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

Authors
Hwang, Jin HoOh, Jong KeonHan, Sang HwanShon, Won YongOh, Chang Wug
Issue Date
Dec-2008
Publisher
SPRINGER
Keywords
Pertrochanteric fracture; PFN; PFNA; Complication; Mismatch
Citation
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, v.128, no.12, pp.1443 - 1446
Indexed
SCIE
SCOPUS
Journal Title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
Volume
128
Number
12
Start Page
1443
End Page
1446
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/122366
DOI
10.1007/s00402-008-0736-1
ISSN
0936-8051
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.
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