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The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures

Dalibor Kristek
Ivan Lovrić
Jozo Kristek
Marta Biljan
Gordana Kristek
Kata Šakić

Puni tekst: engleski, pdf (53 KB) str. 937-940 preuzimanja: 887* citiraj
APA 6th Edition
Kristek, D., Lovrić, I., Kristek, J., Biljan, M., Kristek, G. i Šakić, K. (2010). The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures. Collegium antropologicum, 34 (3), 937-940. Preuzeto s https://hrcak.srce.hr/59343
MLA 8th Edition
Kristek, Dalibor, et al. "The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures." Collegium antropologicum, vol. 34, br. 3, 2010, str. 937-940. https://hrcak.srce.hr/59343. Citirano 29.07.2021.
Chicago 17th Edition
Kristek, Dalibor, Ivan Lovrić, Jozo Kristek, Marta Biljan, Gordana Kristek i Kata Šakić. "The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures." Collegium antropologicum 34, br. 3 (2010): 937-940. https://hrcak.srce.hr/59343
Harvard
Kristek, D., et al. (2010). 'The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures', Collegium antropologicum, 34(3), str. 937-940. Preuzeto s: https://hrcak.srce.hr/59343 (Datum pristupa: 29.07.2021.)
Vancouver
Kristek D, Lovrić I, Kristek J, Biljan M, Kristek G, Šakić K. The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures. Collegium antropologicum [Internet]. 2010 [pristupljeno 29.07.2021.];34(3):937-940. Dostupno na: https://hrcak.srce.hr/59343
IEEE
D. Kristek, I. Lovrić, J. Kristek, M. Biljan, G. Kristek i K. Šakić, "The Proximal Femoral Nail Antirotation (PFNA) in the Treatment of Proximal Femoral Fractures", Collegium antropologicum, vol.34, br. 3, str. 937-940, 2010. [Online]. Dostupno na: https://hrcak.srce.hr/59343. [Citirano: 29.07.2021.]

Sažetak
Proximal femoral fractures, especially in elderly persons with osteoporosis, present a challenge for the traumatologist. While the dynamic hip screw (DHS) became the implant of choice for the treatment of stable fractures, the ideal implant for the treatment of unstable fractures remains an issue. 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. Between February 2007 and August 2009, 76 patents underwent the PFNA fixation for proximal femoral fractures (15 men and 61 women). Forty seven fractures were pertrochanteric, 14 subtrochanteric, 2 pathological and 5 ipsilateral trochanteric and diaphyseal fractures whereas in 8 cases the PFNA was used in reosteosynthesis. The mean age of patients was 73.4 years (range 22–91 years). The fractures were reduced on a traction table and the implant was inserted using minimally invasive technique. Four patients developed superficial postoperative wound infection. No cases of implant breakage have been recorded; there was one cut-out; delayed union was noted in three patients. The majority of patients regained their pre-injury mobility status. The PFNA is an excellent implant for stabilisation of both trochanteric and complex combination fractures as well as an exceptional device for reosteosynthesis. 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.

Ključne riječi
PFNA; trochanteric fractures; intramedullary nailing; reosteosynthesis

Hrčak ID: 59343

URI
https://hrcak.srce.hr/59343

Posjeta: 1.681 *