Hip Pelvis.  2012 Jun;24(2):117-123. 10.5371/hp.2012.24.2.117.

Treatment of Intertrochanteric Fractures Using Targon Proximal Femoral Nails

• Park IH
• Won JK
• Han KY

• KMID: 1439100
• DOI: http://doi.org/10.5371/hp.2012.24.2.117

Abstract

PURPOSE
To investigate the clinical and radiologic outcome after treatment of intertrochanteric fractures of femur using targon proximal femoral nails (PFN).
MATERIALS AND METHODS
One hundred fifty-five cases of intertrochanteric fracture who were treated with targon PFN from August 2004 to June 2010 were included. There were 54 men and 101 women with a mean age of 74.1 years at the time of surgery. There were 97 cases of stable fracture and 58 cases of unstable fracture. Operation time, frequency of transfusion, weight-bearing time, ability of activity after operation, and complications were all clinically investigated. Also, the average sliding of a lag screw and average union period were radiologically investigated.
RESULTS
The average operation time was 64 minutes and transfusion was required in 43 cases(27%). The average weight bearing time was 4.4 days. In 96 cases(62%), the pre-injury activity level was recovered. The average slide of the lag screw was 5.6 mm and the average union period was 10 weeks. There were 6 cases (3.8%) of complications including 3 cases antirotation pin cutout and 3 cases of periprosthetic fracture.
CONCLUSION
The treatment of intertrochanteric fractures using targon PFNs showed a satisfactory clinical outcome and a lower radiological complication rate.

Keyword

Femur; Intertrochanteric fracture; Targon proximal femoral nail

MeSH Terms

Female
Femur
Hip Fractures
Humans
Male
Nails
Weight-Bearing

Figure

• 

  Fig. 1 (A) Targon® Proximal Femoral Nail (PFN, Aesculap, Germany) was assembled. (B) Targon® Proximal Femoral Nail (PFN, Aesculap, Germany) was composed with Antirotation pin (black arrow), Sleeve (white arrow) and Lag Screw (arrowhead).

• 

  Fig. 2 (A) Hip AP radiograph of 75 years old male patient shows unstable intertrochanteric fracture. (B) Immediate postoperative radiograph shows well reduced fracture by using Targon® Proximal Femoral Nail. (C) Postoperative 1 year hip AP radiograph shows solid union of fracture and 10 mm sliding of lag screw without lateral protrusion of lag screw.

• 

  Fig. 3 Cut out of Antirotation Pin was seen on the (A) pre-op, (B) immediate post-op and (C) follow up hip AP radiograph.

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  Fig. 4 Periprosthetic fracture after fall down was seen on the (A) pre-op, (B) immediate post-op and (C) follow up hip AP radiograph.

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