. CrossRef

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Intramedullary Nailing of Femoral Shaft Fractures : Comparison between with and without the Fracture Table: Jung Jae Kim, Yong Gab Jeong, Kwang Hwan Jung, Soo Sung Park, Eu Gene Kim; J Korean Soc Fract 2000;13(2):320-326. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.320

Abstract PDF

PURPOSE
: To evaluate and compare the efficacy of intramedullary nailin(IMnailing) between using radiolucent plane table in lateral position and using fracture table in supine position for femoral shaft fractures.
MATERIALS AND METHODS
: Consecutive 62 cases of the fresh fractures of femoral shaft treated with intramedullary nailing were divided into 2 groups; 31 cases on the fracture tables and the other 31 cases with the lateral position on the radiolucent plane table, and we analysed the difference the length of anesthetic time, preparation and draping time, operative time, postoperative complications between the two groups.
RESULT
: There was statistically significant decrease in the length of anesthetic time, operative time in the former group, but no difference in the postoperative complication(Wilcoxon test).
CONCLUSION
: Lateral position on radiolucent plane table with the traction device for intramedullary nailing for femoral shaft fracture considered to be generally accepted not only to the limited cases which fracture tables are not available but also to general cases.

Citations

Citations to this article as recorded by

The PFNA Nail for Pertrochanteric Fracture of the Femur without Fracture Table
Jeoung Ho Kim, Sang Hong Lee, Kwang Chul Lee, Sung Won Cho
Journal of the Korean Fracture Society.2011; 24(3): 217. CrossRef

136 View
0 Download
1 Crossref

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