Introduction: Proximal femoral nail antirotation - II (PFNA- II) is a common treatment for intertrochanteric fractures in the elderly. Removing PFNA is difficult in rare circumstances due to blade head stripping or breaking. In this article, we endeavored to explain an easy methodology that can be utilized to remove stripped, damaged anti-rotation blades for which few had been formulated but other procedures have failed.
Materials And Methods: In four cases, one case is discussed 15 months following the prior fixation; the individual underwent PFNA removal surgery for a broken implant causing pain. We had trouble removing the anti-rotation blade with the standard equipment.
Result: The procedure assisted us in removing the anti-rotation blade and provided a favorable outcome for the patient.
Conclusion: The insertion of a DHS guide wire with a coupling screw for inserting DHS screw in conjunction with a proximal femoral anti-rotation blade may be a cost-effective and simple approach to dealing with extraction failure.
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http://dx.doi.org/10.13107/jocr.2024.v14.i11.4982 | DOI Listing |
Am J Transl Res
October 2024
Department of Trauma Orthopaedics, Shengli Oilfield Central Hospital Dongying 257034, Shandong, China.
Objective: Intertrochanteric femur fractures are prevalent among the elderly, leading to substantial morbidity. Proximal femoral nail anti-rotation (PFNA) is commonly used for internal fixation, but excessive lateral migration of the PFNA blade poses a significant complication. Understanding the risk factors for this complication is crucial for optimizing patient care.
View Article and Find Full Text PDFJ Orthop Case Rep
November 2024
Department of Orthopaedic Surgery, Dr. D. Y. Patil Medical College, Hospital and Research centre, Dr D. Y. Patil University, Pimpri, Pune, Maharashtra, India.
Introduction: Intertrochanteric fractures are one of the most common fractures around the pelvis and hip joint. Intrerotrochanteric fracture commonly occurs in elderly adult as a result of a simple domestic fall or slippage due to osteoporosis and young adult due to high-energy trauma. In 1990, 26% of all intertrochanteric fractures were reported in Asia, this figure is estimated to 32% in 2025 and 38% in 2050.
View Article and Find Full Text PDFJ Orthop Case Rep
November 2024
Department of Orthopaedics, Jaipur Golden Hospital, Institutional Area Sector 3 Rohini, Delhi, India.
Introduction: Proximal femoral nail antirotation - II (PFNA- II) is a common treatment for intertrochanteric fractures in the elderly. Removing PFNA is difficult in rare circumstances due to blade head stripping or breaking. In this article, we endeavored to explain an easy methodology that can be utilized to remove stripped, damaged anti-rotation blades for which few had been formulated but other procedures have failed.
View Article and Find Full Text PDFCureus
August 2024
Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Intertrochanteric (IT) femur fractures in the elderly population comprise a major part of geriatric trauma and fractures. There are various modalities of surgical management, ranging from intramedullary fixation and extramedullary fixation to even replacing the hip joint. Apart from the surgeon's choice, other factors, such as geriatric age, bone quality and osteoporosis, medical comorbidities, life expectancy, pre-operative ambulatory status, muscle strength, type and pattern of fracture, and mental health of the patient, play vital roles in determining the ideal modality of management and the long-term outcome.
View Article and Find Full Text PDFFront Bioeng Biotechnol
July 2024
Department of Orthopaedics, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu, Jiangsu, China.
Intertrochanteric femur fracture is a common type of osteoporotic fracture in elderly patients, and postoperative femoral head varus following proximal femoral nail anti-rotation (PFNA) fixation is a crucial factor contributing to the deterioration of clinical outcomes. The cross-angle between the implant and bone might influence fixation stability. Although there is a wide range of adjustment in the direction of anti-rotation blades within the femoral neck, the impact of this direct variation on the risk of femoral head varus and its biomechanical mechanisms remain unexplored.
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