Central Head Perforation, or “Cut Through,” Caused by the Helical Blade of the Proximal Femoral Nail Antirotation

Journal of Orthopaedic Trauma

Volumn 26, Issue 8, 2012, Pages e102-e107

  Frei, Hans Curd ^a   Hotz, Thomas ^a   Cadosch, Dieter ^a,b   Rudin, Mark ^a   Käch, Kurt ^a  

^a CANTONAL HOSPITAL WINTERTHUR   (Switzerland)

^b UNIVERSITY HOSPITAL ZURICH   (Switzerland)

Author keywords

Cut through; Implant failure; Intramedullary nailing; PFNA; Proximal femur fracture

Indexed keywords

ADULT; AGED; ARTICLE; BONE NAIL; BONE RADIOGRAPHY; CANCELLOUS BONE; CLINICAL ASSESSMENT; FEMALE; FEMUR FRACTURE; FEMUR HEAD PROSTHESIS; FEMUR PERTROCHANTERIC FRACTURE; FRACTURE HEALING; FRACTURE NONUNION; HUMAN; INTRAMEDULLARY NAIL; JOINT MOBILITY; MAJOR CLINICAL STUDY; MALE; MECHANICAL TORSION; PERFORATION; PRIORITY JOURNAL; PROSTHESIS FAILURE; PROXIMAL FEMORAL NAIL ANTIROTATION; REOPERATION; RETROSPECTIVE STUDY; SURGICAL INFECTION; TOTAL HIP PROSTHESIS;

AGED; AGED, 80 AND OVER; BONE NAILS; BONE SCREWS; COHORT STUDIES; COMORBIDITY; FEMORAL FRACTURES; HIP INJURIES; HUMANS; INCIDENCE; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROSTHESIS FAILURE; RETROSPECTIVE STUDIES; RISK; SWITZERLAND; TREATMENT OUTCOME; WOUNDS, PENETRATING;

EID: 84864364451     PISSN: 08905339     EISSN: 15312291     Source Type: Journal    
DOI: 10.1097/BOT.0b013e31822c53c1     Document Type: Article

References (23)

1. Kannus P, Parkkari J, Niemi S, et al. Prevention of hip fracture in elderly people with use of a hip protectors. N Engl J Med. 2000;343:1506-1513.
2. Friedel W, Colombo-Benkmann M, Dockter S, et al. Gamma-Nagel Osteosynthesen per- und subtrochanterer Femurfrakturen. Chirurg. 1994;65:953-963.
3. Parker MJ, Handoll HH, Bhonsle S, et al. Condylocephalic nails versus extramedullary implants for extracapsular hip fractures. Cochrane Database Syst Rev. 2000;(2); CD000338.
4. Parker MJ, Handoll HH, et al. Extramedullary fixation implants and external fixators for extracapsular hip fractures. Cochrane Database Syst Rev. 2002;(4); CD000339.
5. Watanabe Y, Minami G, Takeshita H, et al. Migration of the lag screw within femoral head: an comparison of the intramedullary hip screw and the gamma asia-pacific nail. J Orthop Trauma. 2002;16:104-107.
6. Hayness RC, Poll RG, Miles AW, et al. Failure of the femoral head fixation: a cadaveric analysis of lag screw cut-out with gamma locking nail and AO dynamic hip srew. Injury. 1997;28:337-341.
7. Sommers MB, Roth Ch, Hall H, et al. A laboratory model to evaluate cut out resistance of implants for pertrochanteric fracture fixation. J Orthop Trauma. 2004;18:361-368.
8. Audigé L, Hanson B, Swiontkowski MF. Implant related complications in the treatment of unstable intertrochanteric fractures: meta-analysis of dynamic screw-plate versus dynamic intramedullary nail devices. Int Orthop. 2003;27:197-203.
9. Utrilla AL, Reig JS, Munoz FM, et al. Trochanteric gamma nail and compression hip screw for trochanteric fractures: a randomized, prospective, comparative study in 210 elderly patients with a new design of the gamma nail. J Orthop Trauma. 2005;19:229-233.
10. Kakula C, Heinz T, Gaebler C, et al. The standard gamma nail: a critical analysis of 1,000 cases. J Trauma. 2001;51:77-83.
11. PFNA [surgical technique]. Solothurn, Switzerland: Synthes GmbH; 2006.
12. Heinz T, Vécsei V. Komplikationen und Fehler bei der Anwendung des Gammanagels, Ursachen und Praevention. Chirurg. 1994;65:943-952.
13. Megas P, Kaisidis A, Zouboulis P, et al. Comparative study of the treatment of pertrochanteric fractures—trochanteric gamma nail vs. proximal femoral nail. Z Orthop Ihre Grenzgeb. 2005; 143:252-257.
14. Strauss E, Frank J, Lee J, et al. Helical blade versus sliding hip screw for treatment of unstable intertrochanteric hip fractures: a biomechanical evaluation, Injury. 2006;37:984-989.
15. Davis TR, Sher JL, Horsman A, et al. Intertrochanteris femoral fractures, mechanical failures after internal fixation. J Bone Joint Surg Br. 1990; 72B:26-31.
16. Baumgaertner MR, Curtin SL, Lindskog DM, et al. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am. 1995;77-7:1058-1064.
17. Baumgaertner MR, et al. Awareness of the tip-apex distance reduces failure of the fixation of trochanteric fractures of the hip. J Bone Joint Surg Br. 1997;79B:969-971.
18. Schipper IB, Steyerberg EW, Castelein RM, et al. Treatment of unstable trochanteric fractures, randomised comparison of the gamma nail and the proximal femoral nail. J Bone Joint Surg Br. 2004;86B:86-94.
19. Kawaguchi S, Sawada K, Nabeta Y, et al. Cutting-out of the lag screw after internal fixation with the Asiatic gamma nail. Injury. 1998;29:47-53.
20. Brunner A, Jöckel Jens Arne, Babst Reto, et al. The PFNA proximal femur nail in treatment of unstable proximal femur fractures—3 cases of postoperative perforatin of the helical blade into the hip joint. J Orthop Trauma. 2008;22:731-736.
21. Simmermacher RKJ, Liungqvist J, Bail H, et al. The new proximal femur nail antirotation (PFNA) in daily practice: results of a multicentre cilinical study. Injury. 2008;39:932-939.
22. Hohendorff B, Meyer P, Menezes D, et al. Behandlungsergebnisse und Komplikationen nach PFN-Osteosynthese. Unfallchirurg. 2005;108:938-946.
23. Werner-Tutschku W, Lajtai G, Schmiedhuber G, et al. Intra- und perioperative Komplikationen bei der Stabilisierung von per und subtrochantären Femurfrakturen mittels PFN. Unfallchirurg. 2002;105:881-885.