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PFNA Nail
Proximal Femoral Nail Antirotation (PFNA) is an intramedullary implant for the treatment of unstable trochanteric femoral fractures, with the additional option of augmentation. PFNA represents a unique intramedullary nail system for improved management, particularly in the elderly.
PFNA Nail Specification.
The PFNA Nail has a medial-lateral angle of 6°. This allows insertion at the tip of the greater trochanter.
Several distal locking options: Static or dynamic locking can be performed via the aiming arm with PFNA small and medium. The PFNA long additionally allows for secondary dynamization.
The PFNA Nail is available in 4 sizes
Small, length 180 mm
Small, length 200 mm
Medium, length 240 mm
Large, length 300-420 mm
Inserting the PFNA blade compacts the cancellous bone providing additional anchoring, which is especially important in osteoporotic bone.
Increased stability caused by bone compaction around the PFNA blade has been biomechanically proven to retard rotation and varus collapse. Biomechanical tests have demonstrated that the PFNA blade had a significantly higher cut-out resistance in comparison with commonly-used
screw systems.
All surgical steps required to insert the PFNA blade are performed through lateral incision. The PFNA blade is automatically locked to prevent rotation of the blade and femoral head.
PFNA Nail Sizes
Length 180 mm
Dia 9mm, 10mm, 11mm and 12mm
Length 200 mm
Dia 9mm, 10mm, 11mm and 12mm
Length 240 mm
Dia 9mm, 10mm, 11mm and 12mm
Length 300 mm to 420 mm
Dia 9mm, 10mm, 12mm and 14mm , Left and Right
PFNA Nail Uses
PFNA Nail short (Length 180 mm – 240 mm)
Indications
Pertrochanteric fractures
High subtrochanteric fractures
Contraindications
Low subtrochanteric fractures
Femoral shaft fractures
Isolated or combined medial femoral neck fractures
PFNA Nail long (Length 300 mm – 420 mm)
Indications
Low and extended subtrochanteric fractures
Ipsilateral trochanteric fractures
Combination fractures (in the proximal femur)
Pathological fractures
Contraindications
Isolated or combined medial femoral neck fractures
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