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. 2012 Mar;6(1):25-9.
doi: 10.5704/MOJ.1203.009.

Early Complications in Proximal Femoral Nailing Done for Treatment of Subtrochanteric Fractures

B Kanthimathi  1 , Vl Narayanan  1
Affiliations

Early Complications in Proximal Femoral Nailing Done for Treatment of Subtrochanteric Fractures

B Kanthimathi et al. Malays Orthop J. 2012 Mar.

Abstract

Aim: To analyse the early complications following the use of PFN in subtrochanteric fractures.

Background: Osteosynthesis with PFN in subtrochanteric fracture 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 requires technical expertise and is accompanied by some risks of error which can lead to osteosynthesis failure.

Methods: Between May 2009 and May 2011, 50 consecutive patients with PFN fixations for subtrochanteric fractures were observed for intraoperative and postoperative complications.

Results: We identified intraoperative technical difficulties in four patients and six patients showed postoperative complications.

Conclusion: When subtrochanteric fractures are to be stabilised with a PFN, the precise and expert technical performance of implantation is the basic surgical requirement. Good reduction with minimal dissection and the use of an appropriate implant is necessary to avoid treatment failure.

Key words: Subtrochanteric fractures, trochanteric fractures, proximal femoral nail, PFN.

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Figures

<b>Fig. 1</b>: Hip pin longer than lag screw.
Fig. 1: Hip pin longer than lag screw.
<b>Fig. 2</b>: Nail breakage at the distal interlocking level.
Fig. 2: Nail breakage at the distal interlocking level.
<b>Fig. 3</b>: Intraoperative femoral shaft fracture.
Fig. 3: Intraoperative femoral shaft fracture.
<b>Fig. 4</b>: Screw cut-out (hip pin backing out).
Fig. 4: Screw cut-out (hip pin backing out).
<b>Fig. 5</b>: Ten degree varus deformity of the femur.
Fig. 5: Ten degree varus deformity of the femur.
See this image and copyright information in PMC

References

    1. Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg Am. 1978;60:300–306. - PubMed
    1. Craig NJ, Sivaji C, Maffulli N. Subtrochanteric fractures. A review of treatment options. Bull Hosp Jt Dis. 2001;60:35–46. - PubMed
    1. Sims SH. Subtrochanteric femur fractures. Orthop Clin North Am. 2002;33:113–126. - PubMed
    1. Parker MJ, Dutta BK, Sivaji C, Pryor GA. Subtrochanteric fracture of the femur. Injury. 1997;28(2):91–95. - PubMed
    1. Kinast C, Bolhofner BR, Mast JW, Ganz R. Subtrochanteric fractures of the femur. Results of treatment with the 95 degrees condylar blade-plate. Clin Orthop Relat Res. 1989;238:122–130. - PubMed

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