Minimal invasive treatment of proximal femur fractures with the long gamma nail: indication, technique, results. The proximal femur frequently shows the operability criteria described by Mirels ... only 10 of the 28 modular prostheses were implanted for this latter indication, and comparison versus nailing was thus not feasible. Cephalomedullary Nailing of the Proximal Femur Thomas A. Russell DEFINITION Fractures of the proximal femur are usually grouped into four major types reflecting differences in the anatomic and physiologic character of these regions: Femoral head fractures Intracapsular femoral neck fractures Pertrochanteric fractures … Hip replacement is the salvage solution in case of mechanical failure of internal fixation … Humerus 2. These fractures occur either between the greater and lesser trochanter … Proximal Femoral Nail Antirotation (PFNA) Proximal Femoral Nail Antirotation (PFNA) is an intramedullary implant for the treatment of unstable trochanteric femoral fractures, with the additional option of augmentation. The intramedullary nails feature proximal and distal holes to accept locking screws. Multiple trauma patients have probably been the most recent and most rewarding addition to the list of retro- grade nailing indications. The indication of the gamma nail ranges from the lateral fracture of the femoral neck to subtrochanteric fractures of the femur. ... care to prevent the oblique insertion of a locking screw because it can become trapped between the firm cortex of the proximal femur and the nail. In 1993, we began to treat all unstable proximal femur fractures from the trochanteric region to the middle third of the shaft with the long gamma nail (LGN) and allowed the patients immediate full weightbearing … Trochanteric Femoral Nail Indications. Femur ... Nails for femoral shafts are bend differently than nails for tibia or humerus. Also length and diameter will be ... proximal femur… Indication Statement. According to e … It is reported about indication, technique and the first results of 40 osteosynthesis carried out in proximal femur fractures with the help of a gamma nail. Retro- grade nailing allows nail insertion through an incision at the knee avoiding the problems of the proximal femoral entry site location and malalignment in these difficult, large patients. Learn the Intertrochanteric neck of femur fracture treated with a proximal femoral nail (Synthes long TFNA) surgical technique with step by step instructions on OrthOracle. A long titanium proximal femoral nail with one distal screw inserted in a static … Indications for osteosynthesis with intramedullary nail are 1. It consists of antegrade intramedullary nails for the femur with respective end-caps and locking screws. The most frequent indication for poller screws is an oblique fracture which would tend to shift when the axial knee blow technique is used to close any fracture gap, or when the patient is mobilized. Indication to prophilactic stabilisation was defined according to Mirel’s criteria; preoperative planning included MRI, which showed the contemporary involvement of subtrochanteric region or neck also in the cases of shaft localisations. • Small proximal outer diameter (15.9mm) • 6° proximal bend • Closer match to anatomic bow of femur (long nail) – 1.8 meter radius anterior bow • Built-in anteversion (long nail) • Full range of nail sizing in long (Left and Right), short and extra short (universal) lengths • Long IM Nails: lengths ranging from 24 – 48cm in … Our e-learning platform contains high resolution images and a certified CME of the Intertrochanteric neck of femur fracture treated with a proximal femoral nail … The Agile Nail ™ is designed to address femoral fractures and deformity correction procedures. Diaphyseal fractures: 1. For product details such as indications, contraindications, warnings … The trochanteric femoral nail procedure is indicated for fractures of the proximal femur, such as intertrochanteric and subtrochanteric hip fractures, and can be applied to both stable and unstable fractures.