To compare the result between the third generation gamma nail gamma 3 nail and proximal femoral nail antirotation pfna in the treatment of unstable intertrochanteric fractures. Jan 27, 2009 how to view eps and ai thumbnails when browsing for clip art if you have lost the book of illustrations for a set of clip art cds like art explosion, or tried to browse through hundreds of. A comparative study of ipsilateral intertrochanteric and. However, refracture of the femur shaft after nailing are usually been rep. Chronic kidney disease affects approximately % of the u. Treatment of trochanteric fractures with proximal femoral nail antirotation or dynamic hip screw systems. The tfna system is designed to solve a wide range of unmet needs for surgeons, or staff, and administrators. Shellac nails are applied over natural nails and do not provide additional length, only strength. In the lateral view, rotation of the nail can be adjusted with the. Does pfna ii avoid lateral cortex impingement for unstable. For instance, finding the best nail file for your particular needs suddenly makes a common chore dramatically easier.
The pfnaii has a mediallateral angle of 5 this allows insertion at the tip of the greater. Migration of the lag screw after intramedullary treatment. Exposure to perfluoroalkyl acids and markers of kidney. Important it is recommended that all fractures are treated with the longest nail possible, taking into account patient anatomy or a previous implant. More than five years in the making, this system offers advancement in hip. Shellac is a breakthrough uv technology that combines the ease of nail polish with the permanence of gel nails. Proximal femoral nail antirotation pfna was theoretically designed to be an ideal. Pdf the pfna nail for pertrochanteric fracture of the. Previous studies comparing proximal femoral nail antirotation pfna with dynamic hip screw dhs for peritrochanteric fractures reported conflicting findings. Its made of eva abrasive paper and measures 4 x 45 x 14. However, it is unclear whether the new design in fact avoids lateral cortex impingement.
The aoasif proximal femoral nail antirotation pfna. Is proximal femoral nail antirotation superior to gamma nail and. Chronic kidney disease is an important health problem that frequently leads to kidney failure, and is an important risk factor for cardiovascular disease sarnak et al. The proximal femoral nail antirotation device pfna is a typical implant to the treatment of intertrochanteric fractures. The study aimed to investigate the effect of ratios of marrow cavity diameter to intramedullary nail diameter from different layers on hidden blood loss hbl, overt blood loss obl and total blood loss tbl during using proximal femoral nail antirotationasian version pfna ii for femoral intertrochanteric fractures. How to view eps and ai thumbnails when browsing for clip art if you have lost the book of illustrations for a set of clip art cds like art explosion, or tried to browse through hundreds of. Proximal femoral nail antirotation pfna was theoretically designed to be an ideal intramedullary device for the fixation of intertrochanteric fractures by providing angular and rotational stability. Loo wee lim, department of orthopaedic surgery, changi general hospital, 2 simei street 3, singapore 529889.
Pfna nail product range the pfna is available in 4 sizes pfna long, length 300 420 mm, with 20 mm increments, bending radius 1500 mm pfna, length 240 mm pfna small, length 200 mm pfna xs, length 170 mm pfna. Proximal femoral nail antirotation pfna versus gamma. The proximal femur nail antirotation represents a new generation of intramedullary nailing devices for fixation of stable and unstable trochanteric fractures of the proximal femur. Acrylic nail course level 1 dca design international ltd. Pdf the proximal femoral nail antirotation pfna device was recently introduced as an option. The pfna proximal femur nail in treatment of unstable proxim. May 01, 20 chronic kidney disease affects approximately % of the u. This translation has been produced by an automated software. Comparison of proximal femoral nail antirotation pfna. We evaluated radiographic and functional outcomes of patients with unstable pertrochanteric fractures treated with the proximal femur nail antirotation pfna. The best intramedullary nail for the treatment of unstable aoota 31.
Find the best nail file, nail filers for sale online. Dual speed battery operated nail file description say goodbye to oldfashioned nail files and clippers. The pfna ii was introduced to eliminate lateral cortex impingement encountered with the pfna. Determine the ccd angle using a goniometer or the preoperative planning template. Polyfluoroalkyl compounds in texas children from birth. The incidence of this disorder has increased markedly in recent years owing to continuously aging populations bonnaire et al. We assessed the cutout rate, the tad and caltad tip apex distance of three different implants. Pfna depuy synthes pdf catalogs technical documentation. Poinformatie en complicaties werden geregistreerd, en beoordelingen van het functioneel resultaat werden gemaakt. Between march 2004 and april 2009, 23 patients with ipsilateral intertrochanteric and femoral shaft fractures were treated with pfna. We carry a range of options, whether its for natural nails, gel manicures or artificial nails, so you can find the ideal fingernail file for your own personal situation. Take a preoperative ap radiography of the unaffected leg. Proximal femoral nail antirotation technique guide synthes 3.
Request pdf the aoasif proximal femoral nail antirotation pfna. Proximal femoral nail antirotation pfna is an intramedullary device designed with a helical blade rather than a screw, and is expected to provide better angular and rotational stability, and reduce the implantrelated complications 6, 7. Review of proximal nail antirotation pfna and pfna2 our local experience wl loo, m med orth, syj loh, frcs edin, hc lee, frcs edin department of orthopaedic surgery, changi general hospital, singapore corresponding author. Apolymer pink this is a transparent pink powder and used to apply on the pink part of the nail plate. Large surface and increasing core diameter guarantee maximum compaction and optimal hold in bone increased stability caused by bone compaction around the. Solid humeral nail uhn and proximal humeral nail phn. Position the carm for an ap view of the proximal femur. Our results suggest that serum concentrations of pfoa, pfos, pfna, and pfhxs in our study population increased from birth until proximal femoral nail antirotation technique guide synthes 3.
In ap view, the pfna entry point is on the tip or slightly. Insert the nail until the nail tip protrudes only slightly into the humeral head. Pdf the proximal femur nail antirotation represents a new generation of intramedullary nailing devices for fixation of stable and unstable. Comparative study of the proximal femoral nail antirotation. Listing a study does not mean it has been evaluated by the u. Mechanical failures after fixation with proximal femoral nail and risk factors semmi koyuncu,1 task. What i really like about this file is a gentle pass along the underside of the nail edge keeps my nails from breaking as it repairs the slightest start of any snags or weak edges. The mean surgical time for patients treated with pfna was 57 min range 3296 min and was significantly lower than in those treated with dcs, in which the mean time was 87 range 64178 min p nail pfn are used to fix pertrochanteric, intertrochanteric, high subtrochanteric and transcervical fractures of the femur. How to view eps and ai thumbnails when browsing for clip. In the lateral view, rotation of the nail can be adjusted with the two orientation lines in the radiolucent insertion handle for pfna. Now you can quickly and effortlessly trim and shape your nails with this easytouse, batteryoperated nail file. To compare the results of long proximal femoral nail antirotation pfna. Proximal femoral nail antirotation in treatment of. A total of 237 patients 45 male, 192 female were eligible for the assessment with an average age of 81.
This is great for a promotion at a beauty salon or as a small item to place at the register at a clothing store. Intertrochanter fractures treated with pfna in patients with age more. Comparison of proximal femoral nail antirotation pfna with. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309.
Antirotation proximal femoral nail versus dynamic hip. It is easily inserted with few intra and postoperative complications and allows early weight bearing on the affected limb as well as quicker rehabilitation of patients. We investigated when compared with gamma nail gn and dynamic hip screw dhs whether pfna was associated with 1 a lower. Our results suggest that serum concentrations of pfoa, pfos, pfna, and pfhxs in our study population increased from birth until pfna in boys. Examples include the gamma nail strykerhowmedica, the intramedullary hip screw smith and nephew richards, the proximal femoral nail synthes and the ace trochanteric nail depuy orthopaedics. Femoral nail antirotation pfna osteosynthesis in the treatment of unstable. The pfna nail group consisted of 8 men and 5 women mean age, 53 years. Redirecting to ptrimheavy38mediumdutyblacksalonboards2pca11058764. Reason and treatment of failure of proximal femoral nail. In 2007, the aoasif developed the pfnaii also known as pfnaasia with sizes and geometry adapted to the femoral geometric proportions of asians. Complete traumatic backout of the blade of proximal femoral.
In most cases the placement of the pfna nail was perceived as ideal. Effects of the ratios of marrow cavity diameter to. Functional and radiological results of proximal femoral nail. This has one helical blade which has been biomechanically demonstrated to result in significantly higher cut. The offset printed logo that you imprint will be plainly visible to anyone nearby.
The proximal femoral nail antirotation pfna device was recently introduced as an option for intramedullary management of pertrochanteric hip fractures. The gentle, precise rotary action offers two speeds for professional results every time. Synthes, oberdorf, switzerland is an intramedullary device with a helical blade that was developed by aoasif davos, switzerland in 2004. Proximal femoral nail antirotation pfna versus gamma nail 3 gamma3 for intramedullary nailing of unstable trochanteric fractures progaintes the safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
The study aimed to investigate the effect of ratios of marrow cavity diameter to intramedullary nail diameter from different layers on hidden blood loss hbl, overt blood loss obl and total blood loss tbl during using proximal femoral nail antirotationasian version pfnaii for femoral intertrochanteric fractures we retrospectively studied 70 patients treated in our hospital recently. The mean surgical time for patients treated with pfna was 57 min range 3296 min and was significantly lower than in those treated with dcs, in which the mean time was 87 range 64178 min p pdf. Pfna is an effective method in treating senile intertrochanteric fractures with low. Original article is proximal femoral nail antirotation. Jcm free fulltext functional and radiological results. Proximal femoral nail antirotation versus hemiarthroplasty in the. Between february 2007 and august 2009, 76 patients underwent the pfna fixation for proximal femoral fractures 15. Proximal femoral nail antirotation introduction intertrochanteric femoral fractures are common among elderly patients. Proximal femoral nail antirotation pfna versus gamma nail. Alternatives determine the nail length by the procedure above on the uninjured leg before draping unsterile or compare the length of two identical synream reaming rods 2. Contents 1 nail anatomy and basic science 1 2 examination of the nail and workup of nail conditions 6 3 nail signs and their definitions. Pdf the pfna proximal femur nail in treatment of unstable. The pfna nail for pertrochanteric fracture of the femur without fracture table article pdf available january 2011 with 81 reads how we measure reads. Between june 2007 and october 2009, 41 proximal femoral fractures were treated, 22 with pfna group a and 19 with reverse liss.
Dynamic distal locking done will lead to axial nail subsidence and works as medoff plate 4. More patients in the recon nail group underwent major or minor reoperation p. Antirotation proximal femoral nail versus dynamic hip screw. Complete traumatic backout of the blade of proximal. Pfna blade bone structure after pfna blade insertion cancellous bone is compacted providing additional anchoring to the pfna blade. Tfnadvanced proximal femoral nailing system tfna the tfnadvanced proximal femoral nailing system tfna is designed to advance hip fracture treatment with. In this work, the primary and secondary tensile strength components of human femur trabecular bone are qualitatively assessed using planar radiographic images and spectral analysis. Comparison of proximal femoral nail antirotation blade and. Review of proximal nail antirotation pfna malaysian.
Apolymer clear this is a 100% transparent powder and very suitable to create a natural effect on a beautiful nail plate. Expanded proximal portion of nail abuts and works as tsp and prevents medialisation 3. Find, read and cite all the research you need on researchgate. How to view eps and ai thumbnails when browsing for clip art. The pfnaii long additionally allows for secondary dynamization.
The objective of this metaanalysis was to compare the efficacy and safety of pfna and dhs for pertrochanteric fractures. Proximal femoral nail antirotation technique guide use the preoperative planner template for the pfna to estimate the ccd angle, nail diameter and length. Effects of the ratios of marrow cavity diameter to intramedu. In our experience, proximal femoral nail antirotation pfna is an excellent device for osteosynthesis as it can be easily inserted, it provides angular and rotational stability and allows early weight bearing on the affected limb. Proximal femoral nail antirotation devices pfnas are considered biomechanically superior to dynamic hip screws for treating unstable peritrochanteric fractures and reportedly have a lower complication rate. We report 3 cases of postoperative perforation of the helical blade through the femoral head into the hip joint without any signs of rotational or varus displacement. Df systems in the treatment of proximal femoral fractures. Mechanical failures after fixation with proximal femoral. Make a big impact on the marketing of your brand with this emery board nail file. The pfna is an excellent implant for stabilisation of both trochanteric and complex combination fractures as well as an exceptional device for reosteosynthesis. Proximal femoral nail antirotation technique guide. The nail design has been well proven in over 200 000 cases performed with the pfn. A comparison of proximal femoral nail antirotation and dynamic hip screw devices in trochanteric fractures.
In ap view, the pfnaii entry point is on the tip or slightly lateral to. Migration of the lag screw after intramedullary treatment of. A new design for the treatment of unstable proximal femoral fractures pfna design compacts the cancellous bone to provide. Between march 20 and december 2015, fifty patients 28 male and 22 females with a mean age of 72. If the nail does not pass easily, it may be adequate to enlarge the medullary canal with the hand reamer 351. Review of proximal nail antirotation pfna and pfna2our. Aug 18, 2008 proximal femoral nail antirotation pfna versus gamma nail 3 gamma3 for intramedullary nailing of unstable trochanteric fractures progaintes the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. This webpage content is intended for health care professionals hcps only. Results of the proximal femoral nail antirotation pfna in elderly. Should the tipapex distance tad rule be modified for the proximal femoral nail antirotation pfna. Pfnaii nail several distal locking options static or dynamic locking can be performed via the aiming arm with pfnaii standard, small and xs. Pdf the pfna nail for pertrochanteric fracture of the femur. Proximal femoral nail antirotation technique guide depuysynthes 11. The proximal femoral nail antirotation pfna in the.
Standard pfnaii length 240 mm may be too long for small stature people. Jan 27, 2011 in 2004, proximal femoral nail antirotation pfna was designed to improve rotational and angular stability. Treatment of trochanteric fractures with proximal femoral. In 2007, the aoasif developed the pfna ii also known as pfna asia with sizes and geometry adapted to the femoral geometric proportions of asians. A comparison of proximal femoral nail antirotation and. An atlas of diseases of the nail phoebe rich, md oregon health sciences university portland, oregon, usa richard k. I find it also helps disguise the tip wear a few days into a mani without wrecking the polish, because it is so gentle.