ArticleLangenbeck's archives of surgery2005
Pitfalls and complications in the use of the proximal femoral nail.
Article in Langenbeck's archives of surgery, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Intraoperative Abdominal Penetration of the Lag Screw: A Rare Complication During Proximal Femoral Nail Anti-Rotation Surgery.Clinical case reports · 2026Article
- Article
- Outcomes After Revision Fixation With Cement Augmentation for Failed Intertrochanteric Fracture Fixation in Older Adult Patients.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- New Computerized Method in Measuring the Sagittal Bowing of Femur from Plain Radiograph-A Validation Study.Journal of clinical medicine · 2019Article
- Clinical Results of Complex Subtrochanteric Femoral Fractures with Long Cephalomedullary Hip Nail.Hip & pelvis · 2017Article
- Comparing the Intramedullary Nailing Method Versus Dynamic Hip Screw in Treatment of Unstable Intertrochanteric Fractures.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2016Article
- The Analysis of Biomechanical Properties of Proximal Femur after Implant Removal.Applied bionics and biomechanics · 2016Article
- Mechanical failures after fixation with proximal femoral nail and risk factors.Clinical interventions in aging · 2015Article
- Implantation of INTERTAN™ nail in four patients with intertrochanteric fractures leading to single or comminute fractures: pitfalls and recommendations: a case series.Journal of medical case reports · 2014Article
- Outcomes of Geriatric Hip Fractures Treated with AFFIXUS Hip Fracture Nail.Advances in orthopedics · 2014Article
- A rare complication after intertrochanteric fracture treated with proximal femoral nail: femoral neck insufficiency fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013Article
- Should the tip-apex distance (TAD) rule be modified for the proximal femoral nail antirotation (PFNA)? A retrospective study.Journal of orthopaedic surgery and research · 2013Article
- Long proximal femoral nail in ipsilateral fractures proximal femur and shaft of femur.Indian journal of orthopaedics · 2013Article
- Using three-dimensional computational modeling to compare the geometrical fitness of two kinds of proximal femoral intramedullary nail for Chinese femur.TheScientificWorldJournal · 2013Article
- [Treatment results of pertrochanteric and subtrochanteric femoral fractures: a retrospective comparison of PFN and PFNA].Der Unfallchirurg · 2009Article
- Proximal femoral nail - an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year.International orthopaedics · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsOsteosynthesis with the proximal femoral nail (PFN) features the advantages of high rotational stability of the head-neck fragment, an unreamed implantation technique and the possibility of static or dynamic distal locking. However, the use of the nail is technically ambitious and is accompanied by some risks of error, which can lead to failure of the osteosynthesis. In this paper we present the results of a critical analysis of mistakes that were made in our hospital during the introduction period of this implant. PATIENTS AND
methodsWe carried out a prospective analysis of the data of 121 consecutive patients who were suffering from trochanteric or subtrochanteric fracture between December 1997 and December 2000 and who had been treated with a PFN.
resultsWe identified intraoperative technical difficulties in 23 patients (19.1%). Seven cases showed postoperative local complications that required operative revision on six patients (4.9%). The main reasons for the failure of the operations involved were poor reduction and wrong choice of screws. Following our critical analysis, we were able to avoid those problems.
conclusionsWhen 31A fractures are to be stabilised with a PFN, the precise technical performance of the implantation represents the basic surgical requirement. Already present minor deviations will subsequently cause loosening of the implants and failure of the operation.
Indexed as
Identifiers
15088148What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.