Ipsilateral femoral neck and shaft fractures fixation with proximal femoral nail antirotation II (PFNA II): technical note and cases series
| Autor: | Po-Chong Wen, Shih-Jie Lin, Ying-Chao Chou, Hsiang-Hen Cheng, Wen-Ling Yeh, Kuen-Ting Wu, Che-Han Lin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Ipsilateral femoral neck and shaft fractures medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Fractures Multiple Femoral nail Radiography Fracture Fixation Internal 03 medical and health sciences Fixation (surgical) 0302 clinical medicine lcsh:Orthopedic surgery Technical Note medicine Humans Fluoroscopy Orthopedics and Sports Medicine 030212 general & internal medicine Malunion Aged Retrospective Studies Reduction Femoral neck 030222 orthopedics medicine.diagnostic_test business.industry Proximal femoral nail medicine.disease Femoral Neck Fractures Surgery lcsh:RD701-811 medicine.anatomical_structure Cephalomedullary nail Orthopedic surgery Female Implant lcsh:RC925-935 business |
| Zdroj: | Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-7 (2020) Journal of Orthopaedic Surgery and Research |
| ISSN: | 1749-799X |
| DOI: | 10.1186/s13018-019-1524-z |
| Popis: | BackgroundCombined ipsilateral femoral neck and shaft fractures are an uncommon type of fractures. A number of different implant options are available for the management of this injury. Two-device procedures were suggested because of the higher rate of malunion by single-device treatment. However, surgical treatment using a cephalomedullary nail is still an alternative option that provides better mechanical advantage and minimal invasion. This study details the technique of treating these pattern fractures with proximal femoral nail anti-rotation II (PFNA-II) to achieve an acceptable reduction in both fracture sites.MethodsTen cases of ipsilateral femoral neck and shaft fractures under reduction by PFNA II were included and reviewed. A saw-bone model was also utilized to perform the detailed technique of reduction and fixation of PFNA II.ResultsUnder the special technique by using the PFNA II, all ten cases achieved optimal reduction and alignment of both fracture sites in intra-operative fluoroscopy. There was no intra-operative complication noted. After 6 months of follow-up, radiography revealed proper alignment and well union of the fractures.ConclusionsFixation of ipsilateral femoral neck and shaft fractures with a single construct provides advantages of good biomechanical function, minimal invasion, reduced blood loss, and less operation time when comparing to two-device fixation. Thus, if acceptable reduction could be achieved, fixation by one PFNA II was a good alternative choice for this injury pattern. |
| Databáze: | OpenAIRE |
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