ArticleClinical orthopaedics and related research2012
Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures?
Article in Clinical orthopaedics and related research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed, 43 citations in OpenAlex.
- Short versus long proximal femoral nail anti-rotation-II (PFNA-II) in the management of unstable intertrochanteric fractures.International journal of burns and trauma · 2025Article
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- Biomechanical evaluation of ortho-bridge system and proximal femoral nail antirotation in intertrochanteric fractures with lateral wall fracture based on finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Midterm Outcomes of Intramedullary Fixation of Intertrochanteric Femoral Fractures Using Compression Hip Nails: Radiologic and Clinical Results.Clinics in orthopedic surgery · 2023Article
- Proximal femoral bionic nail (PFBN)-an innovative surgical method for unstable femoral intertrochanteric fractures.International orthopaedics · 2023Article
- Refracture After Removal of the PFNA in a Healed Intertrochanteric Femoral Fracture: Case Report.Geriatric orthopaedic surgery & rehabilitation · 2022Article
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- Which implant is better for beginners to learn to treat geriatric intertrochanteric femur fractures: A randomised controlled trial of surgeons, metalwork, and patients.Journal of orthopaedic translation · 2020Article
- The Results of Unstable Intertrochanteric Femur Fracture Treated with Proximal Femoral Nail Antirotation-2 with respect to Different Greater Trochanteric Entry Points.Advances in orthopedics · 2020Article
- Is PFNA-II a better implant for stable intertrochanteric fractures in elderly population ? A prospective randomized study.Journal of clinical orthopaedics and trauma · 2019Article
- Radiographic Outcomes of Osteosynthesis Using Proximal Femoral Nail Antirotation (PFNA) System in Intertrochanteric Femoral Fracture: Has PFNA II Solved All the Problems?Hip & pelvis · 2017Article
- Influence of different great trochanteric entry points on the outcome of intertrochanteric fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2017Article
- Intertrochanteric fractures: a review of fixation methods.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Review
- Clinical evaluation of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for treatment of intertrochanteric fractures.Journal of orthopaedic surgery and research · 2014Article
- Proximal femoral nail antirotation in treatment of fractures of proximal femur.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2014Article
- Letter to the editor: Intramedullary nails result in more reoperations than sliding hip screws in two-part intertrochanteric fractures.Clinical orthopaedics and related research · 2013Article
- Reply to letter to the editor: Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures?Clinical orthopaedics and related research · 2013Article
- Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures?Clinical orthopaedics and related research · 2013Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProximal 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. The PFNA II was introduced to eliminate lateral cortex impingement encountered with the PFNA. However, it is unclear whether the new design in fact avoids lateral cortex impingement without compromising stability of fixation and fracture healing. QUESTIONS/PURPOSES: We therefore asked whether the PFNA II: (1) eliminates the lateral cortex impingement and fracture displacement experienced with PFNA; and (2) provides stable fracture fixation with a low major complication rate for unstable fractures in European patients.
methodsWe retrospectively reviewed 108 patients with an unstable peritrochanteric fracture, 58 treated with PFNA and 50 with PFNA II. We compared nail positioning, major and minor complication rates, operative and fluoroscopy time, blood transfused, time to mobilization, hospital stay, fracture union, and Harris hip score. The minimum followup was 12 months (mean, 13 months; range, 12-18 months).
resultsIn the PFNA II group we encountered no impingement on the lateral cortex and no patients with lateral fragment or loss of reduction at insertion, whereas with the PFNA group, we had 10 and five cases, respectively. Fracture union occurred in all patients treated with PFNA II without mechanical failures. PFNA II cases were associated with a slightly shorter surgical time than PFNA cases (23 minutes versus 27 minutes, respectively).
conclusionPFNA II avoided lateral cortex impingement experienced with PFNA, providing fast and stable fixation of the unstable peritrochanteric fractures. LEVEL OF EVIDENCE: Level III, retrospective comparative study. See Guidelines for Authors for a complete description of levels of evidence.
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