Key result
Proximal femoral nail anti-rotation with cement augmentation reduces the prevalence of mechanical failure in elderly patients with unstable intertrochanteric fractures.
Why the study?
Mechanical failure from PFNA blade cut-out occurs in clinical practice after osteoporotic hip fracture fixation due to discontinuity of principal tensile trabeculae.
Does Proximal Femoral Nail Anti-rotation with cement augmentation reduce the prevalence of mechanical failure in elderly patients with unstable type intertrochanteric fracture?
Does Proximal Femoral Nail Anti-rotation with cement augmentation reduce the prevalence of mechanical failure in elderly patients with unstable type intertrochanteric fracture?
Proximal Femoral Nail Anti-rotation with cement augmentation may reduce mechanical failure in elderly patients with unstable intertrochanteric fractures.
Answers are grounded in this paper and cite their sources.
May support cement augmentation in fixation; hypothesis-generating and requires RCTs before practice change.
suggested a cephalomedullary device because they have determined improved walking ability [16] and tend to offer a shorter recovery [17].However, there was some mechanical failure from Proximal Femoral Nail Anti-rotation (PFNA) blade cut-out in clinical practice after osteoporotic hip fracture fixation because of discontinuity of principal tensile trabeculae (lack of bone trabeculae to prevent blade cut-out).A few literatures have identified potential of Polymethylmethacrylate (PMMA) cement-augmented helical PFNA blades to improve implant stability only in human cadaveric study [18,19].Moreover, they lack data demonstrating PFNA with cement augmented blade in clinical study.Therefore, purpose of our study was to undergo the preliminary study whether PFNA with cement augmented blade reduces the
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OA et al. (2019) studied this question. Proximal femoral nail anti-rotation with cement augmentation reduces the prevalence of mechanical failure in elderly patients with unstable intertrochanteric fractures.
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