Long-term results of the augmented PFNA: A prospective multicenter trial

Archives of Orthopaedic and Trauma Surgery

Volumn 134, Issue 3, 2014, Pages 343-349

  Kammerlander, C ^a   Doshi, H ^a   Gebhard, F ^b   Scola, A ^b   Meier, C ^c   Linhart, W ^d   Garcia Alonso, M ^e   Nistal, J ^e   Blauth, M ^a  

^a INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^b UNIVERSITY OF ULM   (Germany)

^c Stadtspital Waid   (Switzerland)

^d SLK Kliniken Heilbronn   (Germany)

^e HOSPITAL UNIVERSITARIO RÍO HORTEGA   (Spain)

Author keywords

Augmentation; Cement augmentation; Cement distribution; Cement leakage; Cortical thickness index; Cut out; Hip fracture; Hip joint space; Long term follow up; Osteonecrosis; Osteoporosis; Parker Mobility Score; Pertrochanteric fracture; PFNA; PMMA

Indexed keywords

BONE CEMENT; POLY(METHYL METHACRYLATE);

AGED; ARTICLE; BLADE MIGRATION; BONE NECROSIS; BONE PAIN; BONE RADIOGRAPHY; BONE STRUCTURE; CALLUS; CORTICAL THICKNESS (BONE); DAILY LIFE ACTIVITY; EUROPE; FEMALE; FEMUR PERTROCHANTERIC FRACTURE; FOLLOW UP; FRACTURE FIXATION; FRAGILITY FRACTURE; HIP; HUMAN; JOINT CAVITY; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; ORTHOPEDIC FIXATION DEVICE; PATIENT MOBILITY; PFNA; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; TRABECULAR BONE; TREATMENT OUTCOME; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BONE CEMENTS; BONE NAILS; FEMALE; FEMORAL FRACTURES; FEMUR HEAD; FOLLOW-UP STUDIES; FRACTURE FIXATION, INTRAMEDULLARY; HUMANS; MALE; OSTEOPOROTIC FRACTURES; POLYMETHYL METHACRYLATE; PROSPECTIVE STUDIES; REOPERATION; TREATMENT OUTCOME;

EID: 84896727218     PISSN: 09368051     EISSN: 14343916     Source Type: Journal    
DOI: 10.1007/s00402-013-1902-7     Document Type: Article

References (43)

1. Ahrengart L, Törnkvist H, Fornander P et al (2002) A randomized study of the compression hip screw and Gamma nail in 426 fractures. Clin Orthop Relat Res 401:209-222
2. Anglen JO, Weinstein JN (2008) Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. A review of the American Board of Orthopaedic Surgery Database. J Bone Jt Surg Am 90(4):700-707
3. Barnes R, Brown JT, Garden RS, Nicoll EA (1976) Subcapital fractures of the femur. A prospective review. J Bone Jt Surg Br 58(1):2-24
4. Boner V, Kuhn P, Mendel T, Gisep A (2009) Temperature evaluation during PMMA screw augmentation in osteoporotic bone - an in vitro study about the risk of thermal necrosis in human femoral heads. J Biomed Mater Res B Appl Biomater 90(2):842-848
5. Bryant DM, Sanders DW, Coles CP, Petrisor BA, Jeray KJ, Laflamme GY (2009) Selection of outcome measures for patients with hip fracture. J Orthop Trauma 23(6):434-441
6. Carlsson AM (1983) Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 16(1):87-101
7. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH (1993) Structural and cellular assessment of bone quality of proximal femur. Bone 14(3):231-242
8. Erhart S, Kammerlander C, El-Attal R, Schmoelz W (2012) Is augmentation a possible salvage procedure after lateral migration of the proximal femur nail antirotation? Arch Orthop Trauma Surg 132(11):1577-1581
9. Erhart S, Schmoelz W, Blauth M, Lenich A (2011) Biomechanical effect of bone cement augmentation on rotational stability and pull-out strength of the proximal femur nail antirotation. Injury 42(11):1322-1327
10. Fensky F, Nuchtern JV, Kolb JP et al (2013) Cement augmentation of the proximal femoral nail antirotation for the treatment of osteoporotic pertrochanteric fractures - a biomechanical cadaver study. Injury 44(6):802-807
11. Fliri L, Lenz M, Boger A, Windolf M (2012) Ex vivo evaluation of the polymerization temperatures during cement augmentation of proximal femoral nail antirotation blades. J Trauma Acute Care Surg 72(4):1098-1101
12. Gardner MJ, Briggs SM, Kopjar B, Helfet DL, Lorich DG (2007) Radiographic outcomes of intertrochanteric hip fractures treated with the trochanteric fixation nail. Injury 38(10):1189-1196
13. Goffin JM, Pankaj P, Simpson AH, Seil R, Gerich TG (2013) Does bone compaction around the helical blade of a proximal femoral nail anti-rotation (PFNA) decrease the risk of cut-out? A subject-specific computational study. Bone Jt Res 2(5):79-83
14. Heini PF, Franz T, Fankhauser C, Gasser B, Ganz R (2004) Femoroplasty-augmentation of mechanical properties in the osteoporotic proximal femur: a biomechanical investigation of PMMA reinforcement in cadaver bones. Clin Biomech (Bristol, Avon) 19(5):506-512
15. Hisatome T, Yasunaga Y, Ikuta Y, Fujimoto Y (2002) Effects on articular cartilage of subchondral replacement with polymethylmethacrylate and calcium phosphate cement. J Biomed Mater Res 59(3):490-498
16. Kammerlander C, Gebhard F, Meier C et al (2011) Standardised cement augmentation of the PFNA using a perforated blade: a new technique and preliminary clinical results. A prospective multicentre trial. Injury 42(12):1484-1490
17. Kammerlander C, Gosch M, Kammerlander-Knauer U, Luger TJ, Blauth M, Roth T (2011) Long-term functional outcome in geriatric hip fracture patients. Arch Orthop Trauma Surg 131(10):1435-1444
18. Lenich A, Vester H, Nerlich M, Mayr E, Stockle U, Fuchtmeier B (2010) Clinical comparison of the second and third generation of intramedullary devices for trochanteric fractures of the hip - blade vs screw. Injury 41(12):1292-1296
19. Lindner T, Kanakaris NK, Marx B, Cockbain A, Kontakis G, Giannoudis PV (2009) Fractures of the hip and osteoporosis: the role of bone substitutes. J Bone Jt Surg Br 91(3):294-303
20. Liu Y, Tao R, Liu F et al (2010) Mid-term outcomes after intramedullary fixation of peritrochanteric femoral fractures using the new proximal femoral nail antirotation (PFNA). Injury 41(8):810-817
21. Lobo-Escolar A, Joven E, Iglesias D, Herrera A (2010) Predictive factors for cutting-out in femoral intramedullary nailing. Injury 41(12):1312-1316
22. Loizou CL, Parker MJ (2009) Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients. Injury 40(11):1143-1146
23. Mattsson P, Alberts A, Dahlberg G, Sohlman M, Hyldahl HC, Larsson S (2005) Resorbable cement for the augmentation of internally-fixed unstable trochanteric fractures. A prospective, randomised multicentre study. J Bone Jt Surg Br 87(9):1203-1209
24. Mattsson P, Larsson S (2003) Stability of internally fixed femoral neck fractures augmented with resorbable cement. A prospective randomized study using radiostereometry. Scand J Surg 92(3):215-219
25. Mattsson P, Larsson S (2004) Unstable trochanteric fractures augmented with calcium phosphate cement. A prospective randomized study using radiostereometry to measure fracture stability. Scand J Surg 93(3):223-228
26. Mereddy P, Kamath S, Ramakrishnan M, Malik H, Donnachie N (2009) The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatment of unstable proximal femoral fractures. Injury 40(4):428-432
27. Murphy AJ, Ricketts D, Thomas WG (1995) Avascular necrosis of the femoral head following pertrochanteric fracture. Injury 26(5):351-352
28. Oken MM, Creech RH, Tormey DC et al (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649-655
29. Parker MJ, Palmer CR (1993) A new mobility score for predicting mortality after hip fracture. J Bone Jt Surg Br 75(5):797-798
30. Pervez H, Parker MJ, Vowler S (2004) Prediction of fixation failure after sliding hip screw fixation. Injury 35(10):994-998
31. Sah AP, Thornhill TS, Leboff MS, Glowacki J (2007) Correlation of plain radiographic indices of the hip with quantitative bone mineral density. Osteoporos Int 18(8):1119-1126
32. Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P (2002) Pertrochanteric fractures: is there an advantage to an intramedullary nail?: A randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. J Orthop Trauma 16(6):386-393
33. Sermon A, Boner V, Boger A et al (2012) Potential of polymethylmethacrylate cement-augmented helical proximal femoral nail antirotation blades to improve implant stability-a biomechanical investigation in human cadaveric femoral heads. J Trauma Acute Care Surg 72(2):E54-E59
34. Sermon A, Boner V, Schwieger K et al (2012) Biomechanical evaluation of bone-cement augmented Proximal Femoral Nail Antirotation blades in a polyurethane foam model with low density. Clin Biomech (Bristol, Avon) 27(1):71-76
35. Simmermacher RK, Ljungqvist J, Bail H et al (2008) The new proximal femoral nail antirotation (PFNA) in daily practice: results of a multicentre clinical study. Injury 39(8):932-939
36. Simpson AH, Varty K, Dodd CA (1989) Sliding hip screws: modes of failure. Injury 20(4):227-231
37. Stoffel KK, Leys T, Damen N, Nicholls RL, Kuster MS (2008) A new technique for cement augmentation of the sliding hip screw in proximal femur fractures. Clin Biomech (Bristol, Avon) 23(1):45-51
38. Takigami I, Ohnishi K, Ito Y et al (2011) Acetabular perforation after medial migration of the helical blade through the femoral head after treatment of an unstable trochanteric fracture with proximal femoral nail antirotation (PFNA): a case report. J Orthop Trauma 25(9):e86-e89
39. Vidyadhara S, Rao SK (2007) One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elderly - randomised clinical trial. Injury 38(7):806-814
40. von der Linden P, Gisep A, Boner V, Windolf M, Appelt A, Suhm N (2006) Biomechanical evaluation of a new augmentation method for enhanced screw fixation in osteoporotic proximal femoral fractures. J Orthop Res 24(12):2230-2237
41. von Steyern FV, Kristiansson I, Jonsson K, Mannfolk P, Heinegard D, Rydholm A (2007) Giant-cell tumour of the knee: the condition of the cartilage after treatment by curettage and cementing. J Bone Jt Surg Br 89(3):361-365
42. Watanabe Y, Minami G, Takeshita H, Fujii T, Takai S, Hirasawa Y (2002) Migration of the lag screw within the femoral head: a comparison of the intramedullary hip screw and the Gamma Asia-Pacific nail. J Orthop Trauma 16(2):104-107
43. Welch RD, Berry BH, Crawford K et al (2002) Subchondral defects in caprine femora augmented with in situ setting hydroxyapatite cement, polymethylmethacrylate, or autogenous bone graft: biomechanical and histomorphological analysis after two-years. J Orthop Res 20(3):464-472