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

被引：197

作者：

Hwang, Jin Ho ^{[1
]}

Oh, Jong Keon ^{[1
]}

Han, Sang Hwan ^{[1
]}

Shon, Won Yong ^{[1
]}

Oh, Chang Wug ^{[2
]}

机构：

[1] Korea Univ, Sch Med, Dept Orthopaed Surg, Guru Teg Bahadur Hosp, Seoul 152703, South Korea

[2] Kyungpook Natl Univ Hosp, Dept Orthoped Surg, Taegu 700721, South Korea

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2008年 / 128卷 / 12期

关键词：

Pertrochanteric fracture; PFN; PFNA; Complication; Mismatch;

D O I：

10.1007/s00402-008-0736-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：1443 / 1446

页数：4

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