gamma nail vs pfn

Several distal locking options Static or dynamic locking can be per- Search for Similar Articles Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. A total of 36 composite femurs corresponding to osteoporotic human bone were used. Meanwhile, proximal femoral nail anti-rotation (PFNA) fixation has recently been developed for minimally invasive surgery to reduce the complications rate. Of the remaining 208 patients available for analysis, 96 had GN (46 men and 50 women) and 112 had PFNA (52 men and 60 women). This website uses cookies. nail (PFN-A2) [5-6] inserted under radiographic control. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00736684. [ Links ] 12 Parker MJ, Handoll HH. Wolters Kluwer Health Study record managers: refer to the Data Element Definitions if submitting registration or results information. A randomised prospective comparison of the gamma nail and the dynamic hip screw. Previous studies showed that the Gamma nail did not perform as well as DHS because it led to a relatively higher incidence of post-operative femo-ral shaft fracture [5,6]. nails, select the measurement at or just proximal to the epiphyseal scar, or at the chosen insertion position. Chin J Clin Med. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. This biomechanical study was conducted to compare fixation stability of the proximal fragments and their mechanical characteristics in proximal femur models of unstable basicervical IT fractures fixed by cephalomedullary nailing using 3 different types of the femoral head fixation.Methods. PFNA had the advantages of antirotation and antivarus collapse compared with GN, which led to the good screw position, faster union and better functional results. Fixation of intertrochanteric fractures of the femur. China, bOrthopaedics Department, Third Hospital of Nanfang Medical University, Guangzhou, Guangdong, P.R. There are different studies available in literature claiming superiority of Gamma nail 3,4 and Short PFN5,6,7 individually. Financial Disclosure: The authors state that there are no conflicts of interest. Various kinds of cephalomedullary nails, such as gamma nail, InterTan and PFNA were used clinically. Gamma nail and Short PFN. modify the keyword list to augment your search. There are several surgical methods to treat intertrochanteric fracture: dynamic hip screw (DHS), compression hip screw (CHS), percutaneous compression plate (PCCP), Medoff sliding plate, less invasive stabilization system (LISS), Gamma nail, proximal femoral nail (PFN), and proximal femoral nail anti-rotating (PFNA). AO Clinical Investigation and Documentation. [ Time Frame: One year ], Patients with isolated, unstable, closed or type 1 open trochanteric fractures, classified as AO 31-A2 or AO 31-A3, Definitive primary fracture treatment with PFNA or Gamma3 (defined inTable 1) within three days after the index event, Signed written informed consent (by the subjects or legal guardian) and agreement to attend the planned follow-ups, Pathologic fracture of any other cause than osteoporosis, Patients or legal guardian refusing to sign the informed consent form, Wound and/or bone healing disorders of any other cause than diabetes mellitus or smoking, Inability to walk independently prior to injury event (use of one stick is allowed. Please try again soon. The goal of this study is to compare the clinical and radiographical results of Dynamic hip screw (DHS) and Proximal femoral nail (PFN) for the treatment of trochanteric hip fractures. Goldhagen PR, O'Connor DR, Schwarze D, Schwartz E. A prospective comparative study of the compression hip screw and the gamma nail. Nine head and neck parts of sowbone femora with a A2 osteotomy 1,000 alternating load tests at 1,000 and 1,500 N were performed after GN I beam plate, gamma nail and PFN screw fixation. Two-hundred sixty-three patients initially fulfilled the study criteria, and 55 patients were lost to follow-up. Intramedullary nailing of unstable per- and subtrochanteric femoral fractures is a standard procedure in trauma and orthopaedic surgery. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please enable scripts and reload this page. Lippincott Journals Subscribers, use your username or email along with your password to log in. For more information, please refer to our Privacy Policy. Listing a study does not mean it has been evaluated by the U.S. Federal Government. ral nail (PFN) and Gamma nail are 2 commonly used devices in the intramedullary fixation. Meanwhile, proximal femoral nail anti-rotation (PFNA) fixation has recently been developed for minimally invasive surgery to reduce the complications rate. [PubMed] 3. Eine signifikant kürzere Operationsdauer (44,3 vs. 57,3 min) sowie eine deutlich kürzere stationäre Aufenthaltsdauer (18,6 vs. 21,3 Tage) waren beim PFN zu verzeichnen. Your message has been successfully sent to your colleague. Registered users can save articles, searches, and manage email alerts. The treatment of proximal femoral fractures in geriatric osteoporotic patients continues to be a challenge in orthopedic trauma. 3). Unstable fractures treated with intramedullary nailing carry the risk of fracture fixation complications. All fractures in the PFNA group and 82 cases in the GN group united between 3 and 4 months, and 14 patients with GN had delayed union (5–9 months). These specimens were fixed with Gamma 3 (hip screw type; group 1) in 12, Gamma 3 U-blade (screw-blade hybrid type; … Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in There are several advantages for intertrochanteric fracture fixation using intramedullary nail such as minimal invasion, shorter operation time, better periosteal protection, and less complications. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. 30 mins. Please remove one or more studies before adding more. Two osteosynthesis methods, proximal femoral nail antirotation (PFNA) and gamma nail (GN), were used in the management of femoral trochanteric fractures to prevent the complications of long-term confinement to bed for the elderly. Clinical and radiographic outcomes were measured and compared between the two groups. China Proximal Femoral Nail Gamma Nail Pfn Intramedullary Nail Im Nail, Find details about China Gamma Nail, Pfna Nail from Proximal Femoral Nail Gamma Nail Pfn Intramedullary Nail Im Nail - Canwell Medical Co., Ltd. China. No significant differences were noted in the fracture reduction quality, but significant differences were noted in the screw position between the two groups (P<0.05). Read our, ClinicalTrials.gov Identifier: NCT00736684, Interventional Yan, Denglua; Soon, Yanchengb; Lv, Yumingb, aOrthopaedics Department, Nanshan Peoples Hospital, Guangdond Medical College, Shenzhen, Guangdong, P.R. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Secondary objectives of the study are to compare differences in functional outcomes, quality of life outcomes, safety, radiological outcomes, handling and perceived effectiveness between the devices. Methods: We searched the Embase and PubMed databases in accordance with inclusion and exclusion criteria. At present, treatments of intertrochanteric fractures are still giving priority to intramedullary nail fixation, such as Gamma nail, ITN, and proximal femoral nail (PFN) 14-16. Current Opinion in Orthopaedics (1999-2007), Clinical Orthopaedics and Related Research (1976-2007). This is a retrospective study of patients with femoral trochanteric fractures who had procedures with GN or PFNA from January, 2005 to December, 2008. Medical College and Dr. Prabhakar Kore Hospital and MRC, Belgaum If you're not a subscriber, you can: You can read the full text of this article if you: Institutional members access full text with Ovid®. The PFNA (Synthes) has evolved from the original PFN design, featuring a novel antirotation screw. 800-638-3030 (within USA), 301-223-2300 (international) Objectives. Most of the fractures were of the A3 type according to the AO/ASIF classification. 800-638-3030 (within USA), 301-223-2300 (international). 89, Taoyuan Road, Shenzhen, Guangdong 518101, China Tel: +86075526553111; fax: +86075526553111; e-mail: [email protected]. Empirical information about the fracture fixation complication rates of the PFNA device is not available. DHS vs PFNA for Intertrochanteric fractures - Dr Chintan N Patel 1. Correspondence to Denglu Yan, MD, Orthopaedics Department, Nanshan Peoples Hospital of Shenzhen, No. The medical implant is mainly fabricated using stainless steel and titanium alloys for strength and the plastic coating that is done on it acts as an artificial cartilage. Some error has occurred while processing your request. Proximal Femoral Nail Antirotation Surgical Technique PFNA. All registration fields are required. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. A cost benefit analysis and a systematic review, Iatrogenic displacement of minimally or nondisplaced intertrochanteric fractures during intramedullary fixation: incidence, potential etiologies, and clinical impact, The arthroscopic treatment of cyclops syndrome. Note: When selecting the nail size, consider canal diameter, fracture pattern, patient anatomy and post-operative protocol. J BoneJointSurg Br. Talk with your doctor and family members or friends about deciding to join a study. Dynamic hip screw (DHS) and Gamma nail were commonly used but often associated with some complications, such as fixation failure and implant-related fractures. Choosing to participate in a study is an important personal decision. gamma 2 and 3 long nails (Stryker), or Synthes Trocanteric Fixation Nail short or long nail (Synthes, Paoli, PA). This study evaluated the clinical results of PFNA and GN in treatment of femoral trochanteric fractures. Keywords provided by AO Innovation Translation Center: Device: Proximal Femoral Nail AntirotationTM (PFNA). Registered users can save articles, searches, and manage email alerts. The average follow-up was 18 months, 46 % were male, and 71 % had an ASA The standard implant for PFNA was a nail of 200 mm in length and 11 mm in diameter whereas the Gamma3 used was a 180 mm nail of 11 mm diameter. You have reached the maximum number of saved studies (100). U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 2007;2:226-8. Proximal Femoral Nail Antirotation™ (PFNA) Versus Gamma Nail 3™ (Gamma3) for Intramedullary Nailing of Unstable Trochanteric Fractures (PROGAINT-ES) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. For immediate assistance, contact Customer Service: The InterTan nail has a trapezoidal proximal end 180 mm long and a diameter decreasing from 15.25316.25 2, Fig. Apart from the prevention of excess rotational forces, this supporting element may enhance the overall stability of the construct, thus potentially reducing fracture fixation complications. Vergleichsstudie der Versorgung pertrochantärer Femurfrakturen - trochanteric Gamma-Nagel vs. PFN Trochanteric Gamma Nail vs Proximal Femoral Nail for Pertrochanteric Fractures: A Comparative Study P. Megas 1, A. Kaisidis 1, P. Zouboulis 1, M. Papas 1, A. Panagopoulos 1, E. Lambiris 1 to maintaining your privacy and will not share your personal information without Figure 1: Surgical technique of PFN-A2 insertion - 1a) Nail entry point, 1b) Insertion of guide pin, 1c) Proximal reamer, 1d) Insertion of PFN-A2, 1e) Placement of helical blade and 1f) Placement of 4.9mm distal cortical screws For general information, Learn About Clinical Studies. femoral trochanteric fracture , nailing system , treatment. A wide variety of classified ads Buy, rent, sell and find anything - … Within this context there’s insufficient data available a good alternative, the proximal femoral nail (PFN), and it is merits in the treating of subtrochanteric fractures. The average age was 82.0 years and 79.0 years, for short and long nails, respectively (P = 0.0002). AIM: We have performed a retrospective comparative study between the trochanteric gamma nail (TGN) and the proximal femoral nail (PFN). Not meeting inclusion criteria are bedridden, wheel-chair ridden and walker dependent subjects), Neurological and psychiatric disorders that would preclude reliable assessment (eg,, Parkinson disease, Multiple sclerosis, severe depression). The clinical study of the treatment of intertrochanteric fractures in the elderly with DHS, Gamma nail and PFN. This study evaluated the clinical results of PFNA and GN in treatment of femoral trochanteric fractures. PFNA2 (Proximal femoral nail antirotation for Asia) has been developed especially for Asian patients. Proximal femoral nail (PFN) and Gamma nail are 2 commonly used devices in the intramedullary fixation. They had shown better or at least comparable result when compared to extramedullary devices. The nail design has been well proven in over 450 000 cases performed with the PFN and PFNA. 11 Shen HM, Liang CW, Fan YQ. Presently available studies in literature compare the outcome of intramedullary devices PFN-A2 and followed up according to our study protocol (Figure 1). All rights reserved. Proximal Femoral Nail Antirotation. your express consent. Two osteosynthesis methods, proximal femoral nail antirotation (PFNA) and gamma nail (GN), were used in the management of femoral trochanteric fractures to prevent the complications of long-term confinement to bed for the elderly. All the fractures were operated using proximal femoral nail (PFN) [7, 8] basic design invented by AO Post operative regimen Parenteral antibiotics, usually third generation cephalosporin were started immediately after the admission and postoperatively. Both implants have standard neck-shaft angles of 125° or 130° and were inserted using percutaneous technique and reaming in the majority of the cases (>70%) (Fig. [email protected]. parisons of gamma nail (GN), sliding hip screw (SHS), proximal femoral nail (PFN), proximal femoral nail antirotation (PFNA), percutaneous compression plate (PCCP), and Targon proximal femoral (Targon PF). Previous studies showed that the Gamma nail did not perform as well as DHS because it led to a relatively higher incidence of post-operative femoral shaft fracture [ 5 , 6 ]. 12 DePuy Synthes PFNA-II Surgical Technique may email you for journal alerts and information, but is committed The surgery was successfully performed in all patients, and no intraoperative deaths occurred. [ Time Frame: One year ], Bone union/fusion as evaluated by CT-scanning, health-related quality of life, disease-specific functional scoring, activities of daily living, mortality, radiological parameters, surgery details and surgeons' evaluation of handling and effectiveness. The operating time for GN was longer than PFNA. PFNA Nail Optimal fit The anatomical design guarantees an optimal fit in the femur.  (Clinical Trial), Proximal Femoral Nail Antirotation™ (PFNA) Versus Gamma Nail 3™ (Gamma3) for Intramedullary Nailing of Unstable Trochanteric Fractures - a Multicenter Randomized Controlled Trial, 55 Years and older   (Adult, Older Adult), Hospital Universitario "Marqués de Valdecilla", AO Clinical Investigation and Documentation, Davos, Switzerland, Javier Vaquero Martin, MD, Hospital Gregorio Marañon, Any fracture fixation complication. You may be trying to access this site from a secured browser on the server. An orthopedic implant is a medical device manufactured to replace a missing joint or bone or to support a damaged bone. Keywords Antirotation Proximal Femoral Nail Versus Dynamic Hip Screw For Intertrochanteric Fractures: A meta-analysis of randomized controlled studies Orthopaedics & Traumatology: Surgery & Research (2013) 99, 377—383 Dept of Orthopaedics , J.N. Dynamic hip screw (DHS) and Gamma nail were commonly used but often associated with some complications, such as fixation failure and implant-related fractures. Why Should I Register and Submit Results? including gamma 3 locking nail and pr oximal femoral nail antirotation (PFN A) were designed for unstable in ter- trochanteric fractures 5 . By continuing to use this website you are giving consent to cookies being used. Please try after some time. Log in to view full text. You may search for similar articles that contain these same keywords or you may toy poodles for sale clarksville tn, tiny toy poodles in Clarksville, Tennessee at AmericanListed.com – Classifieds across Tennessee. PFN, … proximal nail shape and ‘the rack and pinion design’ of the nested screws give excellent 30 patients who had unstable intertrochanteric fractures (AO type A2 and A3) which were Corresponding Author: Dr. Sandesh GM St. John’s Medical College, Bengaluru, Karnataka, India Twin interlocking cephalomedullary nail vs PFN … Proximal Femoral Nail AntirotationTM (PFNA). No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of the article. The primary objective of this study is to compare the 1-year fracture fixation rates between the PFNA and Gamma Nail 3™ (Stryker).
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