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Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures

  • Osteoporotic Fracture Management
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Abstract

The proximal femoral nail (PFN) and the proximal femoral nail anti-rotation (PFNA) have been successfully used in the management of osteoporotic pertrochanteric fractures. Although many studies have described the geometrical mismatch between the antecurvation of the femur and the contemporary intramedullay nails, technical difficulties related to the mismatch between the femoral bowing and the PFN/PFNA at the time of nailing have rarely been discussed in the literature. We have experienced a technical difficulty related to the mismatch between the medullary canal and the PFN/PFNA. We describe the complications related with the mismatch and the technical pitfalls and some technical tips to avoid this problem are also described.

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Acknowledgments

We would like to thank Mr. John Meek for his kind support on CT data processing.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Korea University School of Medicine, Guro Hospital, 80 Guro 2-dong, Guro-gu, Seoul, 152-703, South Korea

    Jin Ho Hwang, Jong Keon Oh, Sang Hwan Han & Won Yong Shon

  2. The Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, 700-721, South Korea

    Chang Wug Oh

Authors
  1. Jin Ho Hwang
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  2. Jong Keon Oh
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  3. Sang Hwan Han
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  4. Won Yong Shon
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  5. Chang Wug Oh
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Corresponding author

Correspondence to Jong Keon Oh.

Additional information

This study was supported by a grant of the Korea Health 21 R&D Project, Ministry of Health & Welfare, Republic of Korea. (Project ID:A060465).

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Hwang, J.H., Oh, J.K., Han, S.H. et al. Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures. Arch Orthop Trauma Surg 128, 1443–1446 (2008). https://doi.org/10.1007/s00402-008-0736-1

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  • DOI: https://doi.org/10.1007/s00402-008-0736-1

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