Key result
Proximal Femoral Nail Antirotation 2 (PFNA2) was superior to Proximal Femoral Nail (PFN) for intertrochanteric fractures, with reduced operative time, less blood loss, and better 6-month functional scores.
Why the study?
Dynamic hip screws are inadequate for unstable intertrochanteric fractures, making intramedullary nailing with dynamic femoral head/neck stabilization ideal, prompting comparison between different nail designs.
Does PFNA2 improve clinical and radiological outcomes compared to PFN in patients with intertrochanteric fractures?
Comparison
PFNA2 (helical blade) vs PFN (screw fixation)
Design
Comparative study
Authors
Loading...
May support PFNA2 preference; observational data leaves open need for randomized confirmation.
Cohort (n=60)
Does PFNA2 improve clinical and radiological outcomes compared to PFN in patients with intertrochanteric fractures?
PFNA2 provides better clinical outcomes, shorter operative time, and less blood loss compared to PFN for intertrochanteric fracture fixation.
Shekhar et al. (2025) conducted a cohort in Intertrochanteric fractures (n=60). Proximal Femoral Nail Antirotation 2 (PFNA2) vs. Proximal Femoral Nail (PFN) was evaluated on Clinical and radiological outcomes including operative time, intra-operative blood loss, Harris Hip Score, and Parker Palmer Mobility score. Proximal Femoral Nail Antirotation 2 (PFNA2) was superior to Proximal Femoral Nail (PFN) for intertrochanteric fractures, with reduced operative time, less blood loss, and better 6-month functional scores.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: